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Mild Traumatic Brain Injury

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Abstract

Mild traumatic brain injuries (MTBI) are heterogeneous. This injury falls on a broad spectrum, from very mild neurometabolic changes in the brain with rapid recovery to permanent problems due to structural brain damage. It is incorrect to assume that MTBIs cannot cause permanent brain damage and it is incorrect to assume that MTBIs typically cause permanent brain damage. This is a highly individualized injury – most people recover relatively quickly and fully. However, some people have long-term problems. These long-term problems can be caused or maintained by multiple factors. Brain damage, although possible, is probably not the root cause of long-term problems in most patients. Instead, a diverse set of pre-existing and co-occurring conditions and factors likely cause and/or maintain symptoms and problems in most patients (e.g., personality characteristics; pre-existing health and mental health problems; co-morbid chronic pain, depression, anxiety disorders; social psychological factors; and litigation). It is important to carefully consider a multitude of factors that can cause or maintain symptom reporting long after an MTBI before concluding that a person is likely to have permanent damage to the function of his or her brain.

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Authors and Affiliations

  1. University of British Columbia, Vancouver, BC, Canada

    Grant L. Iverson

  2. British Columbia Mental Health and Addiction Services, Vancouver, BC, Canada

    Grant L. Iverson

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  1. Grant L. Iverson
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  2. Rael T. Lange
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  1. School of Medicine, Dept. Neurology, University of South Florida, Euclid Avenue 11100, Tampa, 44106, Florida, USA

    Mike R. Schoenberg

  2. Dept. Psychiatry & Behavioral Health, Health Sciences Center, University of Oklahoma, Oklahoma, Oklahoma, USA

    James G. Scott

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Iverson, G.L., Lange, R.T. (2011). Mild Traumatic Brain Injury. In: Schoenberg, M., Scott, J. (eds) The Little Black Book of Neuropsychology. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-76978-3_22

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