Post-concussion symptoms after mild traumatic brain injury in adults: Management of neuropsychological symptoms

BACKGROUND: Mild traumatic brain injury (mTBI), or concussion, is common in the adult civilian population and is associated with an array of physical, cognitive and affective symptoms. Many individuals recover from these symptoms rapidly and experience a full return to pre-injury work/study and broader life demands. The proportion of individuals who continue to report elevations in symptoms more than 3 months after injury is substantial, however. OBJECTIVE: This paper aims to provide clinically relevant, evidence-based advice for general practitioners who are treating patients with post-concussion symptoms (PCS). DISCUSSION: Recommendations are provided to assist with management and treatment of the cognitive, psychological distress, fatigue and sleep disturbance aspects of PCS, as well as considerations relating to returning to work.