Postconcussion Syndrome After Mild Traumatic Brain Injury in Western Greece

Spinos, Panagiotis; Sakellaropoulos, George; Georgiopoulos, Miltiadis; Stavridi, Kleio; Apostolopoulou, Katerina; Ellul, John; Constantoyannis, Constantine

doi:10.1097/ta.0b013e3181edea67

Cited by 39 publications

(21 citation statements)

References 30 publications

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“…Investigations of the prevalence of persistent symptoms for those cases who are seen in the emergency department or who are hospitalized have reported rates that range from 0.9-68% [7,8]. However, recent estimates fall within the range of 13-35% [9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 94%

Quality of clinical practice guidelines for persons who have sustained mild traumatic brain injury

et al. 2011

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Section: Introductionmentioning

confidence: 94%

Quality of clinical practice guidelines for persons who have sustained mild traumatic brain injury

et al. 2011

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“…However, 15% of mTBIs have been reported to have persistent disabling cognitive problems. 12,13 There may be reduced functional ability, emotional distress, return to work may be delayed as a consequence. Post-concussion syndrome is determined by the symptoms persisting beyond the typical recovery period of three months.…”

Section: B a C K G R O U N Dmentioning

confidence: 99%

Prevalence and Risk Factors of Neuropsychological Issues Following Acute Mild Traumatic Brain Injury

Kannan¹,

Kannan²,

Stalin³

2019

jemds

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BACKGROUND Traumatic brain injury (TBI) is one of the major causes of neurological disability in India 1 , 80-90% of TBIs are mild 2,3. Mild traumatic brain injury (mTBI) participants may present with post concussive symptoms especially deficits in cognition which is commonly ignored. Unidentified cognitive deficits in the acute phase of mTBI may result in long term functional problems and poor quality of life. Aim of the present study is to determine the prevalence and risk factors of neuropsychological issues in mild traumatic brain injury. METHODS Ninety persons with mild traumatic brain injury admitted to the emergency unit of neurosciences in a Chennai based tertiary care hospital aged between 20 and 60 years with Glasgow Coma Scale Score of 13-15 were assessed with PGI battery of brain dysfunctions within 48 hours of admission. Impairment in memory, verbal intelligence, performance intelligence, visual acuity and visuospatial functions were assessed using the battery. Cognitive dysfunction was evaluated using dysfunction rating scale scores in each test. RESULTS Data were analysed using IBM SPSS Version 21. Cognitive dysfunction was found to be higher in memory such as delayed recall, visual and verbal retention of new information, mental balance and constructional ability. Male participants (30%) between 50-60 years (70%) with lower educational qualification (44.4%) had severe cognitive impairment compared to others. Housewives (57.1%) had severe dysfunction in learning and retaining new information. Abnormality in CT report (35.9%) was found to have significant effect on visual retention. CONCLUSIONS There is significant cognitive impairment in various domains of memory and constructional abilities in the acute phase of single mTBI. Factors such as age, gender, years of education, occupation and structural abnormality were found to be risk factors for individual vulnerabilities. Younger age, higher educational qualifications and good occupational skills with uncomplicated CT reports were found to play protective roles as cognitive reserves in preventing cognitive dysfunction after traumatic brain injury.

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“…In a study of athletes, it was found that nearly 80% had resolution of their concussion‐related symptoms and returned to neurocognitive baseline levels by 3 weeks after injury [18]. In nonathlete populations, prospective studies have widely varied, reporting a prevalence of symptoms of 6%‐80% at 3 months after injury [19‐23]. Patients with persistent symptoms have been deemed the “miserable minority,” a concept captured in the DSM‐IV criteria, which require that the symptoms cause “significant impairment in social or occupational functioning” [7,24].…”

Section: Postconcussion Symptoms and Treatment Approachesmentioning

confidence: 99%

Postconcussion Syndrome: A Physiatrist's Approach

Reddy

2011

PM&R

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Postconcussion Syndrome After Mild Traumatic Brain Injury in Western Greece

Abstract: The prevalence of PCS was remarkably higher in previous studies. Cultural differences regarding symptom expectation and the lack of compensation might explain the low rate of chronic symptoms in Greeks.

Cited by 39 publications

References 30 publications

Quality of clinical practice guidelines for persons who have sustained mild traumatic brain injury

Quality of clinical practice guidelines for persons who have sustained mild traumatic brain injury

Prevalence and Risk Factors of Neuropsychological Issues Following Acute Mild Traumatic Brain Injury

Postconcussion Syndrome: A Physiatrist's Approach

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