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Postconcussion Syndrome (Mild Traumatic Brain Injury)

Vicki R. Nelson, PhD, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Postconcussion syndrome (PCS) is a constellation of symptoms involving physical, cognitive, and/or behavioral symptoms persisting after a concussion (synonymous with mild traumatic b...

DIAGNOSIS

HISTORY

  • Detailed history of recent impact and closed head injury, including:

    • Mechanism

    • Timing of injury related to symptoms

    • Previous head injuries, including concussion, and timing of those inju...

TREATMENT

GENERAL MEASURES

  • Return to full activity should progress according to existing evidence-based recommendations for return to activity (work, school, sport) after concussion (1).

  • When possible,...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Schedule regular follow-up to evaluate for persistent symptoms, efficacy of and/or need for neuropsychiatric evaluation, and the efficacy of and/or need for pharm...

REFERENCES

1
Patricios JS, Schneider KJ, Dvorak J, et al. Consensus statement on concussion in sport: the 6th International Conference on Concussion in sport-Amsterdam, October 2022. Br J Sports Med. 2...

ADDITIONAL READING

  • Miutz LN, Burma JS, Lapointe AP, et al. Physical activity following sport-related concussion in adolescents: a systematic review. J Appl Physiol (1985). 2022;1...

SEE ALSO

Concussion (Mild Traumatic Brain Injury) 

CODES

ICD10

  • F07.81 Postconcussional syndrome

  • S06.9X0A Unsp intracranial injury w/o loss of consciousness, init

  • S06.9X9A Unsp intracranial injury w LOC of unsp duration, init

SNOMED

  • 40425004 postconcussion ...

CLINICAL PEARLS

  • Imaging is rarely useful for postconcussion syndrome.

  • Coordinate multidisciplinary treatment plans for patients with persistent symptoms.

  • A full return to sport/physical activity should ...

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