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Postconcussion syndrome

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https://www.readbyqxmd.com/read/27892982/vision-loss-in-a-teenage-girl-with-postconcussion-syndrome
#1
Hasenin Al-Khersan, Tim Hain, Michael A Grassi
No abstract text is available yet for this article.
November 17, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27834587/the-effectiveness-of-hyperbaric-oxygen-therapy-as-a-treatment-for-postconcussion-symptoms
#2
Jeremy R Hawkins, Kayla E Gonzalez, Kristin Heumann
: Clinical Scenario: Concussions are a prevalent topic in medicine. Concussion symptoms include headaches, dizziness, nausea, neuropsychiatric symptoms, and cognitive impairments, the persistence of these referred to as postconcussion syndrome. The use of hyperbaric oxygen therapy (HBOT) has been proposed and evaluated as an additional treatment of these symptoms. Using HBOT is an innovative approach that has been considered by many, but has received both criticism and acceptance. CLINICAL QUESTION: Is hyperbaric oxygen therapy treatment an effective means of reducing symptoms for individuals suffering from postconcussion syndrome (persistence of symptoms for > 3 months)? Summary of Search: The literature was searched for studies that were relevant to the clinical question...
November 11, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27813685/physical-activity-and-intermittent-postconcussion-symptoms-after-a-period-of-symptom-limited-physical-and-cognitive-rest
#3
Quinton Sawyer, Brian Vesci, Tamara C Valovich McLeod
: Reference: Schneider KJ, Iverson GL, Emery CA, McCrory P, Herring SA, Meeuwisse WH. The effects of rest and treatment following sport-related concussion: a systematic review of the literature. Br J Sports Med. 2013;47(5):304-307. CLINICAL QUESTION: After concussion and a period of symptom-limited physical and cognitive rest, do athletes who experience intermittent symptoms return to asymptomatic condition more quickly with physical activity than with prolonged physical rest? DATA SOURCES: One investigator performed an individual search for each research question using the following databases: CINAHL, Cochrane Controlled Trials Registers, EMBASE, HealthSTAR, ProQuest, PsychInfo, PubMed, SPORTDiscus, and Web of Science...
September 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27803688/exposure-to-a-predator-scent-induces-chronic-behavioral-changes-in-rats-previously-exposed-to-low-level-blast-implications-for-the-relationship-of-blast-related-tbi-to-ptsd
#4
Georgina Perez-Garcia, Miguel A Gama Sosa, Rita De Gasperi, Margaret Lashof-Sullivan, Eric Maudlin-Jeronimo, James R Stone, Fatemeh Haghighi, Stephen T Ahlers, Gregory A Elder
Blast-related mild traumatic brain injury (mTBI) has been unfortunately common in veterans who served in the recent conflicts in Iraq and Afghanistan. The postconcussion syndrome associated with these mTBIs has frequently appeared in combination with post-traumatic stress disorder (PTSD). The presence of PTSD has complicated diagnosis, since clinically, PTSD and the postconcussion syndrome of mTBI have many overlapping symptoms. In particular, establishing how much of the symptom complex can be attributed to the psychological trauma associated with PTSD in contrast to the physical injury of traumatic brain injury has proven difficult...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27784191/longitudinal-study-of-postconcussion-syndrome-not-everyone-recovers
#5
Carmen Hiploylee, Paul Dufort, Hannah Davis, Richard Wennberg, Carmela Tartaglia, David Mikulis, Lili-Naz Hazrati, Charles Tator
We examined recovery from postconcussion syndrome (PCS) in a series of 285 patients, diagnosed with concussion based on international sport concussion criteria, who received a questionnaire regarding recovery . Of 141 respondents, those with postconcussion symptoms lasting less than 3 months, a positive CT and/or MRI, litigants, and known Test of Memory Malingering (TOMM)-positive cases were excluded, leaving 110 eligible respondents. We found that only 27% of our population eventually recovered, and 67% of those who recovered did so within the first year...
