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Postconcussive Syndrome

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Interaction Between Psychiatric Symptoms and History of Mild TBI When Evaluating Postconcussion Syndrome in Veterans.

Sadie E Larsen, Eric R Larson, Joshua C Hunt, William G Lorber, Terri A deRoon-Cassini,

INTRODUCTION:Symptoms of postconcussive syndrome (PCS) after mild TBI (mTBI) have been shown to resolve quickly, yet new research raises questions about possible long-term effects of this condition. It is not clear how best to address assessment and treatment when someone reports lingering symptoms of PCS. One self-report measure used by ... Read more >>

Mil Med (Military medicine)
[2020, 185(Suppl 1):161-167]

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Structural and Volumetric Brain MRI Findings in Mild Traumatic Brain Injury.

J B Patel, S H Wilson, T R Oakes, P Santhanam, L K Weaver,

BACKGROUND AND PURPOSE:Routine MR imaging findings are frequently normal following mild traumatic brain injury and have a limited role in diagnosis and management. Advanced MR imaging can assist in detecting pathology and prognostication but is not readily available outside research settings. However, 3D isotropic sequences with ∼1-mm3 voxel size are ... Read more >>

AJNR Am J Neuroradiol (AJNR. American journal of neuroradiology)
[2020, 41(1):92-99]

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Elevated Tau in Military Personnel Relates to Chronic Symptoms Following Traumatic Brain Injury.

Cassandra L Pattinson, Pashtun Shahim, Patricia Taylor, Kerri Dunbar, Vivian A Guedes, Vida Motamedi, Chen Lai, Christina Devoto, Jordan Peyer, Michael J Roy, Jessica M Gill,

OBJECTIVE:To understand the relationships between traumatic brain injury (TBI), blood biomarkers, and symptoms of posttraumatic stress disorder (PTSD), depression, and postconcussive syndrome symptoms. DESIGN:Cross-sectional cohort study using multivariate analyses. PARTICIPANTS:One hundred nine military personnel and veterans, both with and without a history of TBI. MAIN MEASURES:PTSD Checklist-Civilian Version (PCL-C); Neurobehavioral ... Read more >>

J Head Trauma Rehabil (The Journal of head trauma rehabilitation)
[2020, 35(1):66-73]

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Postconcussive, posttraumatic stress and depressive symptoms in recently deployed U.S. Army soldiers with traumatic brain injury.

Stephanie Agtarap, Laura Campbell-Sills, Michael L Thomas, Ronald C Kessler, Robert J Ursano, Murray B Stein,

Prior studies raise questions about whether persistent postconcussive symptoms (PCS) are differentiable from mental health sequelae of traumatic brain injury (TBI). To investigate whether PCS represented a distinct symptom domain, we evaluated the structure of post-concussive and psychological symptoms using data from The Army STARRS Pre/Post Deployment Study, a panel ... Read more >>

Psychol Assess (Psychological assessment)
[2019, 31(11):1340-1356]

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Assessing Postconcussive Reaction Time Using Transport-Based Morphometry of Diffusion Tensor Images.

S Kundu, A Ghodadra, S Fakhran, L M Alhilali, G K Rohde,

BACKGROUND AND PURPOSE:Cognitive deficits are among the most commonly reported post-concussive symptoms, yet the underlying microstructural injury is poorly understood. Our aim was to discover white matter injury underlying reaction time in mild traumatic brain injury DTI by applying transport-based morphometry. MATERIALS AND METHODS:In this retrospective study, we performed DTI ... Read more >>

AJNR Am J Neuroradiol (AJNR. American journal of neuroradiology)
[2019, 40(7):1117-1123]

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Rasch Analysis of Postconcussive Symptoms: Development of Crosswalks and the Brain Injury Symptom Scale.

Leia Vos, Gale G Whiteneck, Esther Ngan, Luis Leon-Novelo, Mark Sherer,

OBJECTIVE:The first aim of this study was to develop a Rasch-based crosswalk between 2 postconcussive symptom measures, the Neurobehavioral Symptom Inventory (NSI) and the Rivermead Postconcussive Symptom Questionnaire (RPQ). The second goal was to utilize Rasch analysis to formulate a new proposed scale containing the best theoretical and psychometric items. ... Read more >>

Arch Phys Med Rehabil (Archives of physical medicine and rehabilitation)
[2019, 100(10):1844-1852]

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Dynamic Functional Network Analysis in Mild Traumatic Brain Injury.

Wenshuai Hou, Chandler Sours Rhodes, Li Jiang, Steven Roys, Jiachen Zhuo, Joseph JaJa, Rao P Gullapalli,

Mild traumatic brain injury (mTBI) is one of the most common neurological disorders for which a subset of patients develops persistent postconcussive symptoms. Previous studies discovered abnormalities and disruptions in the brain functional networks of mTBI patients principally using static functional connectivity measures which assume that neural communication across the ... Read more >>

Brain Connect (Brain connectivity)
[2019, 9(6):475-487]

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Mild Traumatic Brain Injury: Striking Postconcussion Symptoms Due to Inadequate Management.

Sandra Waldmeier-Wilhelm, Martina Studer, Christian Weisstanner, Theda Heinks, Sebastian Grunt, Maja Steinlin,

Pediatric mild traumatic brain injury is a frequent cause for emergency consultations. Very often, management decisions focus only on acute neurological problems, without considering possible long-term impairment. Our case describes a 14-year-old girl who developed a pronounced and prolonged postconcussive syndrome and subsequent posttraumatic stress symptoms after (mild) traumatic brain ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2019, 35(6):e99-e103]

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Representation of concussion subtypes in common postconcussion symptom-rating scales.

Angela Lumba-Brown, Jamshid Ghajar, Jordan Cornwell, O Josh Bloom, James Chesnutt, James R Clugston, Raina Kolluri, John J Leddy, Masaru Teramoto, Gerard Gioia,

Aim:Postconcussion symptom-rating scales are frequently used concussion assessment tools that do not align directly with new expert, consensus-based concussion subtype classification systems. This may result in delays in concussion diagnosis, subspecialty referral and rehabilitative strategies. Objective:To determine the representation of subtype-directed symptomatology in common postconcussion symptom-rating scales. Methods:Literature review and ... Read more >>

Concussion (Concussion (London, England))
[2019, 4(3):CNC65]

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Comparison of the Neurobehavioral Symptom Inventory and the Rivermead Postconcussion Symptoms Questionnaire.

Leia Vos, Gale G Whiteneck, Esther Ngan, Luis Leon Novelo, Lindsey M Harik, Mark Sherer,

Objective: This study sought to determine the similarity of constructs measured by the Neurobehavioral Symptom Inventory (NSI) and Rivermead Postconcussive Symptoms Questionnaire (RPQ) and the potential for interchangeability of scores from the two scales. Setting: Three acute inpatient rehabilitation hospitals in the USA. Participants: 497 community dwelling persons with traumatic ... Read more >>

Brain Inj (Brain injury)
[2019, 33(9):1165-1172]

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The Economic Burden of Pediatric Postconcussive Syndrome.

Daniel J Corwin, Christina L Master, Matthew F Grady, Mark R Zonfrillo,

OBJECTIVE:To estimate the direct costs of pediatric postconcussive syndrome (PCS). DESIGN:Retrospective cohort study. SETTING:Subspecialty sports medicine clinics of a large pediatric tertiary care network in the United States. PATIENTS:One hundred fifty-four patients aged 5 to 18 years with PCS, evaluated between 2010 and 2011. ASSESSMENT OF INDEPENDENT VARIABLES:Direct costs included ... Read more >>

Clin J Sport Med (Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine)
[2019, :]

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Acute Sports-Related Head Injuries.

Stephen M Carek, James R Clugston,

Injuries from sports-related head trauma are commonly encountered by primary care providers. These injuries vary in clinical presentation, severity, and outcome, with sports-related concussion (SRC) being the most common and more severe sports-related head trauma, such as hemorrhage, and "second impact syndrome" occurring rarely. Understanding the importance of immediate recognition, ... Read more >>

Prim. Care (Primary care)
[2020, 47(1):177-188]

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Survey of Child Neurologists on Management of Pediatric Post-traumatic Headache.

Rachel Pearson, Desiree Levyim, Meeryo Choe, Sharief Taraman, Raquel Langdon,

Traumatic brain injury causes significant morbidity in youth, and headache is the most common postconcussive symptom. No established guidelines exist for pediatric post-traumatic headache management. We aimed to characterize common clinical practices of child neurologists. Of 95 practitioners who completed our survey, most evaluate <50 pediatric concussion patients per year, ... Read more >>

J. Child Neurol. (Journal of child neurology)
[2019, 34(12):739-747]

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Brain Drain: Psychosocial Factors Influence Recovery Following Mild Traumatic Brain Injury-3 Recommendations for Clinicians Assessing Psychosocial Factors.

Carol Cancelliere, Riaz J Mohammed,

SYNOPSIS:Mild traumatic brain injury is a major global public health concern. While most people recover within days to months, 1 in 5 people with mild traumatic brain injury report persistent, disabling symptoms that interfere with participation in work, school, and sport. People with injuries to regions other than the head ... Read more >>

J Orthop Sports Phys Ther (The Journal of orthopaedic and sports physical therapy)
[2019, 49(11):842-844]

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Current State of the Literature on Psychological and Social Sequelae of Sports-Related Concussion in School-Aged Children and Adolescents.

Kristin Wilmoth, Alexander Tan, Cole Hague, Tahnae Tarkenton, Cheryl H Silver, Nyaz Didehbani, Heidi C Rossetti, Hunt Batjer, Kathleen R Bell, C Munro Cullum,

Considerably less attention has been paid to psychological and social sequelae of concussion in youth athletes compared with neurocognitive outcomes. This narrative review consolidates the literature on postconcussive emotional and psychosocial functioning in school-aged children and adolescents, highlighting athlete-specific findings. MEDLINE and PsycINFO databases were queried for pediatric concussion studies ... Read more >>

J Exp Neurosci (Journal of experimental neuroscience)
[2019, 13:1179069519830421]

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Amantadine Use for Postconcussion Syndrome.

Ivan D Carabenciov, Britta L Bureau, Michael Cutrer, Rodolfo Savica,

The development of postconcussion syndrome after traumatic brain injury can result in a wide range of potentially debilitating symptoms that includes headaches, cognitive dysfunction, and mood disorders. Unfortunately, data on helpful medications are quite limited, particularly on the treatment of persistent headaches attributed to trauma. This retrospective medical record review ... Read more >>

Mayo Clin. Proc. (Mayo Clinic proceedings)
[2019, 94(2):275-277]

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Concussion Guidelines Step 2: Evidence for Subtype Classification.

Angela Lumba-Brown, Masaru Teramoto, O Josh Bloom, David Brody, James Chesnutt, James R Clugston, Michael Collins, Gerard Gioia, Anthony Kontos, Avtar Lal, Allen Sills, Jamshid Ghajar,

BACKGROUND:Concussion is a heterogeneous mild traumatic brain injury (mTBI) characterized by a variety of symptoms, clinical presentations, and recovery trajectories. By thematically classifying the most common concussive clinical presentations into concussion subtypes (cognitive, ocular-motor, headache/migraine, vestibular, and anxiety/mood) and associated conditions (cervical strain and sleep disturbance), we derive useful definitions ... Read more >>

Neurosurgery (Neurosurgery)
[2020, 86(1):2-13]

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Diffusion Tensor Imaging Analysis of Mild Traumatic Brain Injury and Posttraumatic Stress Disorder.

Aleksandra Klimova, Mayuresh S Korgaonkar, Thomas Whitford, Richard A Bryant,

BACKGROUND:Debate exists over the extent to which dysfunctions arising from mild traumatic brain injury (mTBI) are distinct from posttraumatic stress disorder (PTSD). METHODS:This study investigated 1) the white matter integrity of participants with either mTBI or PTSD, and 2) the relationship between white matter integrity and postconcussive syndrome. The sample ... Read more >>

Biol Psychiatry Cogn Neurosci Neuroimaging (Biological psychiatry. Cognitive neuroscience and neuroimaging)
[2019, 4(1):81-90]

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Trajectory of Postconcussive Symptoms 12 Months After Deployment in Soldiers With and Without Mild Traumatic Brain Injury: Warrior Strong Study.

Hamid Ferdosi, Karen A Schwab, Andrea Metti, Lisa A Brenner, Heidi Terrio, Renee M Pazdan, Wesley R Cole, Ann I Scher,

We analyzed data from a cohort of recently deployed soldiers from 2 US Army bases, Fort Carson and Fort Bragg (2009 to 2015). Soldiers with and without a recent history of mild traumatic brain injury (mTBI) on deployment were evaluated within days of return and at 3, 6, and 12 ... Read more >>

Am. J. Epidemiol. (American journal of epidemiology)
[2019, 188(1):77-86]

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Labour market attachment after mild traumatic brain injury: nationwide cohort study with 5-year register follow-up in Denmark.

