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Traumatic brain injury in older adults: do we need a different approach? 老年人的创伤性脑损伤:我们是否需要一种不同的方法?
Concussion Pub Date : 2018-09-20 eCollection Date: 2018-10-01 DOI: 10.2217/cnc-2018-0001
Matthew E Peters, Raquel C Gardner
{"title":"Traumatic brain injury in older adults: do we need a different approach?","authors":"Matthew E Peters, Raquel C Gardner","doi":"10.2217/cnc-2018-0001","DOIUrl":"https://doi.org/10.2217/cnc-2018-0001","url":null,"abstract":"Matthew E Peters*,1 & Raquel C Gardner2,3 1Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, USA 2Department of Neurology, University of California San Francisco, CA, 94143, USA 3San Francisco Veterans Affairs Medical Center, San Francisco, CA, 94121, USA *Authors for correspondence: Tel.: +1 410 550 6337; Fax: +1 410 550 0564; matthew.peters@jhmi.edu","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2018-0001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36614314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 47
The synergistic effect of concussions and aging in women? Disparities and perspectives on moving forward. 女性脑震荡与衰老的协同效应?差距和对未来的看法。
Concussion Pub Date : 2018-08-15 eCollection Date: 2018-08-01 DOI: 10.2217/cnc-2018-0004
Carrie Esopenko, Adrienne H Simonds, Ellen Z Anderson
{"title":"The synergistic effect of concussions and aging in women? Disparities and perspectives on moving forward.","authors":"Carrie Esopenko, Adrienne H Simonds, Ellen Z Anderson","doi":"10.2217/cnc-2018-0004","DOIUrl":"https://doi.org/10.2217/cnc-2018-0004","url":null,"abstract":"Carrie Esopenko*,1,2, Adrienne H Simonds1 & Ellen Z Anderson1,2 1Department of Rehabilitation & Movement Sciences, School of Health Professions, Rutgers, The State University of New Jersey, New Brunswick, NJ, 08901, USA 2Department of Health Informatics, School of Health Professions, Rutgers, The State University of New Jersey, New Brunswick, NJ, 08901, USA *Author for correspondence: Tel.: +1 973 972 0143; carrie.esopenko@rutgers.edu","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2018-0004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36620808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
A comparison of emergency department medical records to parental self-reporting of traumatic brain injury symptoms. 急诊科病历与父母自述创伤性脑损伤症状的比较
Concussion Pub Date : 2018-04-06 eCollection Date: 2018-03-01 DOI: 10.2217/cnc-2017-0017
Audrey McKinlay, Alanah Lin, Martin Than
{"title":"A comparison of emergency department medical records to parental self-reporting of traumatic brain injury symptoms.","authors":"Audrey McKinlay,&nbsp;Alanah Lin,&nbsp;Martin Than","doi":"10.2217/cnc-2017-0017","DOIUrl":"https://doi.org/10.2217/cnc-2017-0017","url":null,"abstract":"<p><strong>Aim: </strong>Studies have shown Emergency Department (ED) recording of traumatic brain injury (TBI) cases to be poor.</p><p><strong>Methods: </strong>Parents of children aged 2-12 who attended an ED with injury to the head completed a concussion checklist which was compared with medical records.</p><p><strong>Results: </strong>ED medical records commonly used head injury (HI), concussion, minor-HI and mild-HI without distinction between TBI and superficial HI. Recalled symptoms included vomiting, blurred vision and headaches versus headaches, fatigue and feeling sick from parents who reported more concussive symptoms. More cases of TBI were identifiable from parental recall compared with medical records, which recorded fewer symptoms for diagnosis, prognosis and statistical reporting of TBI.</p><p><strong>Conclusion: </strong>Clear guidelines need to be implemented to improve retrospective diagnosis for incidence gathering and future clinical use.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2017-0017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36480589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The role and diagnostic significance of cellular barriers after concussive head trauma. 脑外伤后细胞屏障的作用及诊断意义。
Concussion Pub Date : 2018-01-31 eCollection Date: 2018-03-01 DOI: 10.2217/cnc-2017-0019
Aaron Dadas, Damir Janigro
