• J Clin Neurosci · Sep 2000

    Review

    The postconcussion syndrome after mild head trauma: is brain damage overdiagnosed? Part 1.

    • S Margulies.
    • Johns Hopkins University, Maryland, USA. lsmarg@erols.com
    • J Clin Neurosci. 2000 Sep 1; 7 (5): 400-8.

    UnlabelledMany investigators attribute the postconcussion syndrome following mild closed head injury to permanent brain damage. The evidence supporting this conclusion is reviewed, including the force necessary to cause permanent brain damage; the basis for determining whether the patient was exposed to sufficient force in the accident to permanently damage the brain; the basis for determining whether the patient actually has permanent brain damage (not just brain dysfunction) traceable to the accident; and whether the location and severity of brain damage is sufficient to account for the postconcussion syndrome.Conclusionthe evidence for permanent traumatic brain damage as the cause of the postconcussion syndrome following mild closed head injury is weak.Copyright 2000 Harcourt Publishers Ltd.

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