SYNOPSIS
Mild traumatic brain injury, especially sport-related concussion, is particularly common among young persons. Consequences of transient pathophysiological dysfunction must be carefully considered in the context of a developing or immature brain, as must the potential for an accumulation of damage with repeated exposure over time. This review will summarize the underlying neurometabolic cascade of concussion with emphasis on the young brain in terms of acute pathophysiology, vulnerability, alterations in plasticity and activation, axonal injury, and cumulative risk from chronic, repetitive damage. The implications of these physiological changes will be discussed in the context of clinical care for the concussed youth, and areas for future investigation will be highlighted.