Mild Traumatic Brain Injury (mTBI) and chronic cognitive impairment: A scoping review.

Mild traumatic brain injury (mTBI), or concussion, is the most common type of traumatic brain injury. With mTBI comes symptoms that include headaches, fatigue, depression, anxiety and irritability, as well as impaired cognitive function. Symptom resolution is thought to occur within 3 months post-in...

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Main Authors: Kerry McInnes, Christopher L Friesen, Diane E MacKenzie, David A Westwood, Shaun G Boe
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0174847&type=printable
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author Kerry McInnes
Christopher L Friesen
Diane E MacKenzie
David A Westwood
Shaun G Boe
author_facet Kerry McInnes
Christopher L Friesen
Diane E MacKenzie
David A Westwood
Shaun G Boe
author_sort Kerry McInnes
collection DOAJ
description Mild traumatic brain injury (mTBI), or concussion, is the most common type of traumatic brain injury. With mTBI comes symptoms that include headaches, fatigue, depression, anxiety and irritability, as well as impaired cognitive function. Symptom resolution is thought to occur within 3 months post-injury, with the exception of a small percentage of individuals who are said to experience persistent post-concussion syndrome. The number of individuals who experience persistent symptoms appears to be low despite clear evidence of longer-term pathophysiological changes resulting from mTBI. In light of the incongruency between these longer-term changes in brain pathology and the number of individuals with longer-term mTBI-related symptoms, particularly impaired cognitive function, we performed a scoping review of the literature that behaviourally assessed short- and long-term cognitive function in individuals with a single mTBI, with the goal of identifying the impact of a single concussion on cognitive function in the chronic stage post-injury. CINAHL, Embase, and Medline/Ovid were searched July 2015 for studies related to concussion and cognitive impairment. Data relating to the presence/absence of cognitive impairment were extracted from 45 studies meeting our inclusion criteria. Results indicate that, in contrast to the prevailing view that most symptoms of concussion are resolved within 3 months post-injury, approximately half of individuals with a single mTBI demonstrate long-term cognitive impairment. Study limitations notwithstanding, these findings highlight the need to carefully examine the long-term implications of a single mTBI.
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spelling doaj-art-5e2d12aba47d4d16bff4f4131a0d58122025-02-05T05:33:11ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01124e017484710.1371/journal.pone.0174847Mild Traumatic Brain Injury (mTBI) and chronic cognitive impairment: A scoping review.Kerry McInnesChristopher L FriesenDiane E MacKenzieDavid A WestwoodShaun G BoeMild traumatic brain injury (mTBI), or concussion, is the most common type of traumatic brain injury. With mTBI comes symptoms that include headaches, fatigue, depression, anxiety and irritability, as well as impaired cognitive function. Symptom resolution is thought to occur within 3 months post-injury, with the exception of a small percentage of individuals who are said to experience persistent post-concussion syndrome. The number of individuals who experience persistent symptoms appears to be low despite clear evidence of longer-term pathophysiological changes resulting from mTBI. In light of the incongruency between these longer-term changes in brain pathology and the number of individuals with longer-term mTBI-related symptoms, particularly impaired cognitive function, we performed a scoping review of the literature that behaviourally assessed short- and long-term cognitive function in individuals with a single mTBI, with the goal of identifying the impact of a single concussion on cognitive function in the chronic stage post-injury. CINAHL, Embase, and Medline/Ovid were searched July 2015 for studies related to concussion and cognitive impairment. Data relating to the presence/absence of cognitive impairment were extracted from 45 studies meeting our inclusion criteria. Results indicate that, in contrast to the prevailing view that most symptoms of concussion are resolved within 3 months post-injury, approximately half of individuals with a single mTBI demonstrate long-term cognitive impairment. Study limitations notwithstanding, these findings highlight the need to carefully examine the long-term implications of a single mTBI.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0174847&type=printable
spellingShingle Kerry McInnes
Christopher L Friesen
Diane E MacKenzie
David A Westwood
Shaun G Boe
Mild Traumatic Brain Injury (mTBI) and chronic cognitive impairment: A scoping review.
PLoS ONE
title Mild Traumatic Brain Injury (mTBI) and chronic cognitive impairment: A scoping review.
title_full Mild Traumatic Brain Injury (mTBI) and chronic cognitive impairment: A scoping review.
title_fullStr Mild Traumatic Brain Injury (mTBI) and chronic cognitive impairment: A scoping review.
title_full_unstemmed Mild Traumatic Brain Injury (mTBI) and chronic cognitive impairment: A scoping review.
title_short Mild Traumatic Brain Injury (mTBI) and chronic cognitive impairment: A scoping review.
title_sort mild traumatic brain injury mtbi and chronic cognitive impairment a scoping review
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0174847&type=printable
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AT dianeemackenzie mildtraumaticbraininjurymtbiandchroniccognitiveimpairmentascopingreview
AT davidawestwood mildtraumaticbraininjurymtbiandchroniccognitiveimpairmentascopingreview
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