Evidence Fororganic Features

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 51 h, Glasgow Coma Scale score 13–15, loss of consciousness 515 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), commonly include headache, dizziness, fatigue, poor memory, poor concentration, irritability, depression, sleep disturbance, frustration, restlessness, sensitivity to noise, blurred vision, double vision, photophobia, nausea and tinnitus (King, 1997). Debate and argument have always plagued this syndrome, but research over the past decade or so has helped to clarify some of the areas of dispute and some interventions have been developed and evaluated. What follows is an attempt to illuminate the syndrome in the light of these developments.