Concussion

Ropper, Allan H.; Gorson, Kenneth C.

doi:10.1056/nejmcp064645

Cited by 215Traumatic Brain Injury ResearchTraumatic Brain Injury and Neurovascular DisturbancesTrauma and Emergency Care Studies

Concussion

Ropper, Allan H., Gorson, Kenneth C.·2007·New England Journal of Medicine

DOI 10.1056/nejmcp064645

Open this paper in CoChat — free account

Abstract

A 64-year-old woman slipped on an icy walk, falling forward and striking her forehead. She had a brief convulsion immediately after the fall, was unresponsive for less than 1 minute, and awakened with a severe generalized headache and nausea but no vomiting. In addition to being perplexed about the circumstances of the fall, she could not recall the previous few hours. She was awake and oriented and had no abnormalities on neurologic examination. Tenderness and a scalp contusion were apparent at the site of the impact, and there were abrasions on her right cheek. What is the expected course, and how should her case be managed?

Integrity signals

Registry

Crossref · 10.1056/nejmcp064645

Cites

40 of 40 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

PTHP can masquerade as post-concussional syndrome and can be overlooked, leading to delayed recovery and impaired rehabilitation.
“PTHP can masquerade as a post-concussional syndrome and can be overlooked leading to delayed recovery and impaired rehabilitation (5).”
From Post-Traumatic Hypopituitarism—Who Should Be Screened, When, and How? (2018) · cites this paper as [5]

