Post-traumatic Confusional State
A transient period of globally disturbed attention in a patient with traumatic brain injury, immediately following the onset of injury. Posttraumatic confusional state, or PTC, was introduced by Stuss et al. (1999). The PTC concept emerged following research that demonstrated that the initial cognitive and behavioral symptoms after traumatic brain injury were not solely limited to disturbances of orientation and amnesia, as the construct of posttraumatic amnesia (PTA) suggests.
Stuss et al. (1999) introduced the construct of PTC as an alternative and perhaps more accurate reflection of early behavioral and cognitive symptoms in brain injury than PTA, as all patients with traumatic brain injury may not experience significant PTA. PTC is thought to be similar to delirium in that it presents immediately following the onset of traumatic brain injury and may remain for an undefined period of time. There are still controversies...
References and Readings
- Stuss, D. T., Binns, M. A., Carruth, F. G., Levine, B., Brandys, C. E., Moulton, R. J., Snow, W. G., & Schwartz, M. L. (1999). The acute period of recovery from traumatic brain injury: Posttraumatic amnesia or posttraumatic confusional state? Journal of Neurosurgery, 90, 635–643.CrossRefGoogle Scholar