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Current Reviews in Musculoskeletal Medicine

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01-03-2019 | Central Nervous System Trauma | Concussion (C Senter and M Kapadia, Section Editors)

Review of the Management of Pediatric Post-Concussion Syndrome—a Multi-Disciplinary, Individualized Approach

Authors: Mitul Kapadia, Alison Scheid, Eric Fine, Rachel Zoffness

Published in: Current Reviews in Musculoskeletal Medicine | Issue 1/2019

Abstract

Purpose of Review

Post-concussion syndrome (PCS), when the patient’s concussion symptoms last longer than 4–6 weeks, affects 10–30% of concussion patients. PCS presents a significant source of morbidity to patients and a management challenge to providers. In this review, we present the current evidence and best management approaches for pediatric PCS.

Recent Findings

There is limited high-quality evidence in pediatric PCS. There is some evidence supporting pharmaceutical management of post-traumatic headaches, cognitive symptoms, and emotional symptoms. Vestibular-ocular dysfunction should be evaluated and managed appropriately. Neuropsychological recovery is expected, but requires appropriate attention to Return to Learn. Emotional symptoms are common in PCS and the evidence supports treatment with cognitive behavioral therapy.

Summary

PCS presents a unique therapeutic challenge affecting multiple domains for patients—physical, sleep, cognitive, and emotional. Successful management of PCS requires a multi-disciplinary and individualized approach. There remains a significant need for further research, specifically looking into the outcomes and effective interventions in pediatric PCS.

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Title: Review of the Management of Pediatric Post-Concussion Syndrome—a Multi-Disciplinary, Individualized Approach
Authors: Mitul Kapadia
Alison Scheid
Eric Fine
Rachel Zoffness
Publication date: 01-03-2019
Publisher: Springer US
Keywords: Central Nervous System Trauma
Traumatic Brain Injuries
Headache
Published in: Current Reviews in Musculoskeletal Medicine / Issue 1/2019
Electronic ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-019-09533-x

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Springer Medicine

Review of the Management of Pediatric Post-Concussion Syndrome—a Multi-Disciplinary, Individualized Approach

Abstract

Purpose of Review

Recent Findings

Summary

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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