UMEM Educational Pearls

Title: Effects of Concussion on the Adolescent Brain

Category: Orthopedics

Keywords: Concussion, Adolscents (PubMed Search)

Posted: 6/8/2013 by Brian Corwell, MD (Updated: 6/9/2013)
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The adolescent brain has not yet reached full maturation and is in a period of rapid development from ages 14 - 16. 

Adolescents have been found to be more sensitive to the effects of concussion than adults

Concussed adolescents have deficits in attention and executive function lasting up to 2 months post injury.

Be aware that the adolescent brain will require  extended recuperation time following injury

In the future, discharge instructions might need to say more than "don't get hit in the head till your headache goes away." Because of deficits in attention and executive function, physicians should consider recommendations about adolescents and jobs, school work and driving an automobile. 

References

Effects of concussion on attention and executive function in adolescents. Howell D, Osternig L, et al. Medicine & Sceince in Sports and Exercise. June 2013