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In an occasional column, Journal Watch Psychiatry editors briefly comment on review articles. These annotations were written by Barbara Geller, MD, Peter Roy-Byrne, MD, Jonathan Silver, MD, and Joel Yager, MD.
Persistent post-concussive syndrome. Mild traumatic brain injury and the post-concussive syndrome (PCS) are controversial diagnoses, and clinicians may believe that PCS is based on brain damage or on emotions and litigation. Erin Bigler, a pioneer in the imaging of abnormalities in TBI, reviews the scientific literature and controversies of persistent PCS, in which symptoms continue for more than 3 months after injury.1 He reviews four definitions of concussion as well as its physics, pathophysiology, and neuroanatomy. The author inclu…