Traumatic Brain Injury - Hon

Question 1

What are the Sx’s of injury to the Serotonin pathways?

Answer 1

Mood swings
Depression
Insomnia

Question 2

What are the Sx’s of injury to the Dopaminergic pathways?

Answer 2

Compulsiveness
Excitatory behavior
Perseveration
Euphoria

Question 3

In what scenarios do you immediately order a CT?

Answer 3

Pupillary asymmetry
Prolonged LOC
Post-concussive seizure
Rapidly worsening Sx's
Unilateral weakness
HA's 2 weeks after injury

Question 4

What is the initial Tx for a TBI?

Answer 4

Rest
NSAID/Tylenol for HA
Cognitive rest
*NO sedating meds

Question 5

What are the “Return to Play” criteria?

Answer 5

Cognitive/physical rest until asymptomatic
Light aerobic exercise
Sport-specific aerobic exercise
Non-contact drills/light resistance training
Full-contact training
Game play

Question 6

What is the rule for progressing to the next stage in the “Return to Play” criteria?

Answer 6

Must be asymptomatic for 24 hrs within each stage

Question 7

What happens if Sx’s reappear during a stage of the “Return to Play” criteria?

Answer 7

Return to previous stage OR
Rest 1-3 days OR
Return to stage 1