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Previous Volume 356:166-172 January 11, 2007 Number 2 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

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 . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Evaluation of the Patient with Concussion

            Criteria for Cranial Imaging

            Observation after Concussion

Postconcussion Syndrome (Posttraumatic Nervous Instability)

Concussion during Athletics

Areas of Uncertainty

Guidelines

Summary and Recommendations

Source Information

From the Department of Neurology, Caritas St. Elizabeth's Medical Center, and Tufts University School of Medicine, Boston.

Address reprint requests to Dr. Ropper at the Department of Neurology, Caritas St. Elizabeth's Medical Center, 736 Cambridge St., Boston, MA 02135.

Related Letters:

Concussion
Cantu R. C., Herring S. A., Putukian M., the American College of Sports Medicine , Stricker P. R., Moriarity J., O'Connor F. G., McCambridge T. M., Small E., Bernhardt D. T., Kaji A. H., Gillespie I. A., Ropper A. H., Gorson K. C.
Extract | Full Text | PDF  
N Engl J Med 2007; 356:1787-1789, Apr 26, 2007. Correspondence

This article has been cited by other articles:

• Behan, L A, Phillips, J, Thompson, C J, Agha, A (2008). Neuroendocrine disorders after traumatic brain injury. J. Neurol. Neurosurg. Psychiatry 79: 753-759 [Abstract] [Full Text]  
• Cantu, R. C., Herring, S. A., Putukian, M., the American College of Sports Medicine, , Stricker, P. R., Moriarity, J., O'Connor, F. G., McCambridge, T. M., Small, E., Bernhardt, D. T., Kaji, A. H., Gillespie, I. A., Ropper, A. H., Gorson, K. C. (2007). Concussion. NEJM 356: 1787-1789 [Full Text]