10-18-2019, 12:05 AM
(10-17-2019, 10:16 PM)XsandOs Wrote: If the concussion is of degree of severity that requires 8 weeks of recovery, then it's not a concussion.
Then it would be a TBI - which can be determined by CT, MRI, SPECT, PET etc. and evidenced by hematoma, hemmorrhages or contusions. Furthermore; if it touches the lymphatic system, it can be fatal.
In absence of subarachnoid hemorrhage, subdural hematoma or cortical contusions, then the diagnosis would be a concussion (general term) and dependent primarily on patient reported symptoms.
So again, it is a non-quantifiable condition which is based on patient reported symptomology. In this case no on-field record of the index event.
I fail to see the relevance of your comments.
Pretty much everything you wrote is incorrect. First, a concussion is a mild TBI. Second, while most mild concussions resolve in a couple of weeks some can take 8 weeks or even longer to resolve. That doesn’t mean it is something other than a concussion. Protracted symptoms can result from Post Concussion Syndrome and the severity of the concussion doesn’t directly correlate to who will develop PCS. Meaning a person with a mild concussion may develop PCS while another with a severe concussion may not. Third, none of the imaging modalities you listed will show any abnormalities as a result of a concussion. Fourth, the relevance is that just because you didn’t see him get a concussion doesn’t mean he is lying or malingering because delayed onset of symptoms can and do occur.