October 26, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27763536/fluid-biomarkers-of-traumatic-brain-injury-and-intended-context-of-use
#6
Tanya Bogoslovsky, Jessica Gill, Andreas Jeromin, Cora Davis, Ramon Diaz-Arrastia
Traumatic brain injury (TBI) is one of the leading causes of death and disability around the world. The lack of validated biomarkers for TBI is a major impediment to developing effective therapies and improving clinical practice, as well as stimulating much work in this area. In this review, we focus on different settings of TBI management where blood or cerebrospinal fluid (CSF) biomarkers could be utilized for predicting clinically-relevant consequences and guiding management decisions. Requirements that the biomarker must fulfill differ based on the intended context of use (CoU)...
October 18, 2016: Diagnostics
https://www.readbyqxmd.com/read/27750113/laboratory-impulsivity-and-depression-in-blast-exposed-military-personnel-with-post-concussion-syndrome
#7
James M Bjork, Thomas K Burroughs, Laura M Franke, Treven C Pickett, Sade E Johns, F Gerard Moeller, William C Walker
In military populations, traumatic brain injury (TBI) also holds potential to increase impulsivity and impair mood regulation due to blast injury effects on ventral frontal cortex - to put military personnel at risk for suicide or substance abuse. We assessed a linkage between depression and impaired behavioral inhibition in 117 blast-exposed service members (SM) and veterans with post-concussion syndrome (PCS), where PCS was defined using a Rivermead Postconcussive Symptom Questionnaire (RPQ) modified to clarify whether each symptom worsened compared to pre-blast...
October 7, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27693852/chronic-post-traumatic-stress-disorder-related-traits-in-a-rat-model-of-low-level-blast-exposure
#8
Georgina Perez-Garcia, Miguel A Gama Sosa, Rita De Gasperi, Margaret Lashof-Sullivan, Eric Maudlin-Jeronimo, James R Stone, Fatemeh Haghighi, Stephen T Ahlers, Gregory A Elder
The postconcussion syndrome following mild traumatic brain injuries (mTBI) has been regarded as a mostly benign syndrome that typically resolves in the immediate months following injury. However, in some individuals, symptoms become chronic and persistent. This has been a striking feature of the mostly blast-related mTBIs that have been seen in veterans returning from the recent conflicts in Iraq and Afghanistan. In these veterans a chronic syndrome with features of both the postconcussion syndrome and post-traumatic stress disorder has been prominent...
September 28, 2016: Behavioural Brain Research
https://www.readbyqxmd.com/read/27689244/clinical-predictors-of-vestibulo-ocular-dysfunction-in-pediatric-sports-related-concussion
#9
Michael J Ellis, Dean M Cordingley, Sara Vis, Karen M Reimer, Jeff Leiter, Kelly Russell
OBJECTIVE There were 2 objectives of this study. The first objective was to identify clinical variables associated with vestibulo-ocular dysfunction (VOD) detected at initial consultation among pediatric patients with acute sports-related concussion (SRC) and postconcussion syndrome (PCS). The second objective was to reexamine the prevalence of VOD in this clinical cohort and evaluate the effect of VOD on length of recovery and the development of PCS. METHODS A retrospective review was conducted for all patients with acute SRC and PCS who were evaluated at a pediatric multidisciplinary concussion program from September 2013 to May 2015...
September 30, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27681407/postconcussion-symptoms-reported-by-operation-enduring-freedom-operation-iraqi-freedom-veterans-with-and-without-blast-exposure-mild-traumatic-brain-injury-and-posttraumatic-stress-disorder
#10
Maya Elin O'Neil, Megan Callahan, Kathleen F Carlson, Mai Roost, Benjamin Laman-Maharg, Elizabeth W Twamley, Grant L Iverson, Daniel Storzbach
OBJECTIVE: This study examined symptom reporting related to the 10th Edition of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) criteria for postconcussional syndrome (PCS) in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) Veterans. Our aims were to: (a) examine relationships among PCS symptoms by identifying potential subscales of the British Columbia Postconcussion Symptom Inventory (BC-PSI); and (b) examine group differences in BC-PSI items and subscales in Veterans with and without blast exposure, mild traumatic brain injury (mTBI), and posttraumatic stress disorder (PTSD)...
