Post concussion syndrome permanent disability

People who are suffering from post concussion syndrome are eligible to apply for long term disability and short term disability benefits. Often the debilitating symptoms of a concussion prevent someone from performing the essential tasks of their employment or in fact any gainful occupation that they are suited to by way of education, training or experience Post-concussion can also cause irritability or a fluctuation of emotions. I am still sensitive to light and more so, to sound. The thing about post-concussion is that there is little research done about it. What were once considered antidepressants are used to help people like me sleep (and stay asleep) throughout the night Post-concussion syndrome can significantly affect a person's daily functioning, including returning to work. Because of this, prolonged symptoms need to be closely monitored by your doctor. Your family doctor may refer you to other healthcare providers to treat your specific symptoms including mental health specialists, rehabilitation providers, and/or a specialized concussion clinic Age, pre-/post-morbid concomitant factors, neuropsychological deficits and emotional status are key variables in understanding the phenomenon of permanent PCS. Important vulnerability factors in the development of such may therefore be older age and any additional compromise to an individual's emotional or cognitive capacities

Most common types of disabilities caused by TBI. Traumatic Brain Injury can cause a range of disabilities. Post-concussion syndrome. Almost 50 percent of victims of TBI experience post-concussion syndrome (PCS) within a few days of the injury. The condition may last weeks up to several months depending on severity Can post concussion syndrome be permanent Generally speaking, concussion symptoms typically begin to subside within two weeks after a head injury and resolve completely within 1-2 months. When symptoms persist for longer than what is considered normal, it is known as post concussion syndrome (PCS) Objective: Very few studies have examined permanent post-concussion symptoms (PCSs) after mild traumatic brain injury (MTBI). None have reported the nature of such symptoms. Our recent study was the first to report on a wide range of factors affecting PCSs in a representative sample of such patients

Can You Get Disability For Post Concussion Syndrome

Disability Stories: Post Concussion Syndrome - Disability

Post-concussion syndrome (PCS) occurs when a patient experiences persistent symptoms three months or more after a head injury. Those symptoms could include headaches, brain fog, fatigue, sleep problems, memory issues, vision problems, and more Post-concussion syndrome occurs when your mild TBI symptoms, like headache, ringing in the ears, blurred vision, and fatigue, continue for more than two months. While we don't know what causes PCS, certain populations, including women, older individuals, and those with a history of mental health issues, are more likely to develop the condition Post-concussion syndrome (PCS) is a set of symptoms that may continue for weeks, months, or a year or more after a concussion - a mild form of traumatic brain injury (TBI). About 15% of individuals with a history of a single concussion develop persistent symptoms associated with the injury Therefore, an impairment rating should not be affected by a diagnosis of post concussion syndrome vs. concussion if the effects of the injuries are the same. Chapter 4 contains five sections - the central nervous system, the brain stem, the spinal cord, the muscular and peripheral nervous systems, and pain

Concussion and Long-Term Disability Claims - What You Need

If you've suffered a traumatic brain injury that prevents you from working, you may be eligible for Social Security disability benefits Persistent post-concussive symptoms, also called post-concussion syndrome, occurs when concussion symptoms last beyond the expected recovery period after the initial injury. The usual recovery period is weeks to months. These symptoms may include headaches, dizziness, and problems with concentration and memory People with post-concussion syndrome experience symptoms that are similar to those they would have immediately following a concussion. The difference is that their symptoms may continue for months or even years after the concussion has passed Post-concussion syndrome results in numerous symptoms, but there is no diagnostic imaging or bloodwork to confirm it. When a disability claim is for an invisible illness, it is important to show the insurance company that you have persistent, ongoing symptoms that interfere with your day to day functioning and that if there is recommended treatment, you are following the treatment

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Permanent Post-Concussion Symptoms After Mild Head Injur

Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS) Life with Post-Concussion Syndrome (PCS) is hard. Symptoms can get in the way of anything that requires you to use your brain: school, work, social life, sports and hobbies can become a struggle while the brain slowly heals. It's difficult, but there are ways to cope to make your daily life with PCS more manageable

Top 5 Disabilities Caused by Traumatic Brain Injur

emotional/behavioral symptoms referred to as post concussion symptoms (PCS). These symptoms can persist from months to years following injury and may even be permanent and cause disability (Brown et al., 1994; Gouvier et al., 1992). We begin this review with an introduction on PCS briefly describing the phenomenology, prevalence, and etiology If you suffered a concussion in a workplace accident and you ended up with post-concussion syndrome or some form of traumatic brain injury, you may be eligible for workers' compensation. Post-concussion syndrome occurs after a head injury and can involve prolonged dizziness and headaches. It is classified as a mild traumatic brain injury Symptoms include headache, dizziness, vertigo (a sensation of spinning around or of objects spinning around the patient), memory problems, trouble concentrating, sleeping problems, restlessness, irritability, apathy, depression, and anxiety. These symptoms may last for a few weeks after the head injury Treatment and Prognosis for Post-Concussion Syndrome People who have experienced a concussion, also called a mild traumatic brain injury (mTBI), may later develop post-concussion syndrome (PCS). While symptoms associated with the initial concussion tend to go away on their own after a few weeks, symptoms of PCS develop several weeks or months after the injury and may last for weeks, months, or. Concussion is an injury to your brain that can occur after a minor head injury.. Post-concussion syndrome is a collection of symptoms that some people develop after they have had concussion. It is a complication of concussion. Symptoms of post-concussion syndrome can include headache, dizziness and memory and concentration problems

Although your loved one may physically look completely normal, after-effects from their concussion can linger for weeks, months, or even years. If you have a family member or friend who is suffering from post-concussive syndrome, here are five things you can do to support the person. 1. Understand That They May Be Forgetful for Awhil Post-concussion syndrome (PCS) Whilst recovery may occur 2 or 3 years post injury or later, studies indicate that symptoms after 12 months can be permanent and result in life long disabilities Persistent post-concussive symptoms, or post-concussion syndrome, is a recognized diagnosis for concussion symptoms that last beyond the initial injury's expected recovery period. The most common symptoms are headache, dizziness and sleep problems Undiagnosed Concussion Can Leave a Lifetime of Disability. By Gordon Johnson. that there is a percentage of those with permanent brain damage from seemingly transient injury, any effort to label Post-Concussional deficits as caused by psychological factors is an intellectually dishonest effort to confuse cause and effect

Can Post Concussion Syndrome Be Permanent? - Dr

In that psychological factors influence post-concussion syndrome symptoms, but not post-whiplash neck disability. For the newest or more recent concussion event, the many people recommended to the 4 - 6 week total rest no activity period suggestion does provide the healing time necessary for symptoms to clea Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS). advertisement. NeuroTalk Support Groups > Health Conditions M - Z > Traumatic Brain Injury and Post Concussion Syndrome > Is PCS a disability? Reply Thread Tools: Display Modes: 07-12-2010, 08:20 PM #1: Tengboche While the definition of TBI gives clear indications that a concussion can meet the criteria of a permanent injury, the definition of disability under North Carolina's Workers' Compensation statute, N.C. Gen. Stat. § 97-2(9), the term `disability' means incapacity because of injury to earn the wages which the employee was receiving at the time of injury in the same or any other employment My life has been interrupted by PCS (Post Concussion Syndrome) aka TBI (Traumatic Brain Injury) due to a car wreck April 13, 2010. It can go back to normal any day now! Reply If he makes a diagnosis of permanent 'whole man' disability, it will be ignored. This is to prevent doctor shopping

The Nature of Permanent Post-concussion Symptoms after

It can be scary experiencing physical and emotional symptoms of a mild traumatic brain injury without knowing how or when they might cease. Although most resolve within a few weeks or months, some go on to develop post-concussion syndrome—and are even at greater risk for long term effects such as light sensitivity, migraine and headache disorders and even neurodegenerative diseases The truth is, everything isn't great. Being a caretaker for someone with PCS, or any disability (depression, PTSD etc) is difficult 14 thoughts on A Wife Opens Up About Living With Someone With Post-Concussion Syndrome I struggled for years to get the right help, and the damage done over that period is indeed permanent Posted in Uncategorized | Tagged concussion, Department of Education, loan discharge, mTBI, PCS, post concussion syndrome, Social Security Administration, Student Loan, Total and Permanent Disability | Leave a commen