Cumulative Effects Associated With Recurrent Concussion in Collegiate Football Players: The NCAA Concussion Study
Guskiewicz, K. M., McCrea, M., Marshall, S. W., Cantu, R. C., Randolph, C., Barr, W., Onate, J. A., & Kelly, J. P. (2003) · JAMA · doi:10.1001/jama.290.19.2549 · Cited by 1,712 · see citing works
The Canadian CT Head Rule for patients with minor head injury
Stiell, I. G., Wells, G. A., Vandemheen, K. L., Clement, C. M., Lesiuk, H. J., Laupacis, A., McKnight, R. D., Verbeek, P. R., Brison, R. J., Cass, D., et al. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04561-x · Cited by 1,543 · see citing works
Acute Effects and Recovery Time Following Concussion in Collegiate Football Players
McCrea, M., Guskiewicz, K. M., Marshall, S. W., Barr, W., RANDOLPH, C. C., Cantu, R. C., Oñate, J. A., Yang, J. G., & Kelly, J. P. (2003) · JAMA · doi:10.1001/jama.290.19.2556 · Cited by 1,492 · see citing works
Indications for Computed Tomography in Patients with Minor Head Injury
Haydel, M. J., Preston, C. A., Mills, T. J., Luber, S., Blaudeau, E., & DeBlieux, P. M. C. (2000) · New England Journal of Medicine · doi:10.1056/nejm200007133430204 · Cited by 1,088 · see citing works
Summary and agreement statement of the 2nd International Conference on Concussion in Sport, Prague 2004
McCrory, P. R., Johnston, K., Meeuwisse, W. H., Aubry, M., Cantu, R. C., Dvořák, J., Graf-Baumann, T., Kelly, J. P., Lovell, M., & Schamasch, P. (2005) · British Journal of Sports Medicine · doi:10.1136/bjsm.2005.018614 · Cited by 950 · see citing works
Untitled work
Neurology (1997) · doi:10.1212/wnl.48.3.581 · Cited by 678 · see citing works
Comparison of the Canadian CT Head Rule and the New Orleans Criteria in Patients With Minor Head Injury
Stiell, I. G. (2005) · JAMA · doi:10.1001/jama.294.12.1511 · Cited by 543 · see citing works
Money matters: a meta-analytic review of the effects of financial incentives on recovery after closed-head injury
Binder, L. M., & Rohling, M. L. (1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.1.7 · Cited by 531 · see citing works
Post concussion syndrome
Ryan, L. M., & Warden, D. L. (2003) · International Review of Psychiatry · doi:10.1080/09540260310001606692 · Cited by 526 · see citing works
Mild traumatic brain injury in the United States, 1998–2000
Bazarian, J. J., McClung, J., Shah, M. N., Cheng, Y. T., Flesher, W., & Kraus, J. F. (2004) · Brain Injury · doi:10.1080/02699050410001720158 · Cited by 479 · see citing works
External Validation of the Canadian CT Head Rule and the New Orleans Criteria for CT Scanning in Patients With Minor Head Injury
Smits, M. (2005) · JAMA · doi:10.1001/jama.294.12.1519 · Cited by 382 · see citing works
Immediate Neurocognitive Effects of Concussion
McCrea, M., Kelly, J. P., RANDOLPH, C. C., Cisler, R. A., & Berger, L. (2002) · Neurosurgery · doi:10.1097/00006123-200205000-00017 · Cited by 282 · see citing works
Defining Acute Mild Head Injury in Adults: A Proposal Based on Prognostic Factors, Diagnosis, and Management
Servadei, F., Teasdale, G., & Merry, G. S. (2001) · Journal of Neurotrauma · doi:10.1089/089771501750357609 · Cited by 280 · see citing works
Second impact syndrome
McCrory, P. R., & Berkovic, S. F. (1998) · Neurology · doi:10.1212/wnl.50.3.677 · Cited by 279 · see citing works
Treatment of Post-Concussion Syndrome Following Mild Head Injury
Mittenberg, W., Canyock, E. M., Condit, D. C., & Patton, C. L. (2001) · Journal of Clinical and Experimental Neuropsychology · doi:10.1076/jcen.23.6.829.1022 · Cited by 244 · see citing works
MILD HEAD INJURY
Stein, S. C., & Ross, S. E. (1992) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/00005373-199207000-00003 · Cited by 219 · see citing works
Concussion in Professional Football: Recovery of NFL and High School Athletes Assessed by Computerized Neuropsychological Testing—Part 12
Pellman, E. J., Lovell, M. R., Viano, D. C., & Casson, I. R. (2006) · Neurosurgery · doi:10.1227/01.neu.0000200272.56192.62 · Cited by 218 · see citing works
Prediction of post-traumatic complaints after mild traumatic brain injury: early symptoms and biochemical markers
de Kruijk, J. R. (2002) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.73.6.727 · Cited by 199 · see citing works
Predictive value of skull radiography for intracranial injury in children with blunt head injury
Lloyd, D. A., Carty, H., Patterson, M., Butcher, C. K., & Roe, D. (1997) · The Lancet · doi:10.1016/s0140-6736(96)09356-7 · Cited by 183 · see citing works
Head Injury in Athletes