September 28, 2016: Journal of Clinical and Experimental Neuropsychology
https://www.readbyqxmd.com/read/27660598/chiropractic-management-of-musculoskeletal-symptoms-in-a-14-year-old-hockey-player-with-postconcussion-symptoms-a-case-report
#11
Harold M Olson, Michael J Tunning, Ronnie J Boesch
OBJECTIVE: The purpose of this study is to describe the chiropractic management of a student athlete with postconcussion syndrome. CLINICAL FEATURES: A 14-year-old male hockey player presented to a chiropractic clinic with postconcussion symptoms 13 days after his initial injury. He experienced an occipital headache with a pain rating of 8/10, upset stomach, blurry vision, nausea, dizziness, balance problems, a "foggy feeling," difficulty with concentration, difficulty with memory, fatigue, confusion, drowsiness, and irritability...
September 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27632903/fluid-biomarkers-for-mild-traumatic-brain-injury-and-related-conditions
#12
REVIEW
Henrik Zetterberg, Kaj Blennow
Diagnostic and prognostic biomarkers for mild traumatic brain injury (TBI), also known as concussion, remain a major unmet clinical need. Moderate to severe TBI can be diagnosed definitively by clinical assessment and standard neuroimaging techniques that detect the gross damage to the brain parenchyma. Diagnostic tools for mild TBI are lacking and, currently, the diagnosis has to be made on clinical grounds alone, because most patients show no gross pathological changes on CT. Most patients with mild TBI recover quickly, but about 15% develop an ill-defined condition called postconcussive syndrome (PCS)...
October 2016: Nature Reviews. Neurology
https://www.readbyqxmd.com/read/27611207/letter-to-the-editor-are-arachnoid-cysts-and-chiari-malformation-type-i-more-common-in-those-with-postconcussion-syndrome
#13
Jennifer Strahle, Cormac O Maher
No abstract text is available yet for this article.
September 9, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27610209/dc-electroacupuncture-effects-on-scars-and-sutures-of-a-patient-with-postconcussion-paina
#14
Antoine Chevalier, Kelly Armstrong, C Norwood-Williams, Raman Gokal
Introduction: This case study offers a detailed comparative analysis of the effects of direct-current electroacupuncture (DC-EA) on the autonomic nervous system (ANS), when DC-EA was applied to the cranial sutures and scars of a patient with a history of ischemic stroke and postconcussion syndrome (PCS) pain. Case: A 56-year-old female suffering from severe tremors and debilitating headaches requested acupuncture after conventional biomedicines failed to relieve her symptoms. Evaluations were performed to check the status of 27 ANS functions...
August 1, 2016: Medical Acupuncture
https://www.readbyqxmd.com/read/27581219/hyperbaric-oxygen-b-level-evidence-in-mild-traumatic-brain-injury-clinical-trials
#15
REVIEW
Xavier A Figueroa, James K Wright
OBJECTIVE: First, to demonstrate that B-level evidence exists for the use of hyperbaric oxygen therapy (HBOT) as an effective treatment in mild to moderate traumatic brain injury/persistent postconcussion syndrome (mTBI/PPCS). Second, to alert readers and researchers that currently used pressurized air controls (≥21% O2, >1.0 ATA) are therapeutically active and cannot be utilized as sham controls without further validation. METHOD: Review of published, peer-reviewed articles of HBOT prospective and controlled clinical trials of mTBI/PPCS symptoms...
September 27, 2016: Neurology
https://www.readbyqxmd.com/read/27529079/cervical-spine-involvement-in-mild-traumatic-brain-injury-a-review
#16
REVIEW
Michael Morin, Pierre Langevin, Philippe Fait
Background. There is a lack of scientific evidence in the literature on the involvement of the cervical spine in mTBI; however, its involvement is clinically accepted. Objective. This paper reviews evidence for the involvement of the cervical spine in mTBI symptoms, the mechanisms of injury, and the efficacy of therapy for cervical spine with concussion-related symptoms. Methods. A keyword search was conducted on PubMed, ICL, SportDiscus, PEDro, CINAHL, and Cochrane Library databases for articles published since 1990...
