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Welcome, medical contents search April 29, 2013
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Post-Concussive Syndrome

more about Post-Concussive Syndrome

  • In this condition, a minor head Injury (with altered state of consciousness and some degree of memory loss) is followed by impaired brain function in the recovery period.  This impairment after a Concussion may not start immediately after the Concussion.  When it does start, it may last for weeks, months, or be permanent.  Most children with post-concussive syndrome make a complete recovery, over time.
  • The difference between this syndrome and the recovery period after traumatic brain Injury (serious brain Injury) is that no clear-cut Injury to the brain can be demonstrated on an imaging study (CAT scan of the brain, MRI brain scan) after a Concussion.  The brain tissue is intact, there is no skull Fracture, and there is no bleeding into the brain.
  • A Concussion does not require the child to lose consciousness during the Injury.

  • In the first few days to weeks after a Concussion, a large number of patients will suffer headaches and impaired ability to perform their activities of daily living.  This is still part of the Concussion.  The post-concussive syndrome is a long-lasting set of changes that occurs after the initial incapacity is over.
  • In young children, younger than the teenage years, the symptoms are mainly a behavioral change; or regression so that they act much like a younger child.
  • In teens, the symptoms are more like an adult with post-concussive syndrome: (1) headache and dizziness; (2) apathy and short attention span; (3) impaired memory; and (4) impaired ability to process new information.

  • Unknown
  • One theory is that there is decreased blood flow to the brain after a Concussion.

  • History of a Concussion (head Injury with altered state of consciousness and memory loss surrounding the time of the Injury, to some extent)
  • No evidence of serious brain Injury
  • Symptoms after the Concussion lasting more than 3 months: headache, dizziness, short attention span, mental slowness, apathy, poor memory, behavioral disturbance, any impairment of brain functioning, loss of motor skills
  • Impairment of brain functioning might be documented by neuro-psychological testing or psychometric testing.

  • Parenting in an understanding manner
  • Counseling by teachers, psychologists, psychiatrists
  • Behavioral therapy, psychiatric medication
  • After-school tutoring
  • Rehabilitation services: occupational therapy, physical therapy
  • Medication for headaches: acetaminophen, ibuprofen, prescription medicines such as amitriptyline
  • Vocational rehabilitation, in the case of employed individuals

  • Permanent or very long lasting impairment of brain functioning

  • Bring to the attention of your physician and your child's teachers any mental impairment that the child is suffering after a head Injury.

more about Post-Concussive Syndrome

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