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Concussion
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?
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“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]
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Metadata
- 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
- 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 › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Clinical 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
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