[Differential diagnosis of post-concussive syndrome].
BACKGROUND
Posconcussional syndrome is characterized by a heterogeneous group of somatic, cognitive and psychosocial symptoms, which occur in patients with head trauma, generally of mild severity. It is the neuropsychiatric postraumatic disorder more prevalent in the field of forensic medicine.


METHODS
Classical authors (Lishamn and Barraquer, for example) focused on controversial aspects of this syndrome, such as conceptual problems and etiology (organic versus functional). The objective of this report is to review the posconcussional literature in search of relevant aspects in forensic neuropsychology: conceptual aspects, epidemiology, etiology, clinical features, methodology for assessment, and its differential diagnosis with other postraumatic disorders, such as postraumatic stress disorder, adjustment disorder, anxiety disorder, mood disorders (major depressive disorder), substancerelated disorders, dementia due to head trauma, amnesic disorder, somatoform disorders, factitious disorder, malingering, chronic pain and chronic whiplash syndrome.
Pelegrín-Valero
C
C
Servicio de Psiquiatría, Hospital Miguel Servet, Zaragoza, España. cpelegrinv@medynet.com
Fernández-Guinea
S
S
Tirapu-Ustarroz
J
J
Múñoz-Céspedes
J M
JM
D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D006801:Humans; D019964:Mood Disorders / Q000175:diagnosis / Q000209:etiology; D009483:Neuropsychological Tests; D038223:Post-Concussion Syndrome / Q000150:complications / Q000175:diagnosis*; D013001:Somatoform Disorders / Q000175:diagnosis / Q000209:etiology; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000209:etiology; D011795:Surveys and Questionnaires