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Correspondence
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Volume 356:1787-1789 April 26, 2007 Number 17
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Concussion

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by Ropper, A. H.
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To the Editor: In the Clinical Practice article on concussion by Ropper and Gorson (Jan. 11 issue),1 the discussion of sport-related concussion is outdated — especially, the definition of concussion. The review is also inaccurate regarding the risk of recurrent concussion and the second impact syndrome. The authors do not address and are at odds with recent collaborative consensus statements on concussion, which provide the following guidance.2,3,4,5,6 Loss of consciousness is rarely present in sport-related concussion, and a brief loss of consciousness does not correlate with the severity of the injury. The type, severity, and duration of the symptoms are . . . [Full Text of this Article]



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