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1.
Arq. bras. neurocir ; 38(4): 284-291, 15/12/2019.
Artigo em Inglês | LILACS | ID: biblio-1362497

RESUMO

The present review paper aims to update the definition and classification of cerebral concussion, highlighting its pathophysiological mechanisms. The high prevalence of cerebral concussion in emergency rooms around the world makes it necessary to know its proper management to avoid its late sequelae, which traditionally compromise cognitive aspects of behavior. New evidence on potential neuroprotective treatments is being investigated.


Assuntos
Concussão Encefálica/classificação , Concussão Encefálica/diagnóstico , Concussão Encefálica/fisiopatologia , Concussão Encefálica/tratamento farmacológico , Concussão Encefálica/epidemiologia
2.
Arch Clin Neuropsychol ; 23(5): 479-85, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18775640

RESUMO

The objective of this paper is to clarify the role of neuropsychological assessment in sports concussion management in response to the Prague summary statement of the most recent international conference on concussion (McCrory, P., Johnston, K., Meeuwisse, W., Aubry, M., Cantu, R., Dvorak, J., et al. (2005). In the Prague statement it is proposed that there should be a new categorization of concussion ('simple' versus 'complex') to inform management of the injury, including the suggestion that neuropsychological assessment is not indicated for 'simple' concussion. However, from a neuropsychological perspective the Prague position is conceptually problematic. The present paper proposes on theoretical and empirical grounds, that neurocognitive evaluation is warranted for any concussive injury to increase diagnostic sensitivity and provide prognostic indications. Further, three levels of neurocognitive assessment and their professionally legitimate implementation (that are poorly defined in the Prague paper) are delineated. Recommendations are provided for consideration at the next international concussion meeting, with emphasis on giving due weight to the neuropsychological position.


Assuntos
Traumatismos em Atletas/complicações , Traumatismos em Atletas/terapia , Concussão Encefálica , Cognição/fisiologia , Testes Neuropsicológicos/normas , Traumatismos em Atletas/fisiopatologia , Concussão Encefálica/classificação , Concussão Encefálica/fisiopatologia , Concussão Encefálica/terapia , Protocolos Clínicos/normas , Humanos , Paraguai , Guias de Prática Clínica como Assunto
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