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Postconcussion Syndrome (Mild Traumatic Brain Injury)

Eric M. Bankert, DO and Vicki R. Nelson, MD, PhD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Postconcussion syndrome (PCS) is a constellation of symptoms involving physical, cognitive, and/or behavioral symptoms persisting after a concussion (mild traumatic brain injury [mTB...

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 recommendations, which include immediate cognitive rest in the acute period (24 to 48 hours) followed by gradual return t...

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
Harmon KG, Drezner JA, Gammons M, et al. American Medical Society for Sports Medicine position statement: concussion in sport. Br J Sports Med.  2013;47(1):15–26. [View Abstract on Ov...

ADDITIONAL READING

  • Morgan CD, Zuckerman SL, Lee YM, et al. Predictors of postconcussion syndrome after sports-related concussion in young athletes: a matched case-control study. J Neurosurg Pediatr. ...

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

ICD9

  • 310.2 Postconcussion syndr...

CLINICAL PEARLS

  • Imaging rarely useful for PCS. If necessary, head CT is the test of choice for acute injury to exclude intracranial bleeding.

  • Coordinate multidisciplinary treatment plans for patients w...

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