Clinical Evaluation and Treatment of Patients with Postconcussion Syndrome.

Neurol Res Int

Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756, USA.

Published: May 2021

Postconcussion syndrome (PCS) is a complex set of symptoms occurring in a small percentage of patients following concussion. The condition is characterized by headaches, dizziness, cognitive difficulties, somatosensory issues, and a variety of other symptoms with varying durations. There is a lack of objective markers and standard treatment protocols. With the complexity created by premorbid conditions, psychosomatic issues, secondary gains, and litigations, providers often find themselves in a tough situation in the care of these patients. This article combines literature review and clinical insights with a focus on the underlying pathophysiology of PCS to provide a roadmap for evaluating and treating this condition.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8181109PMC
http://dx.doi.org/10.1155/2021/5567695DOI Listing

Publication Analysis

Top Keywords

postconcussion syndrome
8
clinical evaluation
4
evaluation treatment
4
treatment patients
4
patients postconcussion
4
syndrome postconcussion
4
syndrome pcs
4
pcs complex
4
complex set
4
set symptoms
4

Similar Publications

The present study aims at providing reference values from the general pediatric population for the German version of the 21-item self-report post version of the Postconcussion Symptom Inventory for adolescents aged 13-17 years (PCSI-SR13) following pediatric traumatic brain injury (pTBI). A total of N = 950 adolescents completed an adapted version of the PCSI-SR13. Prior to establishing reference values using percentiles, psychometric properties (i.

View Article and Find Full Text PDF

Post-concussion Syndrome (PCS) describes persistent nonspecific neurological, cognitive and emotional symptoms following concussion. A young male presented to a sports concussion clinic with persistent symptoms post-injury. Neurocognitive testing found unexpected severe memory impairment.

View Article and Find Full Text PDF

Traumatic brain injury (TBI) is frequently associated with hypopituitarism. The hypothalamic-pituitary axis appears to be susceptible to the same forces that cause injury to the parenchyma of the brain. Following even a mild TBI (mTBI), patients may suffer transient or permanent decreases in anterior pituitary hormones, including somatotropin (growth hormone [GH]), gonadotropins (luteinizing hormone and follicle-stimulating hormone), thyrotropin, and adrenocorticotropic hormone, with the most frequent long-term deficiency being GH deficiency (GHD).

View Article and Find Full Text PDF
Article Synopsis
  • Concussions are increasingly recognized as a serious health issue, with the need to better understand minor traumatic brain injuries (mTBI) and their long-term effects like second impact syndrome and chronic traumatic encephalopathy (CTE).
  • Current diagnostic methods for concussions primarily rely on subjective assessments, which can lead to uncertainties in diagnosis despite some assistance from neurocognitive tests.
  • Emerging research is focusing on developing objective diagnostic tools, such as specific biomarkers and advanced imaging techniques, to improve the accuracy of concussion diagnosis and management.
View Article and Find Full Text PDF
Article Synopsis
  • - This study examines how symptoms from sport-related concussions (SRC) and non-SRC recover in young children aged 5 to 12 years over a period of 12 weeks.
  • - The research included 1,747 children from various pediatric emergency departments and analyzed their symptom changes using a standardized inventory to gather self-reported and parent-reported data.
  • - The findings aim to provide insights into the differences in symptom recovery trajectories between younger children and highlight any variations based on the type of injury experienced.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!