![]() ![]() These are the International Classification of Diseases, 10th revision (ICD-10), and the DSM-IV, both of which can give varying results, even when applied to the same population. Ĭurrently, there are two clinical criteria used to diagnose PCS. Thus, the 15% incidence of PCS is an underestimation of the true incidence. Due to limited diagnostic tools, those permanent changes in executive function can go undocumented. Patients who suffer more than one brain injury are at increased risk for PCS. Research has shown that mild TBI resulting in persistent PCS has lasting effects on cognition, memory, learning, and executive function. Fifteen percent of mild TBI patients will suffer from PCS, and a small minority of those patients will experience persistent PCS requiring further evaluation and treatment. Persistent PCS occurs when symptoms persist past 3 months. Approximately 90% of concussion symptoms are transient, with symptoms resolving within 10 to 14 days but may linger for weeks. These symptoms include a headache, fatigue, vision changes, disturbances in balance, confusion, dizziness, insomnia, neuropsychiatric symptoms, and difficulty with concentration. PCS is a constellation of physical, cognitive, behavioral, and emotional symptoms occurring after TBI. Clinical criteria for PCS are outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Post-concussive syndrome (PCS) demarcates the constellation of symptoms seen most often in prolonged mild TBI, however, it may also occur following moderate and severe TBI. Most patients that suffer from TBI will have spontaneous resolution of symptoms, but for some patients, symptoms may linger and negatively affect daily cognitive function. In the United States, 1.5 million TBIs occur annually, 75% of TBIs are classified as mild, and costs are generated of $17 billion each year. Traumatic brain injury (TBI) occurs in patients of all age groups and is a significant public health issue. This activity reviews the evaluation and management of postconcussive syndrome and highlights the role of interprofessional team members in collaborating to provide well-coordinated care and enhance outcomes for affected patients. Research has shown that mild TBI resulting in persistent post-concussive syndrome has lasting effects on cognition, memory, learning, and executive function. Persistent postconcussive syndrome occurs when symptoms persist beyond 3 months. Approximately 90 percent of concussion symptoms are transient, and symptoms typically resolve within 10 to 14 days. A few common symptoms seen in patients with postconcussive syndrome include headache, fatigue, vision changes, disturbances in balance, confusion, dizziness, insomnia, and difficulty concentrating. Symptoms may be physical, cognitive, behavioral, and/or emotional in nature. Postconcussive syndrome (PCS) describes the constellation of symptoms that commonly occur after mild traumatic brain injury (TBI), and patients who suffer more than one brain injury are at increased risk.
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