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9 - Concussion and the 21st-Century Renaissance of Neuropsychology

from Part II - Outcomes after Concussion

Published online by Cambridge University Press:  22 February 2019

Jeff Victoroff
University of Southern California, Torrance
Erin D. Bigler
Brigham Young University, Utah
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Two scientific developments that occurred in the last third of the twentieth century contributed to long-simmering uncertainty about the nature of typical concussive brain injury (CBI). On the one hand, neuropsychologists labored to define a profile of results, from desk-top paper-and-pencil testing, that was reliably associated with brain damage. Multiple reports observed that psychological tests usually normalized by three months post-injury. On the other hand, by 1967, neuroscience had discovered evidence that CBI seems to cause lasting damage to both neurons and axons, including cell death. More recently, abundant neuroimaging evidence has also demonstrated long-term post-concussive brain change. These are not incompatible facts. It has simply required another half-century for scholars to explain: neuropsychological testing is sensitive to some early effects but apparently insensitive to most lasting effects of CBI. It has become clear that meaningful progress in this field requires authentic biomarkers with demonstrable predictive validity rather than inferences from behavior. Functional neuroimaging holds promise.
Concussion and Traumatic Encephalopathy
Causes, Diagnosis and Management
, pp. 399 - 421
Publisher: Cambridge University Press
Print publication year: 2019

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Note you can select to save to either the or variations. ‘’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats