Clinical Assessment of Concussion and Persistent Post-Concussive Symptoms for Neurologists
| Autor: | Ghazala T. Saleem, John J. Leddy, Kenneth Shubin-Stein, James M. Noble, Mohammad N Haider, Barry Willer, Jacob I McPherson, Louis Corsaro, Steven R. Flanagan, Brian Rieger |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Rehabilitation Neurology medicine.diagnostic_test Post-Concussive Symptoms business.industry Post-Concussion Syndrome General Neuroscience medicine.medical_treatment Physical examination medicine.disease Cervical spine Physical medicine and rehabilitation Concussion medicine Humans Medical history Neurology (clinical) Neurologists Differential diagnosis business Brain Concussion |
| Zdroj: | Current neurology and neuroscience reports. 21(12) |
| ISSN: | 1534-6293 |
| Popis: | Purpose of review Concussion produces a variety of signs and symptoms. Most patients recover within 2-4 weeks, but a significant minority experiences persistent post-concussive symptoms (PPCS), some of which may be from associated cervical or persistent neurologic sub-system (e.g., vestibular) dysfunction. This review provides evidence-based information for a pertinent history and physical examination of patients with concussion. Recent findings The differential diagnosis of PPCS is based on the mechanism of injury, a thorough medical history and concussion-pertinent neurological and cervical physical examinations. The concussion physical examination focuses on elements of autonomic function, oculomotor and vestibular function, and the cervical spine. Abnormalities identified on physical examination can inform specific forms of rehabilitation to help speed recovery. Emerging data show that there are specific symptom generators after concussion that can be identified by a thorough history, a pertinent physical examination, and adjunct tests when indicated. |
| Databáze: | OpenAIRE |
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