Emergency Medicine Book

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Cognitive Deficit following Concussion

Aka: Cognitive Deficit following Concussion, Post-Concussion Delayed Recovery, Persistent Neurologic Dysfunction Following Mild Head Injury, Persistent Cognitive Deficit Following Mild Traumatic Brain Injury, MTBI Associated Cognitive Deficit
  1. See Also
    1. Concussion
    2. Postconcussion Syndrome
    3. Head Trauma
    4. Mild Traumatic Brain Injury
    5. Return to Play after Concussion
    6. Concussion Grading
  2. Risk Factors
    1. History of prior Concussion (risk of Second Impact Syndrome)
    2. Age younger than 18 years old
    3. Medical comorbidities
    4. Medications (psychotropics or Anticoagulants)
    5. High risk sport (e.g. collision or Contact Sport or dangerous athletic play)
    6. Symptom related (see Concussion Symptom Checklist)
      1. More than three Concussion symptoms at presentation
      2. Specific symptoms such as Fatigue or fogginess
      3. Headache lasting more than 60 hours
      4. Loss of consciousness >60 seconds
      5. Amnesia
  3. Management
    1. See Postconcussion Syndrome
    2. Consider referral to neurologist or other specialist knowledgeable in Concussion
    3. Consider formal Neuropsychological Testing
    4. Consider neurorehabilitation Consultation
  4. Precautions: Red Flags
    1. See Concussion Red Flags
  5. References
    1. Arciniegas (2005) Neuropsychiatr Dis Treat 1(4): 311-27 [PubMed]
    2. Scorza (2012) Am Fam Physician 85(2): 123-32 [PubMed]

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