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Post-concussion syndrome (PCS), also known as persisting symptoms after concussion, is a set of symptoms that may continue for weeks, months, or years after a concussion. PCS is medically classified as a mild traumatic brain injury (TBI).
A concussion, also known as a mild traumatic brain injury (mTBI), is a head injury that temporarily affects brain functioning. [8] Symptoms may include headache, dizziness, difficulty with thinking and concentration, sleep disturbances, mood changes, a brief period of memory loss, brief loss of consciousness; problems with balance; nausea; blurred vision; and mood changes.
The majority of pediatric patients recover from the symptoms within one month (4 weeks) following the injury. 10-30% of children and adolescents have a higher risk of a delayed recovery or of experiencing concussion symptoms that are persisting. [4] [5]
Symptoms are dependent on the type of TBI (diffuse or focal) and the part of the brain that is affected. [40] Unconsciousness tends to last longer for people with injuries on the left side of the brain than for those with injuries on the right. [15] Symptoms are also dependent on the injury's severity.
Late symptoms can occur days to weeks after the initial injury, although headaches and dizziness can persist well into the "late stage" as well. [7] RPQ-3 symptoms are regarded as the more "physical" symptoms, whereas the RPQ-13 set of symptoms are considered to have a more significant impact on psychic and social function.
Often, patients can only recognize their prodrome symptoms when they get to the pain phase and look back, Singh says. During a prodrome period, the Mayo Clinic and American Migraine Foundation say ...
For most patients with MTBI the cognitive, psychological, and psychosocial symptoms do not last longer than three to six months. (Belanger & Vanderploeg, 2005); [ 3 ] (Carroll et al., 2004) . Those in which the symptoms persist longer may be diagnosed with postconcussion syndrome (Ruff, 2005).
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