Strategies to avoid a missed diagnosis of co-occurring concussion in post-acute patients having a spinal cord injury

Research output: Contribution to journalArticle

3 Scopus citations


Research scientists and clinicians should be aware that missed diagnoses of mild-moderate traumatic brain injuries in post-acute patients having spinal cord injuries may approach 60–74% with certain risk factors, potentially causing clinical consequences for patients, and confounding the results of clinical research studies. Factors leading to a missed diagnosis may include acute trauma- related life-threatening issues, sedation/intubation, subtle neuropathology on neuroimaging, failure to collect Glasgow Coma Scale scores or duration of posttraumatic amnesia, or lack of validity of this information, and overlap in neuro-cognitive symptoms with emotional responses to spinal cord injuries. Strategies for avoiding a missed diagnosis of mild-moderate traumatic brain injuries in patients having a spinal cord injuries are highlighted in this perspective.

Original languageEnglish (US)
Pages (from-to)859-861
Number of pages3
JournalNeural Regeneration Research
Issue number6
StatePublished - Jun 1 2015



  • Brain concussion
  • Complications
  • Diagnosis
  • Dual diagnosis
  • Post-concussion syndrome
  • Rehabilitation
  • Spinal cord injuries
  • Traumatic brain injury

ASJC Scopus subject areas

  • Developmental Neuroscience

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