2012
DOI: 10.1097/ta.0b013e318260604b
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Is a diagnosis of “mild traumatic brain injury” a category mistake?

Abstract: The heterogeneity of this clinical population and their clinical presentations, the absence of a unitary etiology of postinjury deficits, and the complex idiosyncratic time course of the appearance of these deficits argue against the valid implementation of the classical model of diagnosis. In addition, the accepted criteria of diagnostic utility are not satisfied. TBI is not a disease; it is an event. More precisely, TBI is an event or a sequence of events that can, in some instances, lead to a diagnosable ne… Show more

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Cited by 28 publications
(29 citation statements)
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“…Rapp and Curly [51] describe mTBI as an event that may lead to the development of neurological disorders. The heterogeneous nature of mTBI makes it difficult to diagnose, based exclusively on current behavioral and neurocognitive analyses [51].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Rapp and Curly [51] describe mTBI as an event that may lead to the development of neurological disorders. The heterogeneous nature of mTBI makes it difficult to diagnose, based exclusively on current behavioral and neurocognitive analyses [51].…”
Section: Discussionmentioning
confidence: 99%
“…Rapp and Curly [51] describe mTBI as an event that may lead to the development of neurological disorders. The heterogeneous nature of mTBI makes it difficult to diagnose, based exclusively on current behavioral and neurocognitive analyses [51]. Biochemical assays for brain related proteins in serum, such as GFAP, UCH-L1 and S100β, are either not sensitive or selective for mTBI [7][12].…”
Section: Discussionmentioning
confidence: 99%
“…However, the clinical presentation of concussion is highly individualized, with symptoms and impairments often evolving over time. The non-specific nature of associated symptoms can reduce the accuracy of concussion assessments such as symptom checklists and clinical interviews [7]. In addition, some tools that assess concussion measure indirect behavioural performance related to underlying brain injury rather than directly measuring the underlying brain injury itself with neurophysiological approaches.…”
Section: Introductionmentioning
confidence: 99%
“…For instance, there is a long and complex history of attempting to develop classification and diagnostic standards for MHI [19]. The Glasgow Coma Scale (GCS) [20], a system used to assess coma and impaired consciousness, is the most common diagnostic index to classify severity of injury, mild being GCS 13-15.…”
Section: Implications For Clinical Practice and Service Planning And mentioning
confidence: 99%