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Although the vast majority of individuals who have brain injuries categorized as mild and have been diagnosed with concussion return to baseline functioning within several months, a subset of individuals experiences persistent symptoms that affect quality of life. When these symptoms begin to coalesce and globally impair and erode functioning, they are best understood as having transformed into persistent symptoms after a traumatic event rather than as a “persistent” postconcussion syndrome. Framing these as persistent symptoms after a traumatic event recognizes that multiple factors contribute to the persistence of symptoms and that they may not necessarily be the same symptoms, or of the same etiology, as those first evident after the concussion. In other words, the constellation of symptoms that resulted directly from the concussion is no longer a unitary force driving dysfunction.
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