Mild traumatic brain injury: Difference between revisions
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==Background== | ==Background== | ||
*Simple concussion | *Concussion (mild TBI) is defined as GCS 14-15 w/ assoc signs or symptoms after a blunt force or acceleration-deceleration injury | ||
**Gradual resolution of symptoms w/in 7-10d | *Types | ||
*Complex concussion | **Simple concussion | ||
**Persisting symptoms or cognitive impairment | ***Gradual resolution of symptoms w/in 7-10d | ||
**Symptoms with exertion | **Complex concussion | ||
***Persisting symptoms or cognitive impairment | |||
***Symptoms with exertion | |||
==Diagnosis== | |||
*Any alteration in the mental state at the time of event or subsequent to the event | |||
**Symptoms may be delayed by days-weeks | |||
*Most consistent abnormality is subtle impairments in cognitive function | |||
**Attention, concentration, memory, processing speed, reaction time | |||
*Physical signs/symptoms | |||
**HA, dizziness, insomnia, fatigue, uneven gait, N/V, blurred vision, seizures | |||
*Behavioral changes | |||
**Irritability, depression, anxiety, sleep disturbances, problems related to school/work | |||
==Treatment== | ==Treatment== | ||
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*Complex | *Complex | ||
**Refer to sports medicine or concussion specialist | **Refer to sports medicine or concussion specialist | ||
==Prognosis== | |||
*At 3 mo after injury <30% are symptomatic | |||
*At 1 yr after injury 15% are symptomatic | |||
==See Also== | ==See Also== | ||
*[[Head Trauma (Adult)]] | *[[Head Trauma (Adult)]] | ||
*[[Head Trauma (Peds)]] | *[[Head Trauma (Peds)]] | ||
==Source== | |||
Tintinalli | |||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Neuro]] | [[Category:Neuro]] | ||
Revision as of 04:53, 27 July 2011
Background
- Concussion (mild TBI) is defined as GCS 14-15 w/ assoc signs or symptoms after a blunt force or acceleration-deceleration injury
- Types
- Simple concussion
- Gradual resolution of symptoms w/in 7-10d
- Complex concussion
- Persisting symptoms or cognitive impairment
- Symptoms with exertion
- Simple concussion
Diagnosis
- Any alteration in the mental state at the time of event or subsequent to the event
- Symptoms may be delayed by days-weeks
- Most consistent abnormality is subtle impairments in cognitive function
- Attention, concentration, memory, processing speed, reaction time
- Physical signs/symptoms
- HA, dizziness, insomnia, fatigue, uneven gait, N/V, blurred vision, seizures
- Behavioral changes
- Irritability, depression, anxiety, sleep disturbances, problems related to school/work
Treatment
- Simple
- Limitations on playing and training while symptomatic
- F/u with PMD
- Complex
- Refer to sports medicine or concussion specialist
Prognosis
- At 3 mo after injury <30% are symptomatic
- At 1 yr after injury 15% are symptomatic
See Also
Source
Tintinalli