Management of Concussion and Persistent Post-Concussive Symptoms for Neurologists

John J. Leddy; Mohammad Nadir Haider; James M. Noble; Brian Rieger; Steven Flanagan; Jacob I. McPherson; Kenneth Shubin-Stein; Ghazala T. Saleem; Louis Corsaro; Barry Willer

doi:10.1007/s11910-021-01160-9

Management of Concussion and Persistent Post-Concussive Symptoms for Neurologists

John J. Leddy
, Mohammad Nadir Haider
, James M. Noble
, Brian Rieger
, Steven Flanagan
, Jacob I. McPherson
, Kenneth Shubin-Stein
, Ghazala T. Saleem
, Louis Corsaro
, Barry Willer

Columbia University
SUNY Upstate Medical University
New York University
Department of Pediatrics
Northern Westchester and Southern Putnam County School Districts

Research output: Contribution to journal › Review article › peer-review

37 Scopus citations

Abstract

Purpose of Review: Concussion is a complex injury that may present as a variety of clinical profiles, which can overlap and reinforce one another. This review summarizes the medical management of patients with concussion and persistent post-concussive symptoms (PPCS). Recent Findings: Management of concussion and PPCS relies on identifying underlying symptom generators. Treatment options include sub-symptom threshold aerobic exercise, cervical physical therapy, vestibular therapy, vision therapy, cognitive rehabilitation, cognitive behavioral therapy, pharmacological management, or a combination of treatments. Summary: Evidence-based treatments have emerged to treat post-concussion symptom generators for sport-related concussion and for patients with PPCS.

Original language	English
Article number	72
Journal	Current Neurology and Neuroscience Reports
Volume	21
Issue number	12
DOIs	https://doi.org/10.1007/s11910-021-01160-9
State	Published - Dec 2021

Keywords

Concussion
Management
Neurologist
Persistent symptoms
Therapy

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10.1007/s11910-021-01160-9

Cite this

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title = "Management of Concussion and Persistent Post-Concussive Symptoms for Neurologists",

abstract = "Purpose of Review: Concussion is a complex injury that may present as a variety of clinical profiles, which can overlap and reinforce one another. This review summarizes the medical management of patients with concussion and persistent post-concussive symptoms (PPCS). Recent Findings: Management of concussion and PPCS relies on identifying underlying symptom generators. Treatment options include sub-symptom threshold aerobic exercise, cervical physical therapy, vestibular therapy, vision therapy, cognitive rehabilitation, cognitive behavioral therapy, pharmacological management, or a combination of treatments. Summary: Evidence-based treatments have emerged to treat post-concussion symptom generators for sport-related concussion and for patients with PPCS.",

keywords = "Concussion, Management, Neurologist, Persistent symptoms, Therapy",

author = "Leddy, \{John J.\} and Haider, \{Mohammad Nadir\} and Noble, \{James M.\} and Brian Rieger and Steven Flanagan and McPherson, \{Jacob I.\} and Kenneth Shubin-Stein and Saleem, \{Ghazala T.\} and Louis Corsaro and Barry Willer",

note = "Publisher Copyright: {\textcopyright} 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2021",

month = dec,

doi = "10.1007/s11910-021-01160-9",

language = "English",

volume = "21",

journal = "Current Neurology and Neuroscience Reports",

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AU - Leddy, John J.

AU - Haider, Mohammad Nadir

AU - Noble, James M.

AU - Rieger, Brian

AU - Flanagan, Steven

AU - McPherson, Jacob I.

AU - Shubin-Stein, Kenneth

AU - Saleem, Ghazala T.

AU - Corsaro, Louis

AU - Willer, Barry

PY - 2021/12

Y1 - 2021/12

N2 - Purpose of Review: Concussion is a complex injury that may present as a variety of clinical profiles, which can overlap and reinforce one another. This review summarizes the medical management of patients with concussion and persistent post-concussive symptoms (PPCS). Recent Findings: Management of concussion and PPCS relies on identifying underlying symptom generators. Treatment options include sub-symptom threshold aerobic exercise, cervical physical therapy, vestibular therapy, vision therapy, cognitive rehabilitation, cognitive behavioral therapy, pharmacological management, or a combination of treatments. Summary: Evidence-based treatments have emerged to treat post-concussion symptom generators for sport-related concussion and for patients with PPCS.

AB - Purpose of Review: Concussion is a complex injury that may present as a variety of clinical profiles, which can overlap and reinforce one another. This review summarizes the medical management of patients with concussion and persistent post-concussive symptoms (PPCS). Recent Findings: Management of concussion and PPCS relies on identifying underlying symptom generators. Treatment options include sub-symptom threshold aerobic exercise, cervical physical therapy, vestibular therapy, vision therapy, cognitive rehabilitation, cognitive behavioral therapy, pharmacological management, or a combination of treatments. Summary: Evidence-based treatments have emerged to treat post-concussion symptom generators for sport-related concussion and for patients with PPCS.

KW - Concussion

KW - Management

KW - Neurologist

KW - Persistent symptoms

KW - Therapy

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DO - 10.1007/s11910-021-01160-9

M3 - Review article

C2 - 34817719

AN - SCOPUS:85119855290

SN - 1528-4042

VL - 21

JO - Current Neurology and Neuroscience Reports

JF - Current Neurology and Neuroscience Reports

IS - 12

M1 - 72

ER -

Management of Concussion and Persistent Post-Concussive Symptoms for Neurologists

Abstract

Keywords

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