After minor head injury (MHI), post-concussive symptoms commonly occur. The purpose of this study was to correlate the severity of post-concussive symptoms in MHI patients with MRI measures of microstructural brain injury, namely mean diffusivity (MD) and fractional anisotropy (FA), as well as the presence of microhaemorrhages We know that many post-concussion symptoms are treatable, Cognitive FX agrees with the recent change in terminology and diagnosis that replaced post-concussion syndrome with the more accurate title of post-concussion symptoms My Post Concussion Syndrome Hi, I'm Kate. I have had symptoms of post concussion syndrome since June 7, 2009. Social Security Disability can be a hassle and it takes a long time. I was disabled in June of 2009, I applied for SSD in November of 2009,. An Overview of Post-Concussion Syndrome and 3 Ways to Treat it Effectively Traumatic brain injury or TBI refers to an acute event that leads to either minor or major injuries to the brain. No two, brain injuries are the same. Some can lead to minor effects without symptom An approach to the treatment of post-concussion syndrome . Most of the symptoms of post-concussion syndrome can be approached as functional symptoms occurring without a knock to the head. Look on pages about dizziness, fatigue, poor memory and concentration, sleep disturbance, headache, anxiety, sensory symptoms and others for more information

Acute stress reactions, PTSD, survivor guilt, post-concussion syndrome, depression, generalized anxiety disorder. Pain Acute pain from wounds, crush injuries, or traumatic amputations; chronic pain syndromes. Recognizing the specialized clinical care needs of individuals sustaining multiple severe injuries, VA has established four PRCs Morristown, NJ Post-Concussion Syndrome Accident Attorney Recovers Compensation To recover full and fair compensation for your injuries, our Morristown attorney will need to prove that you were involved in an accident, your accident was directly caused by the negligence or recklessness of another party, and that your injuries were the direct result of the accident in question

Signs of a concussion | Front Range Spine & Neurosurgery

Overview. Researchers have reported varying percentages of people with concussions who then develop Post-Concussion Syndrome, from a 2014 study that approximated 10% to 20% of individuals, to a 2018 study which estimated that between 11.4% and 38.7% of people with concussions will develop Post-Concussion Syndrome.Another 2014 study from Barlow et al. explains that By the age of sixteen, one. Post Concussion Syndrome Information leaflet taken from www.neurosymptoms.org Page 1 Prepared by Dr Jon Stone, Consultant Neurologist, University of Edinburgh, UK. Jan 2014 FAC TSHEET Post-concussion syndrome is a description given to a cluster of physical and cognitiv Concussion symptoms typically last a couple of weeks, with moderate concussions usually resolving in a month's time or so, but some people experience symptoms for much longer. These long-lasting effects can signal the presence of post-concussion syndrome (PCS) - a condition you can get from a traumatic brain injury (TBI)

The settlement value of post-concussion syndrome lawsuits in motor vehicle accidents (2021 update) Headache Values By the Numbers. Sometimes, a good graphic helps better than seeing the numbers on the page Is post-concussion syndrome permanent? Post-concussion syndrome can be treated with rest and a range of therapies. People typically recover from it within 3 to 6 months. Though once you have had a concussion, you are at risk for more severe repeat concussions Post-concussion headaches can feel like migraine headaches, but are usually more like tension headaches. The physiological aspects of post-concussion are still not completely understood. Medical experts still do not agree on exactly why some people get post-concussion syndrome, whether a person's symptoms are in fact post-concussion syndrome as. Although, these post-concussion symptoms often resolve within one months, in some individuals can persists from months to year following injury and may even be permanent and cause disability [14]

Research has shown that mild TBI resulting in persistent post-concussive syndrome has lasting effects on cognition, memory, learning, and executive function. This activity reviews the evaluation and management of postconcussive syndrome and highlights the role of interprofessional team members in collaborating to provide well-coordinated care and enhance outcomes for affected patients Secondary impact syndrome - a hit on the head when the brain is still recovering from a concussion - can lead to permanent brain damage or death. Post-concussion syndrome occurs in more than 1 in 3 cases of concussion. Meaning people having prolonged symptoms and suffering - getting quick and correct treatment can prevent someone developing. If you are reading this article, you or a loved one suffered a work-related head injury resulting in a concussion and post-concussion syndrome or worse. You are not alone. About 1 in 4 brain injuries in adults happen at work or while performing a work-related task Severe - this may include injuries such as post-concussion syndrome, lasting for months or even years. These injuries have a massive effect upon you, causing permanent changes to your health that may require continued medical treatment and care costs. As such, these injuries typically result in the largest compensation amounts being awarded Post-concussion syndrome (PCS), also known as postconcussion syndrome, post concussive syndrome and persistent post concussive syndrome, is a common complication of concussion. Post concussive symptoms are typically similar to those of the initial concussion, but last longer than usual