{"title":"The role and diagnostic significance of cellular barriers after concussive head trauma.","authors":"Aaron Dadas,&nbsp;Damir Janigro","doi":"10.2217/cnc-2017-0019","DOIUrl":"https://doi.org/10.2217/cnc-2017-0019","url":null,"abstract":"<p><p>The onset of concussive head trauma often triggers an intricate sequence of physical consequences and pathophysiological responses. These sequelae can be acute (i.e., hematoma) or chronic (i.e., autoimmune response, neurodegeneration, etc.), and may follow traumas of any severity. A critical factor for prognostication of postconcussion outcome is the pathophysiological response of cellular barriers, which can be measured by several biomarkers of the acute and chronic postinjury phases. We present herein a review on the postconcussion mechanisms of the blood-brain barrier, as well as the diagnostic/prognostic approaches that utilize differential biomarker expression across this boundary. We discuss the role of the blood-saliva cellular barrier as a regulatory filter for brain-derived biomarkers in blood, and its implications for saliva-based diagnostic assays.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2017-0019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36480590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 24
Corrigendum. 勘误表。
Concussion Pub Date : 2018-01-24 eCollection Date: 2018-03-01 DOI: 10.2217/cnc-2017-0002c1
{"title":"Corrigendum.","authors":"","doi":"10.2217/cnc-2017-0002c1","DOIUrl":"https://doi.org/10.2217/cnc-2017-0002c1","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2217/cnc-2017-0002.].</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2017-0002c1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36482461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using concurrent gait and cognitive assessments to identify impairments after concussion: a narrative review. 同时使用步态和认知评估来识别脑震荡后的损伤：叙述性综述。
Concussion Pub Date : 2018-01-19 DOI: 10.2217/cnc-2017-0014
David R Howell, Michael W Kirkwood, Aaron Provance, Grant L Iverson, William P Meehan
{"title":"Using concurrent gait and cognitive assessments to identify impairments after concussion: a narrative review.","authors":"David R Howell,&nbsp;Michael W Kirkwood,&nbsp;Aaron Provance,&nbsp;Grant L Iverson,&nbsp;William P Meehan","doi":"10.2217/cnc-2017-0014","DOIUrl":"10.2217/cnc-2017-0014","url":null,"abstract":"<p><p>Understanding how a concussion affects an individual is oftentimes difficult for clinicians due to the varying symptom profiles reported by the patient and the multifaceted and heterogeneous nature of the injury. Accordingly, the interpretation of postconcussion performance can be challenging, because many different testing paradigms have been reported as potentially useful in the literature. Among the types of tests clinicians use to understand how concussion affects an individual, both gait and neurocognitive evaluations have demonstrated utility. Our purpose is to describe how combined gait and cognitive (i.e., dual task), as well as single-task gait and computerized neurocognitive examinations can assist clinical decision-making.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2017-0014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36480591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
Sex & gender considerations in concussion research. 脑震荡研究中的性别考虑。
Concussion Pub Date : 2018-01-18 eCollection Date: 2018-03-01 DOI: 10.2217/cnc-2017-0015
Tatyana Mollayeva, Graziella El-Khechen-Richandi, Angela Colantonio
{"title":"Sex & gender considerations in concussion research.","authors":"Tatyana Mollayeva, Graziella El-Khechen-Richandi, Angela Colantonio","doi":"10.2217/cnc-2017-0015","DOIUrl":"10.2217/cnc-2017-0015","url":null,"abstract":"<p><p>The study of concussion, a common form of mild traumatic brain injury, has received increased notice over the last decade. Recently, more researchers have been addressing the historic paucity of attention over sex and gender influences on recovery outcomes after concussion. This development has led to exciting progress in our understanding of concussion incidence and outcomes. In this review, we will report on new findings from varying studies on sex differences in the epidemiology of concussion and clinical manifestations of mild traumatic brain injury/concussion, further discussing some key issues related to the integration of sex and gender in concussion research in a broad range of contexts, with recommendations to guide future research, along with sex- and gender-sensitive policy considerations.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36481142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of a repeat testing protocol for cognitive fatigue assessment: a preliminary study in postconcussive syndrome participants. 认知疲劳评估的重复测试方案的有效性:脑震荡后综合征参与者的初步研究。
Concussion Pub Date : 2017-12-20 eCollection Date: 2017-12-01 DOI: 10.2217/cnc-2017-0002
Thomas F Rau, Sarjubhai A Patel, Erik E Guzik, Edmond Sorich, Alan J Pearce
