CT and MRI scans are the most common imaging modalities to evaluate people with traumatic brain injury, but advanced imaging methods are more promising for diagnosis and prognosis. However, interpretations of findings can vary.
Learn about treatments for post-concussion symptoms—including medication, various rehabilitation therapies, neuropsychology, and potentially some complementary therapies—as well as factors related to longer concussion recovery times.
Join Dr. Sandel in Oakland on Friday, December 9 from 4:30-6:30pm for a “Shaken Brain” book signing event. Presented by Kim Cole Real Estate.
This poster, created for the International Brain Injury Conference in New York in Sept 2022, offers various perspectives on how to improve concussion care. Attached are a reformatted poster presentation and related webinar links.
New research by Professor Jeffrey Russell of Ohio University provides evidence that concussion is a serious occupational health risk in stunt performers. They—and likely other film/theater workers—could benefit from concussion management, risk reduction, and education.
The 6th International Consensus Conference on Concussion in Sport meets in Oct 2022 to face again the task of revising their sports concussion guidelines. The conference comes in the midst of controversies regarding Paul McCrory, the group’s former chair, and just after a long-awaited statement of causation for CTE from the NIH.
We do not yet have a clear understanding of what happens in the brain immediately after a concussion and over the days and months that follow, especially for those patients whose symptoms persist. Post-concussion symptom rates vary greatly among research studies, likely because the populations studied are diverse and so are the diagnostic criteria and timing of assessments. The wide variation in symptom rates highlights the fact that there is a lot we still don’t know about concussions.
When we think of “youth” and “concussion,” the first thing that likely comes to mind is a teenager engaging in a high-risk activity such as football, soccer, or snowboarding. But not all youth brain injury results from these risky activities. Of the millions of concussions reported by emergency rooms every year, figures put concussions related to sports and recreation at just 30% – so 70% of concussions result from other causes.
Clinicians like me say that concussion requires a clinical diagnosis based on the history of what happened to produce the symptoms. However, because these same symptoms appear in other conditions, and we don’t have reliable biomarkers, diagnosing a concussion can sometimes be a challenge. The lingering effects of a mild brain injury can also continue as a chronic condition, often referred to as post-concussion syndrome or persistent post-concussion symptoms, that still require treatment.
After a concussion, people need good sleep patterns, and they also need to resume activity and exercise to aid recovery. Activities with concussion risk should be avoided, however.
Traumatic brain injury (TBI) is a leading cause of death and disability among seniors. The cause is often a fall or a motor vehicle accident, but head trauma due to elder abuse or neglect must always be considered, too. Older adults usually have other health conditions and sometimes dementia, so a diagnosis of a TBI can be challenging. The brains of elderly people are also more vulnerable to injury, and many older adults are on anticoagulant medications that put them at risk of brain bleeds. If elder abuse or neglect is suspected, mandatory reporting laws must be followed by certain professionals and even ordinary citizens in some states of the United States.
A traumatic brain injury can be associated with depression or another mood disorder, possibly because of the disruption of brain chemicals.
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Get updates on the latest in concussion, brain health, and science-related tools from Dr. Elizabeth Sandel, M.D.