2016: Journal of Sports Medicine (Hindawi Publishing Corporation)
https://www.readbyqxmd.com/read/27454858/concussions-traumatic-brain-injury-and-the-innovative-use-of-omega-3s
#17
Michael D Lewis
Traumatic brain injury (TBI), with its diverse heterogeneity and prolonged secondary pathogenesis, remains a clinical challenge. Clinical studies thus far have failed to identify an effective treatment strategy when a combination of targets controlling aspects of neuroprotection, neuroinflammation, and neuroregeneration is needed. Omega-3 fatty acids (n-3FA) offer the advantage of this approach. Although further clinical trial research is needed, there is a growing body of strong preclinical evidence and clinical experience that suggests that benefits may be possible from aggressively adding substantial amounts of n-3FA to optimize the nutritional foundation of TBI, concussion, and postconcussion syndrome patients...
July 2016: Journal of the American College of Nutrition
https://www.readbyqxmd.com/read/27445604/pain-catastrophizing-correlates-with-early-mild-traumatic-brain-injury-outcome
#18
Geneviève Chaput, Susanne P Lajoie, Laura M Naismith, Gilles Lavigne
Background. Identifying which patients are most likely to be at risk of chronic pain and other postconcussion symptoms following mild traumatic brain injury (MTBI) is a difficult clinical challenge. Objectives. To examine the relationship between pain catastrophizing, defined as the exaggerated negative appraisal of a pain experience, and early MTBI outcome. Methods. This cross-sectional design included 58 patients diagnosed with a MTBI. In addition to medical chart review, postconcussion symptoms were assessed by self-report at 1 month (Time 1) and 8 weeks (Time 2) after MTBI...
2016: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/27427406/answering-the-call-to-address-chronic-pain-in-military-service-members-and-veterans-progress-in-improving-pain-care-and-restoring-health
#19
Bruce A Schoneboom, Susan M Perry, William Keith Barnhill, Nicholas A Giordano, Kelly L Wiltse Nicely, Rosemary C Polomano
Chronic noncancer pain (CNCP) in military and veteran populations mirrors the experience of chronic pain in America; however, these two populations have unique characteristics and comorbid conditions such as traumatic brain injuries, postconcussive syndrome, posttraumatic stress disorder, and behavioral health disorders that complicate the diagnosis and treatment of chronic pain. Military members and veterans may also be stigmatized about their conditions and experience problems with integration back into healthy lifestyles and society as a whole following deployments and after military service...
September 2016: Nursing Outlook
https://www.readbyqxmd.com/read/27354361/quantitative-eeg-neurometric-analysis-guided-neurofeedback-treatment-in-postconcussion-syndrome-pcs-forty-cases-how-is-neurometric-analysis-important-for-the-treatment-of-pcs-and-as-a-biomarker
#20
Tanju Surmeli, Emin Eralp, Ilham Mustafazade, Ismet Hadi Kos, Gül Elif Özer, Orkun H Surmeli
Postconcussion syndrome (PCS) has been used to describe a range of residual symptoms that persist 12 months or more after the injury, often despite a lack of evidence of brain abnormalities on magnetic resonance imaging and computed tomography scans. In this clinical case series, the efficacy of quantitative EEG-guided neurofeedback in 40 subjects diagnosed with PCS was investigated. Overall improvement was seen in all the primary (Symptom Assessment-45 Questionnaire, Clinical Global Impressions Scale, Hamilton Depression Scale) and secondary measures (Minnesota Multiphasic Personality Inventory, Test of Variables for Attention)...
June 27, 2016: Clinical EEG and Neuroscience: Official Journal of the EEG and Clinical Neuroscience Society (ENCS)
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