Post Trauma Vision Syndrome refers to deficits in these areas after a concussion, head-injury, whiplash, or mild traumatic brain injury (MTBI). If you have PTVS and your eyes do not work together efficiently, you will have a hard time sustaining your attention and may even end up with a headache or migraine Mittenberg W & Burton DB: A survey of treatments for post-concussion syndrome. Brain lnjury. 8: 429-437, 1994. Rimel RW, Giordani B, Barth JT et al.: Disability caused by minor head injury. Neurosugery. 9: 221-228, 1981. Satz P, Alfano MS, Light R et al.: Persistent post-concussive syndrome: A propose Post-Concussion Syndrome Treatment (Jenn's Story) https://amindforallseasons.com/blog/post-concussion-syndrome-treatment-jenns-story A MIND FOR ALL SEASONS 7.. Post-concussion syndrome (PCS) is a complex disorder in which various symptoms such as brain fog, headaches and dizziness continue for weeks, months, or even years after a concussion. Among sports-related injuries, post-concussion syndrome is one of the most elusive and challenging problems to treat Post concussion syndrome is more common after mild TBI. If you have these symptoms, this is a sign that your injuries were probably mild. The majority of people with post concussion syndrome recover completely in 3 to 6 months. Most people don't develop symptoms until days or even weeks after the accident, but the syndrome can begin sooner

Second-impact syndrome (SIS) is a rare condition in which a person receives a second concussion before their first concussion has properly healed. The result is rapid and severe brain swelling and the outcome is often catastrophic. Second impact syndrome can result from even a mild concussion that occurs days or weeks after the initial incident County worker sustained injury to his nose, right eye, neck, and head, leaving him with ongoing post-concussion symptoms. Did not require surgery. No permanent disability - was able to return to work with restrictions, light duty. $100,000.00: Server in a restaurant injured her cervical spine and required surgery Post-concussion syndrome has presented clinicians with controversy and intrigue for at least 130 years. Its symptoms, which often follow uncomplicated mild head injury (post-traumatic amnesia <1h, Glasgow Coma Scale score 13-15, loss of consciousness <15 min) and moderate head injury (post-traumatic amnesia 1-24 h, Glasgow Coma Scale score 9-12, loss of consciousness 15 min to 6 h.

Post-concussion syndrome is real, but is just starting to get recognized in the medical community. Don't be afraid to advocate for yourself or someone you love if there's no improvement from a concussion. Don't be afraid to be brutally honest with your doctor about what is not better and how you're not fully recovered Post-concussion syndrome (PCS) is just what it sounds like-when concussion symptoms persist past the point they would generally resolve with a proper recovery plan. Concussion Legacy Foundation notes that in cases where symptoms last longer than one or two months, doctors may diagnose Post-Concussion Syndrome Post-concussion syndrome is a relatively common complication of concussion recovery. In high school athletes diagnosed with concussion, researchers have estimated approximately 10% will develop PCS, and estimates of other age groups and populations range from 5 to 30% Post Concussive Syndrome verses TBI. If one will get you a lower rating, the VA will likely use the lesser one. Both are an insult to the brain. Both can cause the same results. It could also be a way for the DVA to reduce the large numbers of TBI vets on record & list some as Post Concussive Syndrome. Another thing to keep in mind

The average workers comp settlement amount for post-concussion syndrome ranges from $50,000.00 to $105,000.00 or more. The average car accident settlement for post-concussion syndrome varies even more, with a range from $55,000.00 to $1,000,000.00 or more, depending on the available auto insurance coverage Treatment for Post-Concussion Syndrome A concussion is considered a less serious type of TBI, but recent research shows that if you don't allow the injury to heal completely, another jolt or blow to the head could cause permanent brain damage You may develop persistent post-concussion syndrome. You may develop second-impact syndrome if you have another concussion before you have recovered from the first. Second-impact syndrome can be life-threatening. How can I prevent PCS? Make your home safe. Home safety measures can help prevent head injuries that could lead to a concussion

