Hopp til hovedinnhold

Postcommotiosymptomer

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
Er en vanlig følgetilstand til en mild hjerneskade
Forekomst:
10-15% av pasienter med hjernerystelse vil oppleve symptomer som vedvarer flere måneder eller år
Symptomer:
Symptomkompleks som består av både somatiske, psykiske og kognitive plager, eks. hodepine, svimmelhet, nedstemthet, nedsatt konsentrasjon
Funn:
Er som regel fraværende
Diagnostikk:
Behov for ytterligere undersøkelser må vurderes. CT, ev. MR er som regel allerede utført. Nevropsykologisk testing? Psykiatrisk vurdering?
Behandling:
Ingen spesifikk behandling finnes som kan forebygge eller behandle tilstanden, derfor blir behandlingen symptomatisk
  1. Evans RW, Aminoff MJ, Wilterdink JL. Postconcussion syndrome. UpToDate, last updated Apr 09, 2021. Accessed Sept 22, 2021. UpToDate  
  2. Skjeldal OH, Skandsen T, Kinge E et al.. Langvarige plager etter hjernerystelse. Tidsskr Nor Legeforen 2022. doi:10.4045/tidsskr.21.0713 DOI  
  3. Skandsen T, Nilsen TL, Einarsen C et al. Incidence of Mild Traumatic Brain Injury: A Prospective Hospital, Emergency Room and General Practitioner-Based Study. Front Neurol. 2019 Jun 18;10:638. PMID: 31275229 PubMed  
  4. Dillard C, Ditchman N, Nersessova K, Foster N, Wehman P, West M, et al. Post-concussion symptoms in mild traumatic brain injury: findings from a paediatric outpatient clinic. Disabil Rehabil. 2017 Mar. 39 (6):544-550.
  5. Hauptmann LK, Ashkanian M. Post-concussion syndrome is a neuro-cognitive condition. Ugeskr Laeger. 2017 Nov 13;179(23):V01170087. Danish. PMID: 29139355.
  6. Permenter CM, Fernández-de Thomas RJ, Sherman Al. Postconcussive Syndrome. Last updated Aug 29, 2022. In: StatPearls [Internet]. www.ncbi.nlm.nih.gov  
  7. van der Naalt J, Timmerman ME, de Koning ME et al. Early predictors of outcome after mild traumatic brain injury (UPFRONT): an observational cohort study. Lancet Neurol. 2017 Jul;16(7):532-540. Epub 2017 Jun 13. PMID: 28653646.
  8. Ganti L, Khalid H, Patel PS et al. Who gets post-concussion syndrome? An emergency department-based prospective analysis. Int J Emerg Med. 2014 Aug 20;7:31. PMID: 25635191;
  9. Legome EL. Postconcussion syndrome. Medscape, last updated Sep 24, 2018. emedicine.medscape.com  
  10. Eisenberg MA, Meehan WP, Mannix R. Duration and course of post-concussive symptoms. Pediatrics 2013; 133: 999-1006. doi:10.1542/peds.2014-0158 DOI  
  11. Lambert M, Sheldrake E, Deneault A-A, et al. Depressive Symptoms in Individuals With Persistent Postconcussion Symptoms: A Systematic Review and Meta-Analysis. JAMA Netw Open 2022; 5: e2248453. pmid:36574246 PubMed  
  12. Shenton ME, Hamoda HM, Schneiderman JS et al. A review of magnetic resonance imaging and diffusion tensor imaging findings in mild traumatic brain injury. Brain Imaging Behav. 2012 Jun;6(2):137-92. PMID: 22438191 PubMed  
  13. Cunningham J, Brison RJ, Pickett W. Concussive symptoms in emergency department patients diagnosed with minor head injury. J Emerg Med 2011; 40: 262-6. PubMed  
  14. Whittaker R, Kemp S, House A. Illness perceptions and outcome in mild head injury: a longitudinal study. J Neurol Neurosurg Psychiatry 2007; 78: 644. PubMed  
  15. McCarty CA, Zatzick DF, Marcynyszyn LA, et al. Effect of Collaborative Care on Persistent Postconcussive Symptoms in Adolescents A Randomized Clinical Trial. JAMA Netw Open 2021; 4: e210207. pmid:33635325 PubMed  
  16. Oldenburg C, Lundin A, Edman G et al. Emotional reserve and prolonged post-concussive symptoms and disability: a Swedish prospective 1-year mild traumatic brain injury cohort study. BMJ Open. 2018 Jul 6;8(7):e020884. PMID: 29982209 PubMed  
  17. Zemek RL, Farion KJ, Sampson M, McGahern C. Prognosticators of persistent symptoms following pediatric concussion: a systematic review. JAMA Pediatr. 2013 Mar 1;167(3):259-65. PMID: 23303474.
  • Terje Johannessen, professor i allmennmedisin, Trondheim (tilpasning til NEL)

Tidligere fagmedarbeidere

  • Jakob Christensen, overlæge, Neurologisk afdeling F, Århus (Lægehåndbogen)
  • Michael Bjørn Russell, prof., overlæge, ph.d., dr. med., Neurologisk afd., Akershus Universitetssygehus, Oslo (Lægehåndbogen)