Diagnostic criteria for postconcussional syndrome after mild to moderate traumatic brain injury.
This study evaluated the prevalence and specificity of diagnostic criteria for postconcussional syndrome (PCS) in 178 adults with mild to moderate traumatic brain injury (TBI) and 104 with extracranial trauma. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) and International Classification of Diseases (ICD-10) criteria for PCS were evaluated 3 months after injury. The results showed that prevalence of PCS was higher using ICD-10 (64%) than DSM-IV criteria (11%). Specificity to TBI was limited because PCS criteria were often fulfilled by patients with extracranial trauma. The authors conclude that further refinement of the DSM-IV and ICD-10 criteria for PCS is needed before these criteria are routinely employed.
Boake
Corwin
C
Baylor College of Medicine/University of Texas-Houston Medical School, Department of Physical Medicine and Rehabilitation, Houston, TX 77030-3405, USA. corwin.boake@uth.tmc.edu
McCauley
Stephen R
SR
Levin
Harvey S
HS
Pedroza
Claudia
C
Contant
Charles F
CF
Song
James X
JX
Brown
Sharon A
SA
Goodman
Heather
H
Brundage
Susan I
SI
Diaz-Marchan
Pedro J
PJ
D000328:Adult; D001930:Brain Injuries / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D009483:Neuropsychological Tests / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care / Q000379:methods; D038223:Post-Concussion Syndrome / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology*; D015995:Prevalence; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012189:Retrospective Studies