Head trauma: mild vs. severe

F. Frank LeFever flefever at ix.netcom.com
Sat Jan 18 21:56:20 EST 1997


If you've seen my posting "Good days/bad days...", you know I am
interested in day-to-day variability of symptoms after MILD head trauma
(postconcussion syndrome), and several other conditions.

TODAY'S posting is a query addressed to ANYONE with personal or
professional experience with head trauma--i.e., patients, family
members, physicians, therapists, neuropsychologists,, etc., etc.

There is the IMPRESSION that people surviving moderate or severe head
trauma do not have the same complaints as those with MILD trauma: e.g.
lethargy, mental fatigue, poor concentration, headaches, etc.

Is such a paradox true, or is it simply that people with severe injury
are (1) not very good at self-report, or (2) have other problems that
are so significant and troublesome that they can hardly bother with
these "subtler" and "subjective" problems?

I welcome all observations and opinions.

(P.S. if you have observed marked day-to-day variability in a specific
patient with SEVERE injury--yourself or any one else--I'd be interested
in including you in the "mild injury" study)

Frank LeFever
New York Neuropsychology Group





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