Mild Traumatic Brain Injury and Postconcussion Syndrome The New Evidence Base for Diagnosis and Treatment

by McCrea, Michael A.

• ISBN13: 9780195328295
• ISBN10: 0195328299
• Edition: 1st
• Format: Paperback
• Copyright: 2007-09-20
• Publisher: Oxford University Press

Summary

This is the first neuropsychology book to translate exciting findings from the recent explosion of research on sport-related concussion to the broader context of mild traumatic brain injury (MTBI) and post-concussive syndrome (PCS) in the general population. In addition, it includes a Continuing Education (CE) component administered by the American Academy of Clinical Neuropsychology. Traumatic brain injuries constitute a major global public health problem, but until now, MTBIs, which constitute up to 90 percent of all treated TBIs, have been difficult to evaluate and manage clinically because of the absence of a viable model. Dr. McCrea's book thus provides a welcome evidence base for all clinicians - including psychologists, neuropsychologists, neurologists, neurosurgeons, rehabilitation medicine physicians, physiatrists, and nurses - involved in the clinical diagnosis and treatment of MTBI, as well as attorneys involved in personal injury litigation and personal injury defense. Each section of the book ends with a helpful summary of the 'Top 10 Conclusions.' Instructions for earning AACN-administered CE credit are included.

Author Biography

Dr. McCrea is Executive Director of the ProHealth Care Neuroscience Center in Milwaukee, Wisconsin. He is a board-certified clinical neuropsychologist and has been head of the Neuropsychology Service at Waukesha Memorial Hospital since 1996. He is also Associate Adjunct Professor of Neurology, Medical College of Wisconsin, Milwaukee and Adjunct Clinical Associate Professor, Department of Psychology, University of Wisconsin-Milwaukee. Dr. McCrea has been an active research in the neurosciences, with numerous scientific publications, book chapters, and national and international lectures on the topic of traumatic brain injury.

Table of Contents

Introduction	p. ix
Continuing Education (CE) Credit	p. xiii
Author's Workshop Materials	p. xiii
Acknowledgments	p. xv
The TBI Landscape	p. 1
Epidemiology and Impact of Traumatic Brain Injury	p. 3
Zeroing In on MTBI: Epidemiology and Impact	p. 7
Challenges in Defining and Diagnosing MTBI	p. 13
Advances in MTBI Research Methodologies	p. 29
Top 10 Conclusions	p. 37
References	p. 39
Basic and Clinical Science of MTBI	p. 43
Biomechanics of MTBI	p. 45
Neurophysiology of MTBI: The Neurometabolic Cascade	p. 53
Neuroimaging in MTBI	p. 61
Top 10 Conclusions	p. 71
References	p. 73
The Natural History of MTBI	p. 83
Acute Symptoms and Symptom Recovery	p. 85
Acute Cognitive Effects and Early Recovery	p. 97
Neuropsychological Recovery	p. 109
Influence of Acute Injury Characteristics on Recovery	p. 119
Measuring Neurophysiologic Recovery	p. 125
Functional Outcome After MTBI	p. 129
Exceptions to the Rule: Potential Long-Term Effects of MTBI	p. 133
Top 10 Conclusions	p. 138
References	p. 140
Implications for Rethinking Postconcussion Syndrome	p. 151
Defining Postconcussion Syndrome	p. 153
Nonspecificity of Postconcussion Syndrome Symptoms	p. 159
Epidemiology of Postconcussion Syndrome: Another Denominator Problem	p. 163
PCS as a Neuropsychological Disorder	p. 169
Psychological Theories of Postconcussion Syndrome	p. 173
Interventional Models for Postconcussion Syndrome	p. 177
A Practical Model for Clinical Management of PCS	p. 181
Top 10 Conclusions	p. 188
References	p. 189
Final Summary and Conclusions	p. 195
Index	p. 197
About the Author	p. 205
Table of Contents provided by Ingram. All Rights Reserved.