Mild Traumatic Brain Injury: Striking Postconcussion Symptoms Due to Inadequate Management.

Waldmeier-Wilhelm, Sandra; Studer, Martina; Weisstanner, Christian; Heinks Maldonado, Theda; Grunt, Sebastian; Steinlin, Maja (2019). Mild Traumatic Brain Injury: Striking Postconcussion Symptoms Due to Inadequate Management. Pediatric emergency care, 35(6), e99-e103. Wolters Kluwer Health 10.1097/PEC.0000000000001854

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Pediatric mild traumatic brain injury is a frequent cause for emergency consultations. Very often, management decisions focus only on acute neurological problems, without considering possible long-term impairment. Our case describes a 14-year-old girl who developed a pronounced and prolonged postconcussive syndrome and subsequent posttraumatic stress symptoms after (mild) traumatic brain injury. Early discharge without adequate instructions about the appropriate time to return to school and daily life activities promoted these striking problems. Only the delayed interventions including reduction of school workload and initiation of physiotherapy led to an improvement of symptoms. CONCLUSIONS: Traumatologists, pediatricians, and general practitioners should call families' and teachers' attention to the risk of potential postconcussive syndrome and advise them on appropriate coping strategies. Thorough clinical examination should rule out potentially treatable physical impairments. Prescription of physical and cognitive rest at an early stage is mandatory and should be part of concussion management already at emergency department. Pediatricians or general practitioners should follow up patients and support their gradually working back into full activity.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine

UniBE Contributor:

Waldmeier-Wilhelm, Sandra; Studer, Martina; Weisstanner, Christian; Heinks Maldonado, Theda; Grunt, Sebastian and Steinlin, Maja

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1535-1815

Publisher:

Wolters Kluwer Health

Language:

English

Submitter:

Martin Zbinden

Date Deposited:

19 Jul 2019 07:59

Last Modified:

19 Jul 2019 07:59

Publisher DOI:

10.1097/PEC.0000000000001854

PubMed ID:

31136453

BORIS DOI:

10.7892/boris.131188

URI:

https://boris.unibe.ch/id/eprint/131188

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