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Definitions of Mild Traumatic Brain Injury and its Symptoms

From "Understanding Traumatic Brain Injury" by Richard H. Adler

A great majority of traumatic brain injuries from a medical and legal stand point, involve “mild” TBI. Unfortunately, this label suggests that the injury is minor or trivial. However, the word “mild” describes only the initial insult relative to the degree of neurological severity. The term “mild” usually does not relate to the degree of short or long term functional difficulties or disability. “Mild Traumatic Brain Injury” (MTBI) has been defined by the Mild Trauma Brain Injury Committee of the American Congress of Rehabilitation Medicine as follows: “A patient with a mild traumatic brain injury is a person who has had a traumatically induced physiological disruption of brain function, as manifested by at least one of the following:

  1. any period of loss of the consciousness;
  2. any loss of memory for events immediately before or after the accident;
  3. any alteration in mental state at the time of the accident (e.g., feeling dazed, disoriented or confused); and
  4. #focal neurological deficit(s) that may or not be transient; but where the severity of the injury does not exceed the following:

    a) loss of consciousness of approximately 30 minutes or less;

    b) after 30 minutes an initial Glascow Coma Scale of 13/15;

    c) post traumatic amnesia not greater than 24 hours.”

There is a range of common symptoms that may result after traumatic brain injury.

Physical Problems

  • headaches
  • dizziness and balance difficulties
  • fatigue
  • visual changes
  • loss of taste or smell
  • sensitivity to light or noise
  • sleep difficulties
  • change in sexual drive
  • Cognitive Problems
  • memory loss
  • disorientation
  • lack of concentration
  • distractability
  • difficulty with decision making
  • difficulty with problem solving
  • difficulty with organizing tasks
  • difficulty with doing more than one task at a time
  • difficulty with math calculations
  • forgetfulness
  • changes in speech pattern
  • word retrieval difficulty
  • ability to read and express onself

Emotional Problems

  • easily irritable and angered
  • frustration
  • depression
  • mood swings, such as feeling sad, anxious or listless
  • lack of motivation
  • difficulty initiating and following through with activities

Most survivors of traumatic brain injury do not have every symptom, but often will have at least several from each category. Most individuals who have sustained a mild TBI will recover well within the first one to nine months, especially those who do not also sustain secondary injuries such as musculoskeletal injury. There is a subset of individuals who have persisting problems after a concussion and report continuing problems with attention, memory, sleep changes, headaches and other pain symptoms, fatigue, and other post-concussion symptoms beyond the usual recovery time of one to nine months. Many of these individuals suffer concomitant depression, anxiety, and/or posttraumatic stress that complicate the recovery process.

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