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Topics in Cognitive Rehabilitation in the TBI Post-Hospital Phase pp 69–73Cite as

Mild Traumatic Brain Injury and Postconcussion Syndrome

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Abstract

Mild traumatic brain injury (TBI) has been referred to as a “silent epidemic” due to the problems experienced by patients post-injury, and very often they are not visible but may have profound consequences and cause life-long impairments in physical, cognitive, behavioral, and social functions. Mild TBI usually has a natural course of rapid resolution of symptoms within days or weeks. However a considerable proportion of patients will experience postconcussion symptoms for a prolonged period after injury (>3 months). The range of symptoms can be headache, dizziness, fatigue, irritability, sleep disturbance, difficulty to concentrate, memory loss, stress intolerance, light or sound sensibility, balance problems, anxiety, and depressive humor. The social burden of mTBI can be significant, and therefore, family education and counseling together with support of patients and carers by a transdisciplinary team is important for an effective rehabilitation.

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Abbreviations

ACRM:

American Congress of Rehabilitation Medicine

DALY:

Disability-adjusted life year

DSM-IV:

Diagnostic and Statistical Manual of Mental Disorders, fourth edition

GCS:

Glasgow Coma Scale

ICD-10:

International Classification of Diseases, 10th revision

LOC:

Loss of consciousness

mTBI:

Mild traumatic brain injury

N/A:

Not applicable

PCS:

Postconcussion syndrome

PPCS:

Persistent postconcussion syndrome

PTA:

Posttraumatic amnesia

SCAT3:

Sport Concussion Assessment Tool V.3

TBI:

Traumatic brain injury

References

  1. Kay T, Harrington DE, Adams R, Andersen T, Berrol S, Cicerone K, et al. Definition of mild traumatic brain injury. J Head Trauma Rehabil. 1993;8(3):86–7.

    Article  Google Scholar 

  2. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;2:81–4.

    Article  CAS  Google Scholar 

  3. Andrade AF, Paiva WS, Amorim RLO, Figueiredo EG, Rusafa Neto E, Teixeira MJ. The pathophysiological mechanisms following traumatic brain injury. Rev Assoc Med Bras [Internet]. 2009;55(1):75–81. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302009000100020&lng=en.

  4. Bigler ED. Distinguished Neuropsychologist Award Lecture 1999. The lesion(s) in traumatic brain injury: implications for clinical neuropsychology. Arch Clin Neuropsychol. 2001;16:95–131.

    Article  CAS  Google Scholar 

  5. King N. Mild head injury neuropathology, sequelae, measurement and recovery. Br J Clin Psychol. 1997;36(Part 2):161–84.

    Article  Google Scholar 

  6. Riggio S, Wong M. Neurobehavioral sequelae of traumatic brain injury. Mt Sinai J Med. 2009;76:163–72.

    Article  Google Scholar 

  7. Pearce JMS. Observations on concussion: a review. Eur Neurol. 2008;58:113–9.

    Article  Google Scholar 

  8. Cantu RC. Return to play guidelines after a head injury. Clin Sports Med. 1998;17:45–60.

    Article  CAS  Google Scholar 

  9. Colorado Medical Society School and Sports Medicine Committee. Guidelines for the management of concussion in sports. Colo Med. 1900;87:4.

    Google Scholar 

  10. Reports of the Quality Standards Subcommittee. Practice parameter: the management of concussion in sports (summary statement). Neurology. 1997;48:581–5.

    Article  Google Scholar 

  11. Mullally WJ. Concussion. Am J Med. 2017; pii: S0002-9343(17)30482-5. https://doi.org/10.1016/j.amjmed.2017.04.016.

    Article  Google Scholar 

  12. McCrory P, Meeuwisse WH, Aubry M, Cantu RC, Dvorak J, Echemendia RJ, Engebretsen RJ, Johnston K, Kutcher JS, Raftery M, et al. Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport, Zurich, November 2012. J Athl Train. 2013;48(4):554–75.

    Article  Google Scholar 

  13. McIntyre A, Mehta S, Aubut J, Dijkers M, Teasell RW. Mortality among older adults after a traumatic brain injury: a meta-analysis. Brain Inj. 2013;27(1):31–40.