How long does post-concussion syndrome last

  1. What is Post Concussion Syndrome? Helmets and hard hats were invented for a very good reason. Even the average person understands that the mildest of head injuries can cause permanent and severe damage resulting in several disorders and syndromes
  2. prayers and hugs for what you are going through, i am in my 50s and am also suffering from post concussion syndrome. As i read your post i can relate to allmof it. i want to comment on many parts of it as i am reading it but by the time i am finished i cannot remeber which parts or compose an intelligentreply. i have not worked since the.
  3. Cosmicity Tinnitus Toy Remix Tinnitus Emotional Trauma Tinnitus 911 Fact Or Fiction. Can You Code Post Concussion Syndrome With Gait And Tinnitus Hiv Tinnitus Bipolar Medicine Tinnitus Permanent Disability Of Tinnitus. Most Effective Ipriflavone Supplement For Tinnitus Tinnitus And Muffled Hearing Caused By Exercise Tinnitus Simulation.
  4. Post-concussion syndrome (PCS), when the patient's concussion symptoms last longer than 4-6 weeks, affects 10-30% of concussion patients. PCS presents a significant source of morbidity to patients and a management challenge to providers. In this review, we present the current evidence and best management approaches for pediatric PCS
  5. Treatment of post-concussion syndrome following mild head injury. Journal of clinical and experimental neuropsychology 23, 829-836. [13] Mittenberg W, Tremont G, Zielinski RE, Fichera S, Rayls KR (1996) Cognitive-behavioral prevention of postconcussion syndrome. Arch. Clin. Neuropsychol. 11, 139-145

Social Security Disability & SSI for Traumatic Brain

  1. term post-concussion syndrome (PCS) disability.[5,7,8,11-13,17-20] Moreover, PCS overlap considerably with symptoms of other trauma- prevent permanent suffering and disability.[9,18] Some of the cognitive - behavioural mechanisms that have been found to play an important role i
  2. Disability Awareness: Post Concussion Syndrome Tuesday, March 19, 2013. This is me doing some safer skiing. Hello again everyone, it has been some time since we did a Disability Awareness blog. For myself, I felt like I was living in a permanent state of being hungover/half drunk
  3. Post concussion syndrome victims frequently experience the debilitating symptoms such as headaches, dizziness, and depression. Victims can expect symptoms to persist for weeks or even months at a time. For most people, though, the symptoms produced by a concussion usually begin to go away within a couple of weeks following their injury
  4. ority of individuals experience long-term or permanent post-concussion symptoms (PCS) after a mild head injury (MHI). There has been no systematic, quantitative research exa
  5. Long-term symptoms following a concussion are currently classed as post-concussion syndrome in the DSM-IV, but a new study suggests they may be indicative of PTSD

From a clinical perspective, the ACRM criteria appear to be sound. In contrast, the International Classification of Diseases, 10th Edition (ICD-10) criteria for post-concussion syndrome, in my. Concussion and Post-Traumatic Headache . Work related disability and litigation may complicate longer term outcomes and experts still question whether persistence of headaches is a marker for permanent or additional injury, in all cases, prevention of recurrent TBI is paramount Post concussion syndrome settlement value An excellent example is the common insurer-proposed booking to recover defense costs spent about defending a policyholder in case the insurer decides at a subsequent date that it didn't, in fact, have a duty to defend. Our official correspondence examples here stick to the suitable format

Can I get disability benefits after a concussion

  1. e what level of activity exacerbated concussion symptoms
  2. A traumatic brain injury (TBI), also known as an intracranial injury, is an injury to the brain caused by an external force. TBI can be classified based on severity (ranging from mild traumatic brain injury [mTBI/concussion] to severe traumatic brain injury), mechanism (closed or penetrating head injury), or other features (e.g., occurring in a specific location or over a widespread area)
  3. Post-Concussion Syndrome. Symptoms of a concussion do not always disappear within a couple of weeks. About one in ten concussion victims suffer from persistent symptoms, sometimes lasting a year or even longer. This condition is known as post-concussion syndrome

