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Postconcussion Syndrome (Mild Traumatic Brain Injury)

para>Avoid opiates and benzodiazepines (5)[B]. ‚  
  • Depression/sleep disorders
    • Anxiety/depression screening starting in the first week post MTBI
      • Melatonin for sleep
      • Tricyclic antidepressants, or trazodone if there is concomitant sleep disturbance, may be beneficial.
      • SSRIs
    • Consider referral to mental health specialist(s).
  • Cognitive disorders (6)
    • Evaluation by neuropsychiatrist
    • Methylphenidate may be considered (9)[A].
    • SSRIs may be considered, especially if concomitant anxiety/depression (9)[A].

ISSUES FOR REFERRAL


  • Neuropsychiatric therapy including comprehensive cognitive evaluation for potential TBI rehabilitation
  • Cognitive behavioral therapy for anxiety and depression symptoms
  • Occupational therapy for vocational rehabilitation, if needed
  • Physical therapy for vestibular rehabilitation
  • Neurology referral if primary care interventions for seizures, headache, vertigo, or cognition are unsuccessful.
  • Substance abuse counseling, if needed

COMPLEMENTARY & ALTERNATIVE MEDICINE


Massage therapy/osteopathic manipulative treatment for headache and neck pain ‚  

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 therapy. ‚  
Patient Monitoring
  • Consider serial neuropsychological testing.
  • Follow return to play guidelines (3)[C].

PATIENT EDUCATION


  • Centers for Disease Control and Prevention: http://www.cdc.gov/headsup/
  • Mayo Clinic Health Information: http://www.mayoclinic.com/health/post-concussion-syndrome/DS01020/
  • Brain Injury Association of America: http://www.biausa.org/; (800) 444-6443

PROGNOSIS


  • Prognosis generally is good.
  • Adolescents may recover more slowly than adults.

COMPLICATIONS


  • Repeat head injury or return to play before resolution of PCS can worsen/prolong symptoms.
  • Case studies of second-impact syndrome, a rare but potentially fatal condition owing to a second head injury soon after the first, have been reported.

REFERENCES


11 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 " “26.22 Jotwani ‚  V, Harmon ‚  KG. Postconcussion syndrome in athletes. Curr Sports Med Rep.  2010;9(1):21 " “26.33 McCrory ‚  P, Meeuwisse ‚  WH, Aubry ‚  M, et al. Consensus statement on concussion in sport: 4th International Conference on Concussion in Sport, Zurich, November 2012. J Athl Train.  2013;48(4):554 " “575.44 Hou ‚  R, Moss-Morris ‚  R, Peveler ‚  R, et al. When a minor head injury results in enduring symptoms: a prospective investigation of risk factors for postconcussional syndrome after mild traumatic brain injury. J Neurol Neurosurg Psychiatry.  2012;83(2):217 " “223.55 Silverberg ‚  ND, Iverson ‚  GL. Etiology of the post-concussion syndrome: physiogenesis and psychogenesis revisited. NeuroRehabilitation.  2011;29(4):317 " “329.66 Meares ‚  S, Shores ‚  EA, Batchelor ‚  J, et al. The relationship of psychological and cognitive factors and opioids in the development of the postconcussion syndrome in general trauma patients with mild traumatic brain injury. J Int Neuropsychol Soc.  2006;12(6):792 " “801.77 Leddy ‚  JJ, Willer ‚  B. Use of graded exercise testing in concussion and return-to-activity management. Curr Sports Med Rep.  2013;12(6):370 " “376.88 Meehan ‚  WPIII, Mannix ‚  R, Monuteaux ‚  MC, et al. Early symptom burden predicts recovery after sport-related concussion. Neurology.  2014;83(24):2204 " “2210.99 Lee ‚  H, Kim ‚  SW, Kim ‚  JM, et al. Comparing effects of methylphenidate, sertraline and placebo on neuropsychiatric sequelae in patients with traumatic brain injury. Hum Psychopharmacol.  2005;20(2):97 " “104.

ADDITIONAL READING


  • Barlow ‚  M, Schlabach ‚  D, Peiffer ‚  J, et al. Differences in change scores and the predictive validity of three commonly used measures following concussion in the middle school and high school aged population. Int J Sports Phys Ther.  2011;6(3):150 " “157.
  • Leddy ‚  JJ, Kozlowski ‚  K, Donnelly ‚  JP, et al. A preliminary study of subsymptom threshold exercise training for refractory post-concussion syndrome. Clin J Sport Med.  2010;20(1):21 " “27.
  • Leddy ‚  JJ, Sandhu ‚  H, Sodhi ‚  V, et al. Rehabilitation of concussion and post-concussion syndrome. Sports Health.  2012;4(2):147 " “154.
  • Morgan ‚  CD, Zuckerman ‚  SL, Lee ‚  YM, et al. Predictors of postconcussion syndrome after sports-related concussion in young athletes: a matched case-control study. J Neurosurg Pediatr.  2015;15(6):589 " “598.

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 syndrome
  • 854.01 Intracranial injury of other and unspecified nature without mention of open intracranial wound, with no loss of consciousness
  • 854.00 Intracranial injury of other and unspecified nature without mention of open intracranial wound, unspecified state of consciousness

SNOMED


  • 40425004 postconcussion syndrome (disorder)
  • 127295002 traumatic brain injury (disorder)

CLINICAL PEARLS


  • Imaging rarely useful for PCS; head CT scan is the test of choice for acute injury to exclude intracranial bleeding.
  • Coordinate multidisciplinary treatment plans for patients with persistent symptoms.
  • Return to play/activity should not occur until symptoms return to baseline and any pre-PCS medications are optimized by the prescribing clinician.
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