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Reply from the Author: I had two goals in my review of minor brain injury. First, I wanted to emphasize-to an audience of neurologists-that the natural history of concussion is complex. Neurologic disturbances (predominantly of attention and memory) last longer and are more disabling than is often recognized. Second, I attempted a clinical analysis of the patients who seem symptomatic and disabled out of proportion to the apparent injury. For this group, I proposed that some were probably hurt more severely than appreciated, but that most were suffering chronic pain and depression, both certainly related to the injury but not to direct central …
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