Diagnosis, prognosis, and clinical management of mild traumatic brain injury

Concussion and mild traumatic brain injury (TBI) are interchangeable terms to describe a common disorder with substantial effects on public health. Advances in brain imaging, non-imaging biomarkers, and neuropathology during the past 15 years have required researchers, clinicians, and policy makers...

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Bibliographic Details
Published in:Lancet neurology Vol. 14; no. 5; pp. 506 - 517
Main Authors: Levin, Harvey S, Diaz-Arrastia, Ramon R
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01.05.2015
Elsevier Limited
Subjects:
Adolescent
Adult
Biomarkers
Brain Injuries - complications
Brain Injuries - diagnosis
Brain Injuries - therapy
Brain research
Child
Child, Preschool
Concussion
Consciousness
Disease control
Emergency medical care
Head injuries
Hospitals
Humans
Infant
Literature reviews
Medical imaging
Medical prognosis
Medicine
Middle Aged
Military personnel
Mortality
Neurology
Neurosciences
Practice Guidelines as Topic
Task forces
Traumatic brain injury
Veterans
Young Adult
ISSN:1474-4422, 1474-4465
Online Access:Get full text
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Summary:Concussion and mild traumatic brain injury (TBI) are interchangeable terms to describe a common disorder with substantial effects on public health. Advances in brain imaging, non-imaging biomarkers, and neuropathology during the past 15 years have required researchers, clinicians, and policy makers to revise their views about mild TBI as a fully reversible insult that can be repeated without consequences. These advances have led to guidelines on management of mild TBI in civilians, military personnel, and athletes, but their widespread dissemination to clinical management in emergency departments and community-based health care is still needed. The absence of unity on the definition of mild TBI, the scarcity of prospective data concerning the long-term effects of repeated mild TBI and subconcussive impacts, and the need to further develop evidence-based interventions to mitigate the long-term sequelae are areas for future research that will improve outcomes, reduce morbidity and costs, and alleviate delayed consequences that have only recently come to light.
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ISSN:1474-4422
1474-4465
DOI:10.1016/S1474-4422(15)00002-2