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May 1964

The Posttraumatic Syndrome Following Head Injury.

Arch Neurol. 1964;10(5):533. doi:10.1001/archneur.1964.00460170103017

This short monograph concerns itself with the practical aspects of treatment of symptoms that follow head injury. It is based on a review of historical and contemporary medical literature as well as the author's own experience. Using some of the major symptoms of the postconcussion state: headache, vertigo, mental and psychic disturbances, the author outlines what he believes are basic mechanisms for the production of these symptoms and then attempts to correlate them with therapeutic measures. Since what is known about the mechanism of these symptoms is speculative and highly controversial, the recommended therapy falls somewhat into the same category.

One of the running themes throughout the book is the role of emotional factors in determining degree and duration of symptomatology as a sequel of head injury. Though the author recognizes the importance of psychic mechanisms, his approach to their evaluation and treatment is presented in an over-simplified manner. To

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