Post-concussive syndrome
Background
- Definition: Concussion symptoms that continue beyond the expected 7-10d recovery period [1]
- Patients with more severe symptoms on initial presentation may be more at risk
- History of migraine, depression, anxiety also a possible risk factor
Clinical Features
- Headache
- Dizziness
- Decreased concentration
- Memory problems
- Sleep disturbance
- Irritability
- Fatigue
- Visual disturbances
- Judgment problems
- Depression
- Anxiety
- Anosmia and decreased taste
Differential Diagnosis
Head trauma
- Traumatic brain injury
- Orbital trauma
- Maxillofacial trauma
- Skull fracture
- Pediatric head trauma
Evaluation
- Neuropsychological testing
- Symptom checklist
Management
- Symptomatic management is mainstay of therapy
- Avoid re-injury
Disposition
- Discharge
- Refer to TBI clinic or neuropsychologist, if availabe
See Also
- Head trauma (main)
- Mild traumatic brain injury (Concussion)
External Links
References
- Haydel, M. Management of Mild Traumatic Brain Injury in the Emergency Department. EB Medicine. Sept 2012; Vol 14
This article is issued from
Wikem.
The text is licensed under Creative
Commons - Attribution - Sharealike.
Additional terms may apply for the media files.