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Review

Concussion: Evaluation and management

Alexandra Stillman, MD, Michael Alexander, MD, Rebekah Mannix, MD, Nancy Madigan, PhD, Alvaro Pascual-Leone, MD, PhD and William P. Meehan, MD
Cleveland Clinic Journal of Medicine August 2017, 84 (8) 623-630; DOI: https://doi.org/10.3949/ccjm.84a.16013
Alexandra Stillman
Director of Concussion, Traumatic Brain Injury and Neurorehabilitation, Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center
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Michael Alexander
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Rebekah Mannix
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Nancy Madigan
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Alvaro Pascual-Leone
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William P. Meehan III
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ABSTRACT

Concussion is a common problem often managed by nonneurologists. It is often accompanied by headaches, dizziness, sleep disturbance, psychiatric symptoms, and cognitive issues. Here, we outline how to evaluate and manage concussion, including treatment of the most common symptoms.

Footnotes

  • Dr. Pascual-Leone serves on the scientific advisory boards for Constant Therapy, Neosync, Neuro-electrics, NovaVision, and Starlab.

  • Dr. Meehan has disclosed holding intellectual property rights with ABC-Clio Publishing Company, Springer International Publishing, and Wolters-Kluwer; receiving grant funding from the Football Players Health Study at Harvard, which is funded through the NFL Players Association; and receiving philanthropic support from the National Hockey League Alumni Association through the Corey C. Griffin Pro-Am Tournament.

  • Copyright © 2017 The Cleveland Clinic Foundation. All Rights Reserved.
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  1. Alexandra Stillman, MD
  1. Director of Concussion, Traumatic Brain Injury and Neurorehabilitation, Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center
  2. Instructor of Neurology, Harvard Medical School, Boston, MA
  1. Michael Alexander, MD
  1. Concussion Clinic, Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center
  2. Professor of Neurology, Harvard Medical School, Boston, MA
  1. Rebekah Mannix, MD
  1. The Micheli Center for Sports Injury Prevention, Waltham, MA
  2. Sports Concussion Clinic, Division of Sports Medicine, Boston Children’s Hospital
  3. Brain Injury Center, Boston Children’s Hospital
  4. Division of Emergency Medicine, Boston Children’s Hospital
  5. Associate Professor of Pediatrics and Emergency Medicine, Harvard Medical School, Boston, MA
  1. Nancy Madigan, PhD
  1. Concussion Clinic, Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center
  2. Instructor of Neurology, Harvard Medical School, Boston, MA
  1. Alvaro Pascual-Leone, MD, PhD
  1. Chief of Cognitive Neurology, Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center
  2. Professor of Neurology, Harvard Medical School, Boston, MA
  1. William P. Meehan III, MD⇑
  1. Director, Micheli Center for Sports Injury Prevention, Waltham, MA
  2. Director of Research, Brain Injury Center, Boston Children’s Hospital
  3. Associate Professor of Pediatrics and Orthopaedics, Harvard Medical School, Boston, MA
  1. ADDRESS:
    William P. Meehan III, MD, Director, Mitchell Center for Sports Injury Prevention, 9 Hope Avenue, Suite 100, Waltham, MA 02453; William.Meehan{at}childrens.harvard.edu

ABSTRACT

Concussion is a common problem often managed by nonneurologists. It is often accompanied by headaches, dizziness, sleep disturbance, psychiatric symptoms, and cognitive issues. Here, we outline how to evaluate and manage concussion, including treatment of the most common symptoms.

Footnotes

  • Dr. Pascual-Leone serves on the scientific advisory boards for Constant Therapy, Neosync, Neuro-electrics, NovaVision, and Starlab.

  • Dr. Meehan has disclosed holding intellectual property rights with ABC-Clio Publishing Company, Springer International Publishing, and Wolters-Kluwer; receiving grant funding from the Football Players Health Study at Harvard, which is funded through the NFL Players Association; and receiving philanthropic support from the National Hockey League Alumni Association through the Corey C. Griffin Pro-Am Tournament.

  • Copyright © 2017 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 84 (8)
Cleveland Clinic Journal of Medicine
Vol. 84, Issue 8
1 Aug 2017
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Concussion: Evaluation and management
Alexandra Stillman, Michael Alexander, Rebekah Mannix, Nancy Madigan, Alvaro Pascual-Leone, William P. Meehan
Cleveland Clinic Journal of Medicine Aug 2017, 84 (8) 623-630; DOI: 10.3949/ccjm.84a.16013

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Concussion: Evaluation and management
Alexandra Stillman, Michael Alexander, Rebekah Mannix, Nancy Madigan, Alvaro Pascual-Leone, William P. Meehan
Cleveland Clinic Journal of Medicine Aug 2017, 84 (8) 623-630; DOI: 10.3949/ccjm.84a.16013
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    • ABSTRACT
    • ACCELERATION OF THE BRAIN DUE TO TRAUMA
    • ASSESSMENT
    • MANAGEMENT
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    • IF SYMPTOMS PERSIST
    • PATIENT EDUCATION
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