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Postconcussion Syndrome (Mild Traumatic Brain Injury)

Eric M. Bankert, DO and Vicki R. Nelson, MD, PhD Reviewed 06/2018
 


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 in...

TREATMENT

GENERAL MEASURES

  • Return to full activity should progress according to stepwise concussion recommendations, which include immediate cognitive rest in the acute period (24 to 48 hours) followed...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

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

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 O...

ADDITIONAL READING

  • Leddy JJ, Sandhu H, Sodhi V, et al. Rehabilitation of concussion and post-concussion syndrome. Sports Health.  2012;4(2):147–154. [View Abstract on OvidMedline]

  • Morgan CD, Zuck...

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

ICD9

  • 310.2 Postconcussion syndr...

CLINICAL PEARLS

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

  • Coordinate multidisciplinary treatment plans for patie...

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