

146| Persistent Symptoms After Concussion – A Conversation with Dr. Noah Silverberg
28 snips Jul 1, 2024
Dr. Noah Silverberg discusses persisting symptoms after concussion, including prevalence, risk factors, mental health importance, TBI vs. functional cognitive disorder, assessment, and treatment. The conversation explores psychological factors, resilience, overlap with FCD, management strategies, and improving neuropsychological tests.
AI Snips
Chapters
Transcript
Episode notes
PPCS Prevalence and Non-Specificity
- Persistent post-concussive symptoms (PPCS) prevalence is 18-31% at 3-6 months post-mild TBI (mTBI).
- PPCS symptoms like headache and fatigue overlap with other conditions, making diagnosis complex.
Biopsychosocial Model of PPCS
- PPCS has complex biopsychosocial causes, not solely attributed to brain injury.
- Consider predisposing, precipitating, perpetuating, and protective factors when assessing patients.
Symptom Prevalence Comparison
- Persisting symptoms are more common after concussion than orthopedic injury or major life stress.
- These symptoms are not unique to concussion, occurring in other conditions but at elevated rates after mTBI.