This is a practical guide to the management of mild head injury, or concussion. It is now generally accepted that post-concussion syndrome has an organic basis and this has resulted in the emergence of clinics, staffed by interdisciplinary teams, dedicated to addressing the problem. After a short account of the history of thinking on mild head injury and its epidemiology, a section on pathology provides the background to the clinical picture. The coverage then moves on to look at the acute stage and management in the emergency department, followed by a description of the clinical features of the persisting symptoms. There are clear descriptions of the measurements, investigations and examinations to be completed. The authors then move on to look at the neurological, cognitive-behavioural and psychiatric aspects of management and treatment. Specific cases are discussed, including the special considerations when dealing with children, the elderly, executives and sportspeople. At the end of the book there are copies of information sheets and booklets for patients. Philip Wrightson and Dorothy Gronwall are pioneers in this field. They were the first to define test procedures to measure the changes following concussion, and to establish a clinic for those with persisting problems.
"It gives an excellent overview of the epidemiology, definition, and pathophysiology. It provides a practical guide for assessing, investigating, and managing the symptoms. It is invaluable as a quick reference for managing this common condition in a private of hospital setting." Annals RSCPS
"Overall, this book provides a valuable contribution to the management of patients with mild head injury and I recommend it to the whole spectrum of health care professionals involved in the treatment of this condition."British Journal of Neurosurgery
"The authors present a great deal of information in a fairly short and readable book that covers a critically important area in which there exist limited resources....The authors' unique perspective is a refreshing addition to those who treat and conduct rsearch in this field."Roger K Light, Senior Clinical Neuropsychologist, Daniel Freeman Hospital, California
Introduction; Epidemiology of mild head injury; Mechanisms and pathology; Management in the acute stage; Clinical picture after mild head injury; Neurological assessment; Imaging and other investigations; Assessment of cognition and behaviour; Principles of management; Medication in mild head injury; Special cases; Mild head injury in sport; Legal aspects of mild head injuries; Appendices; Orientation and memory scales; Precautions for patients
allowed home from EDs; Concussion sustained at school; Mild head injury - advice; Getting back to work at the desk; Rivermead symptom check list