Concussion in the Elderly

Abstract

Elderly individuals over age 65 represent the fastest growing group of traumatic brain injury patients. Many elderly individuals are taking anticoagulant medications, and an initial computed tomography (CT) scan is warranted to rule out intracranial hemorrhage, though a second CT scan is generally unnecessary if the first scan is negative and the patient’s neurological condition is stable. Elderly can be more susceptible to side effects of medications; thus, smaller doses may be preferred. Balance training is advised to reduce risk of falls. Concussion may be both a cause and a consequence of neurodegenerative diseases. Driving may be especially problematic in elderly after concussion.