Mild traumatic brain injury: Difference between revisions
(Created page with "CONCUSSIONS - transient aloc p trauma with neg ct - but neg ct does not r/o diffuse axonal inj or microscopic inj - with concussion can have abnormal neuro fnc for fe...") |
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CONCUSSIONS | CONCUSSIONS | ||
- transient aloc p trauma with neg ct | - transient aloc p trauma with neg ct | ||
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- the more concussions, the poorer the score on neuropsych testing | - the more concussions, the poorer the score on neuropsych testing | ||
==Return to Sports== | |||
Return to Sports | |||
minor- consussion, no LOC, neuro change <15 min- 1 wk no sports | minor- consussion, no LOC, neuro change <15 min- 1 wk no sports | ||
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if second grade 3, no sport for 1 mo and ct pos- no sports for rest of season and possible for ever! | if second grade 3, no sport for 1 mo and ct pos- no sports for rest of season and possible for ever! | ||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:Trauma]] | |||
[[Category:Neuro]] |
Revision as of 06:49, 6 June 2011
CONCUSSIONS - transient aloc p trauma with neg ct
- but neg ct does not r/o diffuse axonal inj or microscopic inj
- with concussion can have abnormal neuro fnc for few days
- second impact syndrome- irrev brain damage p prior concussion after minor head inj- due to disordered autoregulation
- ct not as good as mri but good enough to find lesions requiring medical/ surgical eval
- risk of subsequent deterioration p neg initial ct is very low
- isolated skull fx and neg ct- few complications
- post traumatic sz with neg ct and neg neuro exam- low risk for subsequent sz
- theoretical risk for delayed bleeding p initial neg ct but these pts usually have abnormal neuro on presentation
- is normal neuro and neg ct, chance of delayed bleeding very rare
- minor trauma can give long term neuropsych changes- cognitive fnc, problem solving, attention, concentration- usually resolve p 1 yr
- the more concussions, the poorer the score on neuropsych testing
Return to Sports
minor- consussion, no LOC, neuro change <15 min- 1 wk no sports
Grade 2- consussion, no loc, neuro change >15 min- 1- 2 wks no sports
Grade 3- concussion w LOC- no sports for 2 wks
if second grade 3, no sport for 1 mo and ct pos- no sports for rest of season and possible for ever!