Bailes, J. E., & Cantu, R. C. (2001) · Neurosurgery · doi:10.1097/00006123-200101000-00005 · Cited by 182 · see citing works
DELAYED DETERIORATION FOLLOWING MILD HEAD INJURY IN CHILDREN
Snoek, J. W., Minderhoud, J. M., & Wilmink, J. T. (1984) · Brain · doi:10.1093/brain/107.1.15 · Cited by 178 · see citing works
Factors related to recovery after mild traumatic brain injury
Mooney, G., Speed, J., & Sheppard, S. (2005) · Brain Injury · doi:10.1080/02699050500110264 · Cited by 177 · see citing works
Reliability of clinical guidelines in the detection of patients at risk following mild head injury: results of a prospective study
Ibáñez, J., Arikán, F., Pedraza, S., Sánchez, E., Poca, M. A., Rodriguez, D. A., & Rubio, E. (2004) · Journal of neurosurgery · doi:10.3171/jns.2004.100.5.0825 · Cited by 166 · see citing works
Evaluation and treatment of postconcussive symptoms
McAllister, T. W., & Arciniegas, D. B. (2002) · Neurorehabilitation · doi:10.3233/nre-2002-17402 · Cited by 133 · see citing works
A controlled prospective inception cohort study on the post‐concussion syndrome outside the medicolegal context
Mickevičienė, D., Schrader, H., Obelienienė, D., Šurkienė, D., Kunickas, R., Stovner, L., & Sand, T. (2004) · European Journal of Neurology · doi:10.1111/j.1468-1331.2004.00816.x · Cited by 130 · see citing works
Management of Posttraumatic Vertigo
Ernst, A., Basta, D., Seidl, R. O., Todt, I., Scherer, H. H., & Clarke, A. H. (2005) · Otolaryngology · doi:10.1016/j.otohns.2004.09.034 · Cited by 129 · see citing works
Value of radiological diagnosis of skull fracture in the management of mild head injury: meta-analysis
Hofman, P. A. M. (2000) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.68.4.416 · Cited by 99 · see citing works
Sport-Related Concussion
Asplund, C. A., McKeag, D. B., & Olsen, C. H. (2004) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200411000-00003 · Cited by 98 · see citing works
Does history of concussion affect current cognitive status?
Collie, A., McCrory, P. R., & Makdissi, M. (2006) · British Journal of Sports Medicine · doi:10.1136/bjsm.2005.019802 · Cited by 95 · see citing works
Recent advances in the diagnosis and management of migraine
Goadsby, P. J. (2006) · BMJ · doi:10.1136/bmj.332.7532.25 · Cited by 66 · see citing works
A controlled historical cohort study on the post‐concussion syndrome
Mickevičienė, D., Schrader, H., Nestvold, K., Šurkienė, D., Kunickas, R., Stovner, L. J., & Sand, T. (2002) · European Journal of Neurology · doi:10.1046/j.1468-1331.2002.00497.x · Cited by 65 · see citing works
Concussion amnesia
Fisher, C. M. (1966) · Neurology · doi:10.1212/wnl.16.8.826 · Cited by 63 · see citing works
Concussive Convulsions
McCrory, P. R., & Berkovic, S. F. (1998) · Sports Medicine · doi:10.2165/00007256-199825020-00005 · Cited by 59 · see citing works
Neuropsychological Impairment as a Consequence of Football (Soccer) Play and Football Heading: Preliminary Analyses and Report on University Footballers
Rutherford, A., Stephens, R., Potter, D. D., & Fernie, G. (2005) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803390490515504 · Cited by 58 · see citing works
Guidelines for Assessment and Management of Sport-Related Concussion
Canadian Academy of Sport Medicine Concussion Committee (2000) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200007000-00012 · Cited by 52 · see citing works
Identification and Evaluation of Patients with Mild Traumatic Brain Injury: Results of a National Survey of Level I Trauma Centers
Blostein, P. A., & Jones, S. J. (2003) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/01.ta.0000038545.24879.4d · Cited by 45 · see citing works
Antidepressants Not Effective in Headache Associated with Minor Closed Head Injury
Saran, A. (1989) · The International Journal of Psychiatry in Medicine · doi:10.2190/15ah-jb7q-u94t-jeaf · Cited by 42 · see citing works
Mild Brain Trauma in Sports
Sturmi, J. E., Smith, C. E., & Lombardo, J. A. (1998) · Sports Medicine · doi:10.2165/00007256-199825060-00001 · Cited by 30 · see citing works
Concussive Convulsions: Emergency Department Assessment and Management of a Frequently Misunderstood Entity
Perron, A. D., Brady, W. J., & Huff, J. S. (2001) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2001.tb01312.x · Cited by 27 · see citing works
Neurological episodes after minor head injury and trigeminovascular activation
Sakas, D. E., & Whitwell, H. (1997) · Medical Hypotheses · doi:10.1016/s0306-9877(97)90042-6 · Cited by 12 · see citing works