Post-concussion syndrome is a condition that occurs when you experience the symptoms of a concussion for a length of time after the accident. Typically, the recovery period lasts two to four weeks. Left untreated, injuries tend to get worse, and symptoms increase in severity over time. The same is true for concussions Mild traumatic brain injury (mTBI) presents a substantial burden to patients, families, and health care systems. Whereas, recovery can be expected in the majority of patients, a subset continues to report persisting somatic, cognitive, emotional, and/or behavioral problems, generally referred to as post-concussion syndrome (PCS) Concussion and post-concussive syndrome resulting in headaches, cognitive dysfunction and double vision necessitating cognitive and vision therapies: $180,000: Automobile accident: Soft tissue injury and aggravation of low back problems: $180,000: Workers' compensation: Concussion and post-concussion syndrome: $180,000: Automobile accident. Answer. Dear Anonymous, According to the Mayo Clinic, Post-concussion syndrome is a complex disorder in which various symptoms — such as headaches and dizziness — last for weeks and sometimes months after the injury that caused the concussion.. While it's clear you have been unable to fulfill your academic requirements, it will be a challenge to convince the insurance company to. Post-Concussion Syndrome Makes It Hard for Me to Function—Here's What It's Like. After an accidental hit to the head, Kate Anderson, 37, was diagnosed with a mild traumatic brain injury, which.

Second-impact syndrome causes dangerous brain swelling and bleeding that can cause death or permanent disability. It can occur even days to weeks after a first concussion is diagnosed. It is a very rare diagnosis but may be preventable by removing concussed athletes from practice or play until their symptoms have gone away and the athlete is cleared by a health-care professional Post-Concussion Syndrome (PCS) is a medical condition that persists for a period, ranging from weeks to some months, after experiencing a head injury or trauma. It is considered as a concussion or a mild traumatic brain injury (DerSarkissian, 2019)

Post concussion syndrome victims who suffer from acute anxiety or depressive thoughts are strongly advised to seek assistance from a trained therapist to discuss the negative emotional side effects. Poor Sleep Habits. Up to 75% of post concussion syndrome victims report disturbances in their daily sleep patterns following their injuries Post-Concussion Syndrome - Headaches & Memory Loss. Post-concussion syndrome (PCS) results from injuries to the head. This can range from mild concussions (being struck on the head) to severe head injuries. Not always does the degree of head trauma correlate with the degree and symptoms of PCS. It is estimated that approximately 60-80% of.

The Neuroprotective Effects of Ketones in TBI

CLINICAL FOCUS: RHEUMATOLOGY, PAIN MANAGEMENT AND CONCUSSION GUIDELINES CASE REPORT The role of the cervical spine in post-concussion syndrome Cameron M. Marshall1, Howard Vernon1, John J. Leddy2 and Bradley A. Baldwin3 1Department of Graduate Studies, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, Canada, 2Department of Physiolog Thousands of medical conditions qualify for the Disability Tax Credit. A partial list of the conditions that qualify is provided below. Click on any of the following conditions to see a more detailed description of the DTC qualifying medical criteria As Dr. Benavente, the defendant's expert, acknowledged, Mr. Sundin continues to suffer from post-concussion syndrome as a direct result of the head injury he sustained in the accident. Mr. Sundin's ongoing symptoms of chronic headaches, problems with concentration and memory, and mood problems are attributable to the post-concussion syndrome An Oregon attorney with post-concussion syndrome won her disability case against The Standard Insurance Company.The Standard initially approved Bethany Coleman-Fire's long term disability claim and then terminated benefits. After unsuccessfully appealing The Standard's claims decision, she filed a lawsuit under ERISA Post-Traumatic Brain Injury Syndrome, also known as PTBIS, is a set of symptoms that a person may experience for weeks, months, years or life after a traumatic brain injury (TBI). Some symptoms may manifest a substantial period of time (months or years) after TBI. PTBIS may occur subsequent to mild, moderate, and severe cases of traumatic brain. Post-concussion Syndrome Post-concussion syndrome (PCS) is another major concern and represents the most practical clinical challenge fol-lowing sports-related concussion. The definition of PCS in the medical literature is inconsistent, but it is generally understood to be the persistence of cognitive, physical, o

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