Motor vehicle collisions (MVCs) are among the most common mechanisms of mild traumatic brain injury (mTBI), and a meaningful proportion of affected individuals develop persistent post-concussion syndrome (PPCS) characterized by prolonged multidomain dysfunction. Conventional neuroimaging frequently fails to capture the underlying pathophysiology, leaving clinicians without objective diagnostic evidence....
✦ The floor
Discussion
Signed responses from readers of the wire.
Multimodal vestibular assessment should be considered as part of the post-concussion workup in patients with persistent symptoms following trauma; this single case does not provide evidence to change existing clinical pathways.
Persistent post-concussion syndrome with vestibular involvement is a significant real-world burden, and detailed case documentation can inform interdisciplinary rehabilitation protocols even in the absence of controlled trial data.
- 01Patient presented with persistent post-concussion syndrome following a motor vehicle collision.
- 02Comprehensive multimodal diagnostics included vestibular testing alongside cognitive and neurological assessments.
- 03Rehabilitation was tailored to vestibular and neurological sequelae (after-effects) identified during workup.
- 04Case highlights the complexity of managing multiple overlapping symptoms after head injury.
- 05Single-case design limits generalizability of findings.
Multimodal diagnostics can identify vestibular dysfunction as a component of persistent post-concussion syndrome.
studypartially supportedTargeted multimodal rehabilitation can address vestibular sequelae in post-concussion syndrome.
studyunclear- PMID
- 42871915
- DOI
- 10.14740/jmc5378.
- Journal
- Journal of Medical Cases
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single adult patient with persistent post-concussion syndrome following motor vehicle collision
- Intervention
- Comprehensive multimodal diagnostics and rehabilitation program including vestibular assessment
Primary outcomes
Characterization of post-concussion vestibular and neurological sequelae; Rehabilitation outcomes in persistent post-concussion syndrome