Heidi Jeannet Graff, Volkert Siersma, Anne Møller, Jakob Kragstrup, Lars L Andersen, Ingrid Egerod, Hana Malá Rytter,

OBJECTIVES:Sickness absence after mild traumatic brain injury (mTBI) is frequent due to postconcussive symptoms. We examined labour market attachment following mTBI up to 5 years postinjury. DESIGN AND SETTING:Nationwide cohort study with register follow-up. PARTICIPANTS:Patients between 18 and 60 years with mTBI (International Classification of Diseases, version 10 diagnosis S06.0) ... Read more >>

BMJ Open (BMJ open)
[2019, 9(4):e026104]

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The Impact of Affective States on Postconcussive Symptoms in a TBI Population.

Katelyn Garcia, Brian Moore, Grace Kim, John Dsurney, Leighton Chan,

The occurrence of persistent postconcussive symptoms (PCS) associated with traumatic brain injury (TBI) is an increasing cause of disability and lost productivity. The reasons for these persistent symptoms in a percentage of even mild TBI are poorly understood. The existence of comorbid conditions such as post-traumatic stress disorder or other ... Read more >>

Mil Med (Military medicine)
[2019, 184(Suppl 1):168-173]

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Self-efficacy predicts response to cognitive rehabilitation in military service members with post-concussive symptoms.

Heather G Belanger, Rodney D Vanderploeg, Glenn Curtiss, Patrick Armistead-Jehle, Jan E Kennedy, David F Tate, Blessen C Eapen, Amy O Bowles, Douglas B Cooper,

This study examined whether self-efficacy differentiated treatment responders from non-responders in a trial of cognitive rehabilitation (CR) for postconcussive symptoms. 126 service members with mild TBI seen on average 9.5 months since injury completed one of four cognitive rehabilitation treatments for 6 weeks. The four treatment arms were: (1) Psychoeducation ... Read more >>

Neuropsychol Rehabil (Neuropsychological rehabilitation)
[2019, :1-14]

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Mild Traumatic Brain Injury Burden Moderates the Relationship Between Cognitive Functioning and Suicidality in Iraq/Afghanistan-Era Veterans.

Laura D Crocker, Amber V Keller, Sarah M Jurick, Jessica Bomyea, Chelsea C Hays, Elizabeth W Twamley, Amy J Jak,

OBJECTIVES:Suicidal ideation (SI) is highly prevalent in Iraq/Afghanistan-era veterans with a history of mild traumatic brain injury (mTBI), and multiple mTBIs impart even greater risk for poorer neuropsychological functioning and suicidality. However, little is known about the cognitive mechanisms that may confer increased risk of suicidality in this population. Thus, ... Read more >>

J Int Neuropsychol Soc (Journal of the International Neuropsychological Society : JINS)
[2019, 25(1):79-89]

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Neurobehavioral Management of the Polytrauma Veteran.

Bryan P Merritt, Tracy Kretzmer, Tamara L McKenzie-Hartman, Praveen Gootam,

Since the inception of the Afghanistan and Iraq wars, an increasing number of veterans have sought treatment from the Department of Veterans Affairs for combat-related injuries. Many veterans experience postconcussive symptoms, traumatic stress, chronic pain, sensory deficits, and/or headaches. The goal of this article was to highlight some of the ... Read more >>

Phys Med Rehabil Clin N Am (Physical medicine and rehabilitation clinics of North America)
[2019, 30(1):133-154]

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Quantitative Volumetric Imaging and Clinical Outcome Characterization of Symptomatic Concussion in 10- to 14-Year-Old Adolescent Athletes.

Christine L Mac Donald, Jason Barber, Jason Wright, David Coppel, Nina De Lacy, Steve Ottinger, Suzanne Peck, Chris Panks, Kody Zalewski, Samantha Sun, Nancy Temkin,

OBJECTIVE:Prior work suggests that younger athletes may be more vulnerable to postconcussive syndrome. We investigated measures of clinical outcome and quantitative volumetric imaging in 10- to 14-year-old adolescent athletes to better understand the impact of concussion on this younger population. SETTING:Outpatient clinics. PARTICIPANTS:Ten- to 14-year-old symptomatic pediatric sports concussion patients ... Read more >>

J Head Trauma Rehabil (The Journal of head trauma rehabilitation)
[2018, 33(6):E1-E10]

Cited: 1 time

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