Medico‐Legal Aspects of Concussion

Evans, Randolph W.; Strutt, Adriana M.

doi:10.1111/head.13926

Cited by 4 publications

(2 citation statements)

References 98 publications

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“…31 Furthermore, other studies have highlighted that being involved in a litigation process or having a psychiatric condition such as depression or post-traumatic stress disorder (PTSD) can increase the prevalence of HA after TBI, aggravate it, and prolong its recovery. 20,23,38,84 Therefore, it would be important that future studies consider these issues to minimize heterogeneity and perhaps be able to perform subanalyses or metaregressions using these factors as moderators.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of persistent post-traumatic headache in adult civilian traumatic brain injury: a systematic review and meta-analysis on the past 14 years

Babiloni

Bouferguene

Exposto

et al. 2023

Pain

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The most recent prevalence estimate of post-traumatic headache (PTH) after traumatic brain injury (TBI) in veterans and civilians dates back to 2008. The prevalence was found to be 57.8%, with surprising higher rates (75.3%) in mild TBI when compared with those with moderate/severe TBI (32.1%). However, the revision of mild TBI diagnostic criteria and an historic peak of TBI in the elderly individuals attributed to the ageing population may lead to different results. Thus, we conducted a systematic review and meta-analysis to assess the updated prevalence of PTH during the past 14 years only in civilians. A literature search was conducted following PRISMA guidelines guided by a librarian. Screening, full-text assessment, data extraction, and risk of bias assessment were performed blindly by 2 raters. Meta-analysis of proportions using the Freeman and Tukey double arcsine method of transformation was conducted. Heterogeneity, sensitivity analysis, and meta-regressions were performed with the predictors: year of publication, mean age, sex, TBI severity, and study design. Sixteen studies were selected for the qualitative analysis and 10 for the meta-analysis. The overall prevalence estimate of PTH was 47.1%, (confidence interval = 34.6, 59.8, prediction intervals = 10.8, 85.4), being similar at different time points (3, 6, 12, and 36+ months). Heterogeneity was high, and none of the meta-regressions were significant. The overall prevalence of PTH after TBI over the past 14 years remains high even if assessed only in civilians. However, the prevalence rates attributed to mild and moderate/severe TBI were similar, differing significantly from previous reports. Efforts are needed to improve TBI outcomes.

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Section: Discussionmentioning

confidence: 99%

The prevalence of persistent post-traumatic headache in adult civilian traumatic brain injury: a systematic review and meta-analysis on the past 14 years

Babiloni

Bouferguene

Exposto

et al. 2023

Pain

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“…Forensic physicians dealing with neurological patients mostly restrict their scope of coverage to within the field of neurotrauma (Latif H, Ahmad S & Akmal M., 2020;Evans RW & Strutt AM., 2020).…”

Section: Neurotrauma: a Clinical Approachmentioning

confidence: 99%

Neurological Expertise and Courts of Law: It Is All About Trauma, Maybe Not?

Vyshka,

Basha,

Ranxha

2024

CRMS

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Neurological expertise is requested from courts of law in some particular cases, both in criminal and civil proceedings. With the judiciary field falling mostly within the scope of legal medicine professionals, and forensic psychiatrists, the role of an expert from other medical specialties seems unfamiliar. While considering the neurological deficits and diagnoses, experts rely on classificatory systems that highly fragmentize isolated somatic injuries. Such a stand might not reflect the impact of the injury or deficit for the patient as a whole. Neurotraumatology has been the main field where expertise is necessary, following civil suits, litigation, malpractice, and remuneration requests. Other neurological disorders are not immune from being at the center of a legal issue, such as dementia, epilepsy and so on. Well known in the still debatable issue on epilepsy being a disease of mind or not. Thus, neurologists at court should carefully avoid psychiatric overlapping of opinions and remain within the limits of their specialty, while considering a multifaceted issue.

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The Litigation Complexity of Posttraumatic Headaches

Hubbard

Hodge

2021

Curr Pain Headache Rep

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Medico‐Legal Aspects of Concussion

Cited by 4 publications

References 98 publications

The prevalence of persistent post-traumatic headache in adult civilian traumatic brain injury: a systematic review and meta-analysis on the past 14 years

The prevalence of persistent post-traumatic headache in adult civilian traumatic brain injury: a systematic review and meta-analysis on the past 14 years

Neurological Expertise and Courts of Law: It Is All About Trauma, Maybe Not?

The Litigation Complexity of Posttraumatic Headaches

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