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January 14, 1961

Children and the Post-Concussion Syndrome

Author Affiliations


From the Department of Neurology and Psychiatry, Graduate School of Medicine and Graduate Hospital, University of Pennsylvania.

JAMA. 1961;175(2):86-92. doi:10.1001/jama.1961.03040020012003

Children who sustain head injuries react much differently than adults who develop a fairly typical post-concussion syndrome of headaches, dizziness, and irritability. In 47 of the 50 children studied, personality changes and psychological phenomena were the outstanding post-concussion symptoms. Behavioral changes, including increased aggressiveness, regression and withdrawal, and antisocial behaviour were shown in 31. Sleep disturbances were extremely common, and 8 children developed enuresis. Post-concussion electroencephalographic abnormalities, frequently seen, usually disappeared. Clinical seizures were developed by 8 children. Reassurance and mild tranquilizers often sufficed for treatment. Intensive psychotherapy was sometimes necessary. Anticonvulsive medication was used when clinicalseizures occurred or electroencephalographic changes were found.