ABSTRACT

Purpose

To examine the association between Post-Concussion Symptom Scale (PCSS) scores, Convergence Insufficiency Symptom Survey (CISS) scores, and oculomotor deficits post-concussion.

Methods

Records of adolescent patients examined in a multidisciplinary concussion clinic between July 2014 and May 2019 were reviewed. PCSS and CISS scores, results of eye examination and oculomotor assessment, concussion history, and demographics were abstracted.

Results

One hundred and forty patient records (median age, 15.3 years; 52 males, presented 109 days (median) from their most recent concussion) met inclusion criteria. Mean total scores on PCSS and CISS were 46.67 ± 25.89 and 27.13 ± 13.22, respectively, and were moderately correlated with each other (r = 0.53, p < .001). Oculomotor deficits were observed in 123 (88%) patients. Step-wise linear regression identified increased PCSS total score to be significantly associated with decreased amplitude