Concussion - Aversano Flashcards Preview

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Flashcards in Concussion - Aversano Deck (12):
1

Diffuse axonal injury

Small lesions within the white matter tracts

2

Contusions

Focal parenchymal hemorrhages

3

Jaune plaque

Yellow discoloration of brain

4

Coup/contrecoup

Coup - direct blow
Contrecoup - opposite blow (brain bouncing back against occiput)

5

Subdural hematoma

- Collection of blood b/n the dural and arachnoid membrane
- Acute is w/n 72 hours

6

Chronic subdural hematoma

- Symptomatic after 21 days
- CT will have hypo or isodense crescent

7

Epidural hematoma

- Occurs with a tear in the meningeal artery
- More common in young

8

Post-concussion syndrome

- Sx: HA, fatigue, tinnitus, restlessness, dizziness, blurred vision, insomnia/hypersomnia
- Sxs can persist and pt may not have LOC
- Psych and social factors can increase and prolong sx

9

AAN guidelines for concussion tx

- Hx of 1 or more concussion at greater risk for another
- First 10 days after is greatest risk for another
- Hx of concussion and younger age linked to longer recovery period

10

Glasgow coma scale

- Measures eye, verbal and motor response
- Normal is 15, concussion is 13

11

Battle's sign

- Bruising behind the ear
- Blood may be from basilar skull fracture
- Look in eat w/otoscope to check for blood behind TM

12

Tx of concussions

- REST until asymptomatic
- Can begin exercise rehab when asymptomatic at rest for 24 hours