{"title":"Efficacy of a repeat testing protocol for cognitive fatigue assessment: a preliminary study in postconcussive syndrome participants.","authors":"Thomas F Rau,&nbsp;Sarjubhai A Patel,&nbsp;Erik E Guzik,&nbsp;Edmond Sorich,&nbsp;Alan J Pearce","doi":"10.2217/cnc-2017-0002","DOIUrl":"https://doi.org/10.2217/cnc-2017-0002","url":null,"abstract":"<p><strong>Aim: </strong>A small but notable number of individuals who suffer a concussion report ongoing cognitive difficulties. This preliminary study investigated the efficacy of repetitive test application to discern cognitive impairment in those with ongoing symptoms.</p><p><strong>Methods: </strong>Participants (n = 17) with continuing self-reported symptoms following a concussion (∼9 months postinjury) were compared with 17 age group matched controls for working memory and word-list learning.</p><p><strong>Results: </strong>Both groups performed similarly after the first trial for both assessments. However, in subsequent trials, the postconcussion group performed significantly worse than controls.</p><p><strong>Discussion: </strong>While further studies to understand the mechanisms are warranted, data from this preliminary study suggest that a repetitive test application may be useful to discern cognitive fatigue in individuals who report ongoing concerns following a concussion.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2017-0002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36481137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Understanding the interplay between mild traumatic brain injury and cognitive fatigue: models and treatments. 了解轻度脑外伤与认知疲劳之间的相互作用：模型与治疗方法。
Concussion Pub Date : 2017-10-27 eCollection Date: 2017-12-01 DOI: 10.2217/cnc-2017-0003
Glenn R Wylie, Laura A Flashman
{"title":"Understanding the interplay between mild traumatic brain injury and cognitive fatigue: models and treatments.","authors":"Glenn R Wylie, Laura A Flashman","doi":"10.2217/cnc-2017-0003","DOIUrl":"10.2217/cnc-2017-0003","url":null,"abstract":"<p><p>Nearly 2 million traumatic brain injuries occur annually, most of which are mild (mTBI). One debilitating sequela of mTBI is cognitive fatigue: fatigue following cognitive work. Cognitive fatigue has proven difficult to quantify and study, but this is changing, allowing models to be proposed and tested. Here, we review evidence for four models of cognitive fatigue, and relate them to specific treatments following mTBI. The evidence supports two models: cognitive fatigue results from the increased work/effort required for the brain to process information after trauma-induced damage; and cognitive fatigue results from sleep disturbances. While there are no evidence-based treatments for fatigue after mTBI, some pharmacological and nonpharmacological treatments show promise for treating this debilitating problem. Future work may target the role of genetics, neuroinflammation and the microbiome and their role in complex cognitive responses such as fatigue.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36481141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Academic outcomes and accommodations following adolescent sport-related concussion: a pilot study. 青少年运动相关脑震荡后的学业成绩和住宿:一项试点研究。
Concussion Pub Date : 2017-10-23 eCollection Date: 2017-12-01 DOI: 10.2217/cnc-2017-0009
Kelly Russell, Erin Selci, Stephanie Chu, Adrian Rozbacher, Michael Ellis
{"title":"Academic outcomes and accommodations following adolescent sport-related concussion: a pilot study.","authors":"Kelly Russell,&nbsp;Erin Selci,&nbsp;Stephanie Chu,&nbsp;Adrian Rozbacher,&nbsp;Michael Ellis","doi":"10.2217/cnc-2017-0009","DOIUrl":"https://doi.org/10.2217/cnc-2017-0009","url":null,"abstract":"<p><strong>Aim: </strong>The purpose of this study was to examine academic achievement, absenteeism and school accommodations following adolescent sport-related concussion (SRC).</p><p><strong>Methods: </strong>A case-series was conducted among grade 8-12 students who suffered an SRC. The primary outcomes were change in pre- and post-concussion overall, core report card grade point average (GPA) and absenteeism due to concussion. The most helpful school accommodations were tabulated.</p><p><strong>Results: </strong>Pre- and post-concussion GPA was obtained from 33 students - 16 (48%) developed persistent post-concussion symptoms (symptoms lasting >4 weeks). There was no significant difference in pre- and post-concussion grades among students with a SRC for overall (p = 0.75) or core (p = 0.56) GPA. The median number of missed school days was 4 (interquartile range [IQR]: 2-8). Allowing for physical and cognitive rest was identified as the most helpful accommodation (30%).</p><p><strong>Conclusion: </strong>Larger studies should investigate the role that school accommodations and development of persistent post-concussion symptoms have on academic outcomes.</p>","PeriodicalId":37006,"journal":{"name":"Concussion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/cnc-2017-0009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36481140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
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