W. Va. Code R. § 85-20-24

Current through Register Vol. XLI, No. 24, June 14, 2024

Section 85-20-24 - Treatment Guidelines: Post Concussion Syndrome

24.1. Post concussion syndrome is a clinical syndrome characterized by a variety of vague symptoms including a headache, dizziness, memory dysfunction and depression, following head trauma. There is little relationship between the serious nature of the trauma and the severity and duration of the symptoms.

24.2. The diagnostic criteria consists of a persistent dysfunctional state following head trauma without clinical or laboratory sign of serious intracranial or cervical spine disorder.

24.3. The appropriate diagnostic tests and evaluations are as follows:

a. Neurological examination;

b. MRI;

c. EEG;

d. Electronystagmyogram; and

e. Neuropsychological testing if no improvement after four weeks.

24.4. Symptomatic therapy for post concussion syndrome includes:

a. Analgesia;

b. Medication for labyrinthine dysfunction;

c. The use of narcotic medications is not indicated; and

d. Severe dizziness or mental/emotional problems may require hospitalization for acute care rehabilitation.

24.5. While the estimated duration of care is variable, a return to work is anticipated in four weeks or less.

24.6. The anticipated outcome is full recovery. In some cases there may be residual symptomatology such as dizziness or mental/emotional changes. These conditions may be disabling and may be permanent.

W. Va. Code R. § 85-20-24