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Concussion in Head Trauma
Vincent H Key1, Joseph B Noland2
1Orthopaedic Surgery/Sports Medicine, University of Kansas Health System, 3901 Rainbow Boulevard. Kansas City, KS 66160, USA.
Facial Plastic Surgery Clinics of North America
|November 23, 2021
Summary
Facial trauma can mask concussions, requiring high suspicion for early diagnosis and treatment. Prompt management, including serial exams and cognitive assessments, aids recovery from mild traumatic brain injury.
Area of Science:
- Neurology
- Trauma Surgery
- Emergency Medicine
Background:
- Concussion following facial trauma is often underdiagnosed.
- Clinical signs of concussion may be attributed to facial injuries.
- Delayed presentation of concussion symptoms is common.
Purpose of the Study:
- To highlight the importance of recognizing concussion in facial trauma patients.
- To emphasize the need for prompt diagnosis and management.
- To discuss the role of serial examinations and cognitive assessments.
Main Methods:
- Clinical observation and serial examinations.
- Use of cognitive assessment tools for baseline and recovery monitoring.
- Evaluation of vestibular and oculomotor systems.
Main Results:
- Clinical signs of concussion can manifest during hospitalization.
- Cognitive assessment provides a baseline and tracks recovery.
- Vestibular and oculomotor assessments are crucial for treatment.
Conclusions:
- A high index of suspicion is critical for managing concussion in facial trauma.
- Early recognition and treatment can shorten symptom duration.
- Integrated assessment including neurological, cognitive, and sensorimotor systems is vital.
