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Concussion is confusing us all.

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Title: Concussion is confusing us all.
Authors: Sharp, DJ
Jenkins, PO
Item Type: Journal Article
Abstract: It is time to stop using the term concussion as it has no clear definition and no pathological meaning. This confusion is increasingly problematic as the management of concussed individuals is a pressing concern. Historically, it has been used to describe patients briefly disabled following a head injury, with the assumption that this was due to a transient disorder of brain function without long-term sequelae. However, the symptoms of concussion are highly variable in duration, and can persist for many years with no reliable early predictors of outcome. Using vague terminology for post-traumatic problems leads to misconceptions and biases in the diagnostic process, producing uninterpretable science, poor clinical guidelines and confused policy. We propose that the term concussion should be avoided. Instead neurologists and other healthcare professionals should classify the severity of traumatic brain injury and then attempt to precisely diagnose the underlying cause of post-traumatic symptoms.
Issue Date: 1-Jun-2015
Date of Acceptance: 1-Feb-2015
URI: http://hdl.handle.net/10044/1/29839
DOI: https://dx.doi.org/10.1136/practneurol-2015-001087
ISSN: 1474-7766
Publisher: BMJ Publishing Group
Start Page: 172
End Page: 186
Journal / Book Title: Practical Neurology
Volume: 15
Issue: 3
Copyright Statement: This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
Sponsor/Funder: Guarantors of Brain
National Institute for Health Research
Imperial College Healthcare NHS Trust- BRC Funding
Funder's Grant Number: N/A
NIRH-RP-011-048
RDA03
Keywords: Concussion
Mild traumatic brain injury
Post-concussive
TBI
Traumatic brain injury
Brain Concussion
Brain Injuries
Cognition Disorders
Confusion
Disease Management
History, 20th Century
History, 21st Century
History, Medieval
Humans
Mental Disorders
Neuroimaging
Neurology & Neurosurgery
Publication Status: Published
Conference Place: England
Appears in Collections:Department of Medicine
Faculty of Medicine



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