3/7/2023 0 Comments Cornell takenote![]() While some rest (both physical and mental) is encouraged, recent studies demonstrate that complete inactivity is not recommended. Finding a balance between returning too soon and sitting out too long is an important and nuanced part of the plan for recovery.Ĭhildren are generally resilient, and plasticity – the ability for the brain to reorganize itself and form new connections – is generally at its strongest in childhood, so most children recover from concussion without medical intervention. While it is better to err on the side of caution and take all reported symptoms seriously, it’s prudent to pay careful attention to children whose symptoms seem inconsistent with the expected trajectory of recovery. Others may exaggerate their symptoms to avoid returning to school. Some competitive young athletes are so eager to get back on the playing field that they deny having any symptoms, or they downplay their symptoms, in order to get back in the game. and pediatric neuropsychologist David Salsberg, Ph.D.Ĭhildren also have their own motivations for under- or overstating the symptoms of concussion, which can complicate the injury’s aftermath. pediatric neurosurgeon Jeffrey Greenfield, M.D., Ph.D. The Weill Cornell Concussion and Brain Injury Clinic includes a multidisciplinary team of pediatric specialists, including (l-r) pediatric neurologists Barry Kosofsky, M.D., and Zuhal Ergonul, M.D., Ph.D. Some post-concussion symptoms affect higher-level cognitive processes, which a young child may not yet be using. Other symptoms, including irritability, may be mistakenly interpreted as a behavioral issue rather than a sign of a brain injury. Recognizing concussion in children can be more complicated than diagnosing it in adults, since a child may not be capable of articulating the more subjective symptoms of a concussion, such as feeling “in a fog” or vertigo. (These latter causes, of course, may warrant multiple levels of intervention.) Young children are more susceptible to concussion than adults are, not only because they are more likely to be active and involved in sports, but also because their brains are not yet fully developed and thus more vulnerable to injury. ![]() Many mTBIs are sports-related, but children can also suffer concussions from falls, fights, or abuse. With so many children being injured each year, though, even a small proportion of them suffering negative outcomes makes concussion a serious pediatric health problem. We know that up to a third of all adults who sustain a concussion experience persistent symptoms, but we don’t know what percentage of children do. Eighty to ninety percent of these are mild (mTBIs), or concussions, and are not life-threatening, but even a mild TBI may sometimes have ongoing effects. While concussions can happen at any age, any brain injuries in children warrant specialized assessment and approaches to intervention.Īpproximately 500,000 children a year visit an emergency room for traumatic brain injuries (TBIs) – among adolescents they are the single largest cause of emergency room visits. Contact Us Toggle Contact Us menu options.Resources Toggle Resources menu options.Cognitive Remediation for Post-Concussion Syndrome.Return to Work/Play/School Recommendations.Our Services Toggle Our Services menu options.About Concussions Toggle About Concussions menu options.Sethi Named Director of Concussion Clinic In the News Toggle In the News menu options.
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