Flagged first, then by citations

Sorted by citations

Explosive Blast Neurotrauma
Ling, G. S. F., Bandak, F. A., Armonda, R. A., Grant, G. A., & Ecklund, J. M. (2009) · Journal of Neurotrauma · doi:10.1089/neu.2007.0484 · Cited by 420 · see citing works
Neuropsychology and clinical neuroscience of persistent post-concussive syndrome
Bigler, E. D. (2007) · Journal of the International Neuropsychological Society · doi:10.1017/s135561770808017x · Cited by 418 · see citing works
The neuropsychological outcomes of concussion: A systematic review of meta-analyses on the cognitive sequelae of mild traumatic brain injury.
Karr, J. E., Areshenkoff, C. N., & García-Barrera, M. A. (2013) · Neuropsychology · doi:10.1037/neu0000037 · Cited by 392 · see citing works
Concussion, microvascular injury, and early tauopathy in young athletes after impact head injury and an impact concussion mouse model
Tagge, C. A., Fisher, A. M., Minaeva, O. V., Gaudreau, A., Moncaster, J. A., Zhang, X.-L., Wojnarowicz, M. W., Casey, N. F., Lu, H., Kokiko‐Cochran, O. N., et al. (2017) · Brain · doi:10.1093/brain/awx350 · Cited by 383 · see citing works
Time Interval Between Concussions and Symptom Duration
Eisenberg, M. A., Andrea, J., Meehan, W. P., III, & Mannix, R. (2013) · PEDIATRICS · doi:10.1542/peds.2013-0432 · Cited by 348 · see citing works
Duration and Course of Post-Concussive Symptoms
Eisenberg, M. A., Meehan, W. P., III, & Mannix, R. (2014) · PEDIATRICS · doi:10.1542/peds.2014-0158 · Cited by 346 · see citing works
Wearable sensors for monitoring the internal and external workload of the athlete
Seshadri, D. R., Li, R. T., Voos, J. E., Rowbottom, J. R., Alfes, C. M., Zorman, C. A., & Drummond, C. K. (2019) · npj Digital Medicine · doi:10.1038/s41746-019-0149-2 · Cited by 378 · see citing works
Neuropathology of mild traumatic brain injury: relationship to neuroimaging findings
Bigler, E. D., & Maxwell, W. L. (2012) · Brain Imaging and Behavior · doi:10.1007/s11682-011-9145-0 · Cited by 311 · see citing works
Effect of head impacts on diffusivity measures in a cohort of collegiate contact sport athletes
McAllister, T. W., Ford, J., Flashman, L. A., Maerlender, A., Greenwald, R. M., Beckwith, J. G., Bolander, R. P., Tosteson, T. D., Turco, J. H., Raman, R., et al. (2013) · Neurology · doi:10.1212/01.wnl.0000438220.16190.42 · Cited by 250 · see citing works
Post-traumatic headache: epidemiology and pathophysiological insights
Ashina, H., Porreca, F., Anderson, T. R., Amin, F. M., Ashina, M., Schytz, H. W., & Dodick, D. W. (2019) · Nature Reviews Neurology · doi:10.1038/s41582-019-0243-8 · Cited by 221 · see citing works
Pituitary Dysfunction After Traumatic Brain Injury: A Clinical and Pathophysiological Approach
Tanriverdi, F., Schneider, H. J., Aimaretti, G., Masel, B. E., Casanueva, F. F., & Kelestimur, F. (2015) · Endocrine Reviews · doi:10.1210/er.2014-1065 · Cited by 218 · see citing works
Sport-Related Concussion and Mental Health Outcomes in Elite Athletes: A Systematic Review
Rice, S., Parker, A. G., Rosenbaum, S., Bailey, A. P., Mawren, D., & Purcell, R. (2017) · Sports Medicine · doi:10.1007/s40279-017-0810-3 · Cited by 217 · see citing works
In vivo characterization of chronic traumatic encephalopathy using [F-18]FDDNP PET brain imaging
Barrio, J. R., Small, G. W., Wong, K. P., Huang, S., Liu, J., Merrill, D. A., Giza, C. C., Fitzsimmons, R. P., Omalu, B. I., Bailes, J. E., et al. (2015) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1409952112 · Cited by 208 · see citing works
Sport-Related Concussion
Meehan, W. P., III, & Bachur, R. G. (2008) · PEDIATRICS · doi:10.1542/peds.2008-0309 · Cited by 199 · see citing works
Pediatric Concussions in United States Emergency Departments in the Years 2002 to 2006
Meehan, W. P., III, & Mannix, R. (2010) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2010.06.040 · Cited by 185 · see citing works
A review of neuroimaging findings in repetitive brain trauma
Koerte, I. K., Lin, A. P., Willems, A., Muehlmann, M., Hufschmidt, J., Coleman, M. J., Green, I., Liao, H., Tate, D. F., Wilde, E. A., et al. (2015) · Brain Pathology · doi:10.1111/bpa.12249 · Cited by 160 · see citing works
Visual Tracking Synchronization as a Metric for Concussion Screening
Maruta, J., Suh, M., Niogi, S. N., Mukherjee, P., & Ghajar, J. (2010) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0b013e3181e67936 · Cited by 158 · see citing works
A review of neuroprotection pharmacology and therapies in patients with acute traumatic brain injury
McConeghy, K. W., Hatton, J., Hughes, L., & Cook, A. M. (2012) · CNS Drugs · doi:10.2165/11634020-000000000-00000 · Cited by 158 · see citing works
Concussion and the autonomic nervous system: An introduction to the field and the results of a systematic review
Pertab, J. L., Merkley, T. L., Cramond, A. J., Cramond, K. M. J., Paxton, H., & Wu, T. C. (2018) · Neurorehabilitation · doi:10.3233/nre-172298 · Cited by 141 · see citing works
Neuroendocrine disorders after traumatic brain injury