    Article  Google Scholar 

  14. Cheng PL, Lin HY, Lee YK, Hsu CY, Lee CC, Su YC. Higher mortality rates among the elderly with mild traumatic brain injury: a nationwide cohort study. Scand J Trauma Resusc Emerg Med. 2014 Jan 28;22:7. https://doi.org/10.1186/1757-7241-22-7.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Thurman DJ, Alverson C, Dunn KA, Guerrero J, Sniezek JE. Traumatic brain injury in the United States: a public health perspective. J Head Trauma Rehabil. 1999;14(6):602–15.

    Article  CAS  Google Scholar 

  16. Gururaj G. An epidemiological approach to prevention – pre-hospital care and rehabilitation in neurotrauma. Neurol India. 1995;43(3):95–105.

    Google Scholar 

  17. Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control. Report to Congress on mild traumatic brain injury in the United States: steps to prevent a serious public health problem. Atlanta (GA): Centers for Disease Control and Prevention; 2003.

    Google Scholar 

  18. WHO (World Health Organization). International statistical classification of diseases and related health problems. 2010. [January 30, 2016]. (10th Revision. [Online version.]). http://apps​.who.int/classifications​/icd10/browse/2010/en.

    Google Scholar 

  19. Ahman S, Saverman BI, Styrke J, Bjornstig U, Stalnacke BM. Long term follow up of patients with mild traumatic brain injury: a mixed-methods study. J Rehabil Med. 2013;45:758–64.

    Article  Google Scholar 

  20. Ponsford J, Willmott C, Rothwell A, et al. Factors influencing outcome following mild traumatic brain injury in adults. J Inte Neuropsychol Soc. 2000;6:568–79.

    Article  CAS  Google Scholar 

  21. Rogers JM, Read CA. Psychiatric comorbidity following traumatic brain injury. Brain Inj. 2007;21:1321–33.

    Article  Google Scholar 

  22. Pagulayan KF, Hoffman JM, Temkin NR, Machamer JE, Dikmen SS. A longitudinal study of health-related quality of life after traumatic brain injury. Arch Phys Med Rehabil. 2006;87:611–8.

    Article  Google Scholar 

  23. U.S. National Institutes of Health. Rehabilitation of persons with traumatic brain injury: NIH consensus statement. JAMA. 1999;282(10):974–83.

    Article  Google Scholar 

  24. Marshall S, Bayley M, McCullagh S, Velikonja D, Berrigan L. Clinical practice guidelines for mild traumatic brain injury and persistent symptoms. Can Fam Physician. 2012;58:257–67.

    PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Neurology – Neurosurgery – Clinics Hospital – School of Medicine– University of São Paulo, São Paulo, Brazil

    Marcia Mitie Nagumo & Robson Luis Oliveira de Amorim

  2. Nursing School – University of São Paulo, São Paulo, Brazil

    Daniele Vieira da Silva

  3. Department of Neurology – Neurosurgery – Amazonas State University, Amazonas, Brazil

    Robson Luis Oliveira de Amorim

Authors
  1. Marcia Mitie Nagumo
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  2. Daniele Vieira da Silva
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  3. Robson Luis Oliveira de Amorim
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Editor information

Editors and Affiliations

  1. University of São Paulo, São Paulo, São Paulo, Brazil

    Renato Anghinah

  2. University of São Paulo, São Paulo, São Paulo, Brazil

    Wellingson Paiva

  3. University of São Paulo, São Paulo, São Paulo, Brazil

    Linamara Rizzo Battistella

  4. University of São Paulo, São Paulo, São Paulo, Brazil

    Robson Amorim

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Nagumo, M.M., da Silva, D.V., de Amorim, R.L.O. (2018). Mild Traumatic Brain Injury and Postconcussion Syndrome. In: Anghinah, R., Paiva, W., Battistella, L., Amorim, R. (eds) Topics in Cognitive Rehabilitation in the TBI Post-Hospital Phase. Springer, Cham. https://doi.org/10.1007/978-3-319-95376-2_9

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  • DOI: https://doi.org/10.1007/978-3-319-95376-2_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-95374-8

  • Online ISBN: 978-3-319-95376-2

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