Post-Concussive Syndrome

What is Post-Concussive Syndrome?

This is a syndrome that repeatedly occurs with closed head injuries mostly happening in car accident, contact sports and other accidents. Loss of consciousness or dizziness points to a concussion having taken place. Most individuals fully recover but some are left with serious disability. Traumatic injury to the brain may lead to discrepancies in 5 common areas:

  1. Slower speed in processing
  2. Short-term memory impairment
  3. Executive functions impairment
  4. Abilities of concentration and attention disrupted – probable adds to the discrepancies noted in the first 3 above, and
  5. Emotional deregulation

Research with senior high football players has reported that even without clinically detected symptoms of concussion, head blows may lead to neurocognitive that is measurable – primarily visual working memory – and neurophysiologic injuries.

In a perspective eleven year study aimed at understanding the risk of concussions that were sports-related in twelve scholastic sports, boys’ lacrosse and football had the uppermost number of concussions with football having the top rate of concussion. Concussions take place in all additional sports and are observed in girls’ sport at rates that are parallel to or even higher than boys’ sports. The high-involvement collision sport needs alertness, but the results advocate that the focal point on detection of concussion, treatment and prevention needs to be across all sports and not only the sports with the highest rate.

Separating neurologically based symptoms from psychologically based symptom such as posttraumatic stress disorder or adjustment disorder can be hard.


Post concussive symptoms can include:

  • Headaches
  • Dizziness
  • Irritability
  • Fatigue
  • Anxiety
  • Insomnia
  • Loss of memory and concentration
  • Light and noise sensibility

Headache occurring after a concussion may vary and also might feel like tension headaches to migraine headaches. Most are tension headaches that are associated with an injury to the neck that occurred at the identical time as the injury to the head. In certain cases, individuals experience emotional or behavior modifications after a mild traumatic brain injury. Members of the family might observe that the individual has become more suspicious, irritable, stubborn or argumentative.


Many researchers believe that post-concussive symptoms are due to damage structural to the brain as well as distraction of neurotransmitter systems, end resulting from the impact that created the concussion. Others speculate that post-concussive symptoms are linked to factors that are psychological, particularly since the most ordinary symptoms – headache, sleep problems and dizziness – are comparable to those often seen in individuals detected to have anxiety, depression or post-traumatic stress disorder. In majority of cases, both physiological results of brain trauma and emotional reactions to these play a vital role in symptoms of development.

Researchers have not decided why some individuals who have had concussions develop post-concussive symptoms that are persistent while others don’t. There as yet is no proven link between the seriousness of the injury and the probability of developing post-concussive symptoms that are persistent.


There is not any single test that will prove that an individual has a post-concussive syndrome. The physician might order a scan of the brain in order to check for other possible troubles that might be causing the symptoms. CT imaging or computed tomography is usually the test preferred for the detection of abnormalities of the brain.


If the individual is having lots of dizziness, the individual might be submitted to a physician who’s practice is in nose, ear, and throat difficulties. Any medical appointment with a psychologist or psychiatrist might be needed in order for the individual’s symptoms such as depression or anxiety, or if the individual is having any problems with problem solving or memory.


There is no precise treatment for post-concussive syndrome. Your physician will treat any individual symptoms the individual might be experiencing. The kinds of frequency and symptoms are exclusive to each person:


Drugs commonly used for tension or migraine headaches, such as antidepressants, seem to be effective when these types of headaches are linked with post-concussive syndrome. For instance:

Amitiptyline – commonly used for injuries of post-trauma as well as for symptoms linked with post-concussive syndrome, such as dizziness, depression and irritability.

Dihydroergotamine (D.H.E. 45) together with Metoclopramide (Reglan). These are medications that offer aid for headaches that are chronic but they will need to be administrated in the hospital.

Memory and thinking problems

There is no drugs that are suggested particularly for the treating of problems cognitively following traumatic brain injury that is mild. Time is usually the best therapy especially for any cognitive therapy.

Depression and anxiety

The symptoms usually improve after the person affected learns that there is a reason for the symptoms. If an individual experiences increased or new anxiety or depression following a concussion, some options for treatment include:

  • Psychotherapy
  • Medications

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