Behan, L. A., Phillips, J., Thompson, C. J., & Agha, A. (2008) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.2007.132837 · Cited by 141 · see citing works
Traumatic Brain Injury
Parikh, S. V., koch, M. V., & Narayan, R. K. (2007) · International Anesthesiology Clinics · doi:10.1097/aia.0b013e318078cfe7 · Cited by 130 · see citing works
Concussive Brain Trauma in the Mouse Results in Acute Cognitive Deficits and Sustained Impairment of Axonal Function
Creed, J. A., DiLeonardi, A. M., Fox, D. P., Tessler, A. R., & Raghupathi, R. (2011) · Journal of Neurotrauma · doi:10.1089/neu.2010.1729 · Cited by 131 · see citing works
Second impact syndrome.
Bey, T. A., & Ostick, B. (2009) · PubMed Central · Cited by 128 · see citing works
An overview of concussion in sport
Khurana, V. G., & Kaye, A. H. (2011) · Journal of Clinical Neuroscience · doi:10.1016/j.jocn.2011.08.002 · Cited by 124 · see citing works
Assessment, Management and Knowledge of Sport-Related Concussion: Systematic Review
King, D. A., Brughelli, M., Hume, P. A., & Gissane, C. (2014) · Sports Medicine · doi:10.1007/s40279-013-0134-x · Cited by 121 · see citing works
Heterogeneity of brain lesions in pediatric traumatic brain injury.
Bigler, E. D., Abildskov, T. J., Petrie, J. A., Farrer, T. J., Dennis, M., Simić, N., Taylor, H. G., Rubin, K. H., Vannatta, K. A., Gerhardt, C. A., et al. (2013) · Neuropsychology · doi:10.1037/a0032837 · Cited by 110 · see citing works
“My Child Doesn't Have a Brain Injury, He Only Has a Concussion”
DeMatteo, C., Hanna, S. E., Mahoney, W., Hollenberg, R., Scott, L., Law, M., Newman, A., Lin, C.-Y. A., & Xu, L.-Q. (2010) · Pediatrics · doi:10.1542/peds.2008-2720 · Cited by 112 · see citing works
Coma
Young, G. (2009) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.04471.x · Cited by 10 · see citing works
Brain Iron Quantification in Mild Traumatic Brain Injury: A Magnetic Field Correlation Study
Raz, E., Jensen, J. H., Ge, Y., Babb, J. S., Miles, L., Reaume, J., Grossman, R. I., & Inglese, M. (2011) · American Journal of Neuroradiology · doi:10.3174/ajnr.a2637 · Cited by 92 · see citing works
Concussion
Mullally, W. J. (2017) · The American Journal of Medicine · doi:10.1016/j.amjmed.2017.04.016 · Cited by 91 · see citing works
Neurochemical cascade of concussion
MacFarlane, M. P., & Glenn, T. C. (2015) · Brain Injury · doi:10.3109/02699052.2014.965208 · Cited by 88 · see citing works
Epidemiology of Sudden Death in Young, Competitive Athletes Due to Blunt Trauma
Thomas, M., Haas, T. S., Doerer, J. J., Hodges, J. S., Aicher, B. O., Garberich, R. F., Mueller, F. O., Cantu, R. C., & Maron, B. J. (2011) · Pediatrics · doi:10.1542/peds.2010-2743 · Cited by 84 · see citing works
Postmortem Autopsy-Confirmation of Antemortem [F-18]FDDNP-PET Scans in a Football Player With Chronic Traumatic Encephalopathy
Omalu, B. I., Small, G. W., Bailes, J. E., Ercoli, L. M., Merrill, D. A., Wong, K. P., Huang, S., Satyamurthy, N., Hammers, J., Lee, J., et al. (2017) · Neurosurgery · doi:10.1093/neuros/nyx536 · Cited by 82 · see citing works
Acute White Matter Differences in the Fornix Following Mild Traumatic Brain Injury Using Diffusion Tensor Imaging
Yallampalli, R., Wilde, E. A., Bigler, E. D., McCauley, S. R., Hanten, G. R., Troyanskaya, M., Hunter, J. V., Chu, Z. D., Li, X., & Levin, H. S. (2010) · Journal of Neuroimaging · doi:10.1111/j.1552-6569.2010.00537.x · Cited by 76 · see citing works
Concussion: A Global Perspective.
Kam, L.-H., Leung, A., & Torres, A. R. (2019) · Seminars in Pediatric Neurology · doi:10.1016/j.spen.2019.03.017 · Cited by 71 · see citing works
Neuroimaging as a biomarker in symptom validity and performance validity testing
Bigler, E. D. (2015) · Brain Imaging and Behavior · doi:10.1007/s11682-015-9409-1 · Cited by 69 · see citing works
Epidemiology of traumatic head injury from a major paediatric trauma centre in New South Wales, Australia
Amaranath, J. E., Ramanan, M., Reagh, J., Saekang, E., Prasad, N., Chaseling, R., & Soundappan, S. (2014) · ANZ Journal of Surgery · doi:10.1111/ans.12445 · Cited by 68 · see citing works
Management of Traumatic Brain Injury in the Intensive Care Unit
Ling, G. S. F., & Marshall, S. A. (2008) · Neurologic Clinics · doi:10.1016/j.ncl.2008.02.001 · Cited by 67 · see citing works
White matter alterations in college football players: a longitudinal diffusion tensor imaging study
Mayinger, M. C., Merchant‐Borna, K., Hufschmidt, J., Muehlmann, M., Weir, I. R., Rauchmann, B., Shenton, M. E., Koerte, I. K., & Bazarian, J. J. (2017) · Brain Imaging and Behavior · doi:10.1007/s11682-017-9672-4 · Cited by 66 · see citing works
Head injury predictors in sports trauma – A state-of-the-art review
Fernandes, F. A. O., & de Sousa, R. J. A. (2015) · Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine · doi:10.1177/0954411915592906 · Cited by 64 · see citing works
Volumetric MRI Findings in Mild Traumatic Brain Injury (mTBI) and Neuropsychological Outcome
Bigler, E. D. (2021) · Neuropsychology Review · doi:10.1007/s11065-020-09474-0 · Cited by 61 · see citing works
Concussion Knowledge among Medical Students and Neurology/Neurosurgery Residents
Boggild, M. K., & Tator, C. H. (2012) · Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques · doi:10.1017/s0317167100013524 · Cited by 61 · see citing works
Changes in weight after traumatic brain injury in adult patients: A longitudinal study
Crenn, P. P., Hamchaoui, S., Massari, A., Hanachi, M., Melchior, J., & Azouvi, P. (2013) · Clinical Nutrition · doi:10.1016/j.clnu.2013.06.003 · Cited by 60 · see citing works
Toward Objective Markers of Concussion in Sport: A Review of White Matter and Neurometabolic Changes in the Brain after Sports-Related Concussion
Dimou, S., & Lagopoulos, J. (2013) · Journal of Neurotrauma · doi:10.1089/neu.2013.3050 · Cited by 58 · see citing works
Pathophysiology of Mild TBI: Implications for Altered Signaling Pathways
Laskowski, R. A., Creed, J. A., & Raghupathi, R. (2015) · Frontiers in neuroengineering series/Frontiers in neuroengineering · doi:10.1201/b18126-6 · Cited by 57 · see citing works
Iron Deposition Is Positively Related to Cognitive Impairment in Patients with Chronic Mild Traumatic Brain Injury: Assessment with Susceptibility Weighted Imaging
Lu, L., Cao, H.-L., Wei, X., Li, Y., & Li, W. (2015) · BioMed Research International · doi:10.1155/2015/470676 · Cited by 53 · see citing works
Post-Traumatic Hypopituitarism—Who Should Be Screened, When, and How?
Quinn, M., & Agha, A. (2018) · Frontiers in Endocrinology · doi:10.3389/fendo.2018.00008 · Cited by 52 · see citing works
Using transcranial magnetic stimulation to quantify electrophysiological changes following concussive brain injury: A systematic review
Major, B., Rogers, M., & Pearce, A. (2015) · Clinical and Experimental Pharmacology and Physiology · doi:10.1111/1440-1681.12363 · Cited by 58 · see citing works
Diffuse Axonal Injury at Ultra-High Field MRI
Moenninghoff, C., Kraff, O., Maderwald, S., Umutlu, L., Theysohn, J., Ringelstein, A., Wrede, K., Deuschl, C., Altmeppen, J., Ladd, M., et al. (2015) · PLoS ONE · doi:10.1371/journal.pone.0122329 · Cited by 48 · see citing works
Blast Physics and Central Nervous System Injury
Moore, D. F., Radovitzky, R., Shupenko, L., Klinoff, A., Jaffee, M. S., & Rosen, J. M. (2008) · Future Neurology · doi:10.2217/14796708.3.3.243 · Cited by 50 · see citing works
From Psychoneurosis to ICHD‐2: An Overview of the State of the Art in Post‐Traumatic Headache
Gladstone, J. P. (2009) · Headache The Journal of Head and Face Pain · doi:10.1111/j.1526-4610.2009.01461.x · Cited by 49 · see citing works
Advanced Neuroimaging in Traumatic Brain Injury
Wu, O., & Edlow, B. L. (2013) · Seminars in Neurology · doi:10.1055/s-0032-1331810 · Cited by 48 · see citing works
Structural neuroimaging in sport-related concussion
Bigler, E. D. (2017) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2017.09.006 · Cited by 43 · see citing works
Chronic post-traumatic headache: Associations with mild traumatic brain injury, concussion, and post-concussive disorder
Packard, R. C. (2008) · Current Pain and Headache Reports · doi:10.1007/s11916-008-0013-6 · Cited by 42 · see citing works
The sex-specific interaction of the microbiome in neurodegenerative diseases
Cox, L. M., Abou‐El‐Hassan, H., Maghzi, A. H., Vincentini, J., & Weiner, H. L. (2019) · Brain Research · doi:10.1016/j.brainres.2019.146385 · Cited by 42 · see citing works
Mild Traumatic Brain Injury and Post-concussion Syndrome
Bramley, H. P., Hong, J. S., Zacko, J. C., Royer, C., & Silvis, M. L. (2016) · Sports Medicine and Arthroscopy Review · doi:10.1097/jsa.0000000000000111 · Cited by 41 · see citing works
Improvised Explosive Devices and Traumatic Brain Injury: The Military Experience In Iraq and Afghanistan
Wallace, D. (2009) · Australasian Psychiatry · doi:10.1080/10398560902878679 · Cited by 40 · see citing works
Concussion diagnosis and management: Knowledge and attitudes of family medicine residents.
Mann, A., Tator, C. H., & Carson, J. D. (2017) · Europe PMC (PubMed Central) · Cited by 39 · see citing works
ATHLETIC CONCUSSION
Cantu, R. C. (2007) · Neurosurgery · doi:10.1227/01.neu.0000255430.62291.7b · Cited by 37 · see citing works
The Role of Subsymptom Threshold Aerobic Exercise for Persistent Concussion Symptoms in Patients With Postconcussion Syndrome
McIntyre, M., Kempenaar, A., Amiri, M., Alavinia, M., & Kumbhare, D. A. (2019) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0000000000001340 · Cited by 36 · see citing works
Observations on Concussion
Pearce, J. (2007) · European Neurology · doi:10.1159/000111872 · Cited by 35 · see citing works
Brain injury from explosive blast
Ling, G. S. F., Ecklund, J. M., & Bandak, F. A. (2015) · Handbook of clinical neurology · doi:10.1016/b978-0-444-52892-6.00011-8 · Cited by 33 · see citing works
Peripheral blood neuroendocrine hormones are associated with clinical indices of sport-related concussion
Battista, A. P. D., Rhind, S. G., Churchill, N. W., Richards, D. W., Lawrence, D. W., & Hutchison, M. G. (2019) · Scientific Reports · doi:10.1038/s41598-019-54923-3 · Cited by 33 · see citing works
Sport-Related Concussion: On-Field and Sideline Assessment
Guskiewicz, K. M., & Broglio, S. P. (2011) · Physical Medicine and Rehabilitation Clinics of North America · doi:10.1016/j.pmr.2011.08.003 · Cited by 33 · see citing works
Neuropathology of Mild Traumatic Brain Injury: Correlation to Neurocognitive and Neurobehavioral Findings
Kobeissy, F. H. (2015) · CRC Press eBooks · doi:10.1201/b18126-38 · Cited by 33 · see citing works
Second Impact Syndrome. Myth or reality?
Engelhardt, J., Brauge, D., & Loiseau, H. (2020) · Neurochirurgie · doi:10.1016/j.neuchi.2019.12.007 · Cited by 31 · see citing works
Acute sports-related traumatic brain injury and repetitive concussion
Guskiewicz, K. M., & Broglio, S. P. (2015) · Handbook of clinical neurology · doi:10.1016/b978-0-444-52892-6.00010-6 · Cited by 31 · see citing works
Concussion in Sports: The Sideline Assessment
Broglio, S. P., & Guskiewicz, K. M. (2009) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738109343158 · Cited by 31 · see citing works
Pathophysiology of Concussion
Chancellor, S. E., Franz, E. S., Minaeva, O. V., & Goldstein, L. E. (2019) · Seminars in Pediatric Neurology · doi:10.1016/j.spen.2019.03.004 · Cited by 28 · see citing works
The mental health sequelae of traumatic head injury in South Vietnamese ex-political detainees who survived torture
Mollica, R. F., Chernoff, M. C., Berthold, S. M., Lavelle, J., Lyoo, I. K., & Renshaw, P. F. (2014) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2014.04.014 · Cited by 29 · see citing works
Concussion History and Cognitive Function in a Large Cohort of Adolescent Athletes
Taylor, K. M., Kioumourtzoglou, M., Clover, J., Coull, B. A., Dennerlein, J. T., Bellinger, D. C., & Weisskopf, M. G. (2018) · The American Journal of Sports Medicine · doi:10.1177/0363546518798801 · Cited by 28 · see citing works
Return to Rugby After Brain Concussion: A Prospective Study in 35 High Level Rugby Players
Chermann, J.-F., Klouche, S., Savigny, A., Lefèvre, N., Herman, S., & Bohu, Y. (2014) · Asian Journal of Sports Medicine · doi:10.5812/asjsm.24042 · Cited by 28 · see citing works
Injury data from unhelmeted football head impacts evaluated against critical strain tolerance curves
Patton, D. A., McIntosh, A. S., Kleiven, S., & Fréchède, B. (2012) · Proceedings of the Institution of Mechanical Engineers Part P Journal of Sports Engineering and Technology · doi:10.1177/1754337112438305 · Cited by 28 · see citing works
Exploring Accelerometer Versus Self-Report Sleep Assessment in Youth With Concussion
Berger, I., Obeid, J., Timmons, B. W., & DeMatteo, C. A. (2017) · Global Pediatric Health · doi:10.1177/2333794x17745973 · Cited by 28 · see citing works
Clinical features and biomarkers of concussion and mild traumatic brain injury in pediatric patients
McCarthy, M. T., & Kosofsky, B. E. (2015) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.12736 · Cited by 27 · see citing works
Clinical Findings in the Chronic Phase of Traumatic Brain Injury
Scheid, R., & von Cramon, D. Y. (2010) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2010.0199 · Cited by 27 · see citing works
Cross-sectional comparison of spiral versus block integrated curriculums in preparing medical students to diagnose and manage concussions
Fraser, S. K., Wright, A. D., van Donkelaar, P., & Smirl, J. D. (2019) · BMC Medical Education · doi:10.1186/s12909-018-1439-0 · Cited by 26 · see citing works
Alpha desynchronization/synchronization during working memory testing is compromised in acute mild traumatic brain injury (mTBI
Arakaki, X., Shoga, M., Li, L., Zouridakis, G., Tran, T., Fonteh, A. N., Dawlaty, J., Goldweber, R., Pogoda, J. M., & Harrington, M. G. (2018) · PLOS ONE · doi:10.1371/journal.pone.0188101 · Cited by 23 · see citing works
The Role of Neuropsychology in Traumatic Brain Injury: Comprehensive Literature Review
Halalmeh, D. R., Salama, H. Z., LeUnes, E., Feitosa, D., Ansari, Y.-Z., Sachwani-Daswani, G., & Moisi, M. D. (2023) · World Neurosurgery · doi:10.1016/j.wneu.2023.12.069 · Cited by 22 · see citing works
Sport-Related Concussion
Leddy, J. J. (2025) · New England Journal of Medicine · doi:10.1056/nejmcp2400691 · Cited by 20 · see citing works
Virtual reality-based interventions for the rehabilitation of vestibular and balance impairments post-concussion: a scoping review
LeMarshall, S. J., Stevens, L. M., Ragg, N. P., Barnes, L., Foster, J. I., & Canetti, E. F. D. (2023) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-023-01145-4 · Cited by 21 · see citing works
A history of concussion is associated with minimal perturbations to heart rate variability in athletes
Pyndiura, K., Battista, A. P. D., & Hutchison, M. G. (2020) · Brain Injury · doi:10.1080/02699052.2020.1802661 · Cited by 19 · see citing works
Rugby professionnel et traumatismes crâniens (commotions cérébrales) : recommandations pour leur prise en charge en France
Decq, P., Chermann, J.-F., Loiseau, H., Pariente, J., Touchon, J., Mias, L., Vidalin, H., & Lagarrigue, J. (2011) · Journal de Traumatologie du Sport · doi:10.1016/j.jts.2011.10.005 · Cited by 18 · see citing works
Phage display for identification of serum biomarkers of traumatic brain injury
Ghoshal, S., Bondada, V., Saatman, K. E., Guttmann, R. P., & Geddes, J. W. (2016) · Journal of Neuroscience Methods · doi:10.1016/j.jneumeth.2016.04.026 · Cited by 17 · see citing works
Surfing-Related Craniofacial Injuries: A NEISS Database Study
Muhonen, E. G., Kafle, S., Torabi, S. J., Abello, E. H., Bitner, B. F., & Pham, N. (2022) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000008769 · Cited by 17 · see citing works
Effects of Brain Contusion on Mild Traumatic Brain-Injured Patients
Zare, M. A., Ahmadi, K., Zadegan, S. A., Farsi, D., & Rahimi‐Movaghar, V. (2012) · International Journal of Neuroscience · doi:10.3109/00207454.2012.728653 · Cited by 16 · see citing works
Sport-Related Traumatic Brain Injury
Clark, M., & Guskiewicz, K. M. (2015) · Frontiers in neuroscience · doi:10.1201/b18959-3 · Cited by 16 · see citing works
Repetitive Traumatic Brain Injury Causes Neuroinflammation before Tau Pathology in Adolescent P301S Mice
Izzy, S., Brown-Whalen, A., Yahya, T., Sarro-Schwartz, A., Jin, G., Chung, J. Y., Lüle, S., Morsett, L. M., Alquraini, A., Wu, L., et al. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22020907 · Cited by 16 · see citing works
Concussion Among Youth Skiers and Snowboarders
Bergmann, K. R., Flood, A., Kreykes, N. S., & Kharbanda, A. B. (2015) · Pediatric Emergency Care · doi:10.1097/pec.0000000000000364 · Cited by 15 · see citing works
Psychische Störungen nach leichtem Schädel-Hirn-Trauma
Gonschorek, A. S., Schwenkreis, P., & Guthke, T. (2016) · Der Nervenarzt · doi:10.1007/s00115-016-0119-8 · Cited by 15 · see citing works
DIAGNOSIS AND MANAGEMENT OF TRAUMATIC BRAIN INJURY
Ling, G. S. F., Marshall, S. A., & Moore, D. F. (2010) · CONTINUUM Lifelong Learning in Neurology · doi:10.1212/01.con.0000391451.30299.bc · Cited by 15 · see citing works
Re: The Second NINDS/NIBIB Consensus Meeting to Define Neuropathological Criteria for the Diagnosis of Chronic Traumatic Encephalopathy. J Neuropathol Exp Neurol 2021;80(3):210–9
Glass, J. D., Hammers, J., Omalu, B. I., Bieniek, K. F., Crary, J. F., Dickson, D. W., Stein, T. D., Mez, J. B., Alosco, M. L., & McKee, A. C. (2021) · Journal of Neuropathology & Experimental Neurology · doi:10.1093/jnen/nlab066 · Cited by 15 · see citing works
The History of Neurosurgical Treatment of Sports Concussion
Stone, J. L., Patel, V. A., & Bailes, J. E. (2014) · Neurosurgery · doi:10.1227/neu.0000000000000488 · Cited by 14 · see citing works
Toward a High-Resolution Neuroimaging Biomarker for Mild Traumatic Brain Injury: From Bench to Bedside
Jaiswal, M. K. (2015) · Frontiers in Neurology · doi:10.3389/fneur.2015.00148 · Cited by 14 · see citing works
Second Impact Syndrome in Sports
Quintana, L. M. (2016) · World Neurosurgery · doi:10.1016/j.wneu.2016.04.035 · Cited by 14 · see citing works
Functional connectivity disruption of the substantia nigra associated with cognitive impairment in acute mild traumatic brain injury
Lu, L., Li, F., Ma, Y., Chen, H., Wang, P., Peng, M., Chen, Y., & Yin, X. (2019) · European Journal of Radiology · doi:10.1016/j.ejrad.2019.03.002 · Cited by 14 · see citing works
Traumatic Brain Injury: Is the Pituitary Out of Harm’s Way?
Heather, N. L., & Cutfield, W. S. (2011) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2011.05.054 · Cited by 13 · see citing works
Full-face motorcycle helmet protection from facial impacts: an investigation using THOR dummy impacts and SIMon finite element head model
Whyte, T., Gibson, T., Eager, D., & MILTHORPE, B. K. (2016) · Injury Prevention · doi:10.1136/injuryprev-2015-041925 · Cited by 13 · see citing works
Managing Traumatic Brain Injury: Translating Military Guidelines to the Wilderness
Otten, E. J., & Dorlac, W. C. (2017) · Wilderness and Environmental Medicine · doi:10.1016/j.wem.2017.02.008 · Cited by 12 · see citing works
Adaptive Alpine Skiing and Para-snowboarding
Juriga, B. J., Yang, Y. S., & Luigi, A. J. D. (2017) · Springer eBooks · doi:10.1007/978-3-319-56568-2_23 · Cited by 12 · see citing works

Authors: Ropper, A. H., & Gorson, K. C.
Affiliations: Tufts University (US)
ORCID: Gorson, Kenneth C.
Venue: New England Journal of Medicine
Publisher: Massachusetts Medical Society
Published: 2007-01-11
Volume: 356
Issue: 2
Pages: 166-172
ISSN: 0028-4793 (ISSN-L)
1533-4406
DOI: 10.1056/nejmcp064645
OpenAlex: W186660717
Cited by: 215
References: 40
Citations by year: 2026: 2 · 2025: 10 · 2024: 8 · 2023: 6 · 2022: 3 · 2021: 12 · 2020: 11 · 2019: 14 · 2018: 6 · 2017: 18 · 2016: 6 · 2015: 24 · 2014: 14 · 2013: 13 · 2012: 14
FWCI: 1.65
Type: journal article
Language: en
Open access: closed
Locations: New England Journal of Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
Keywords: concussion, mild traumatic brain injury, transient loss of consciousness, amnesia, headache, prognosis
MeSH terms: Amnesia, Retrograde, Athletic Injuries, Brain Concussion, Female, Humans, Middle Aged, Seizures, Tomography, X-Ray Computed, Practice Guidelines as Topic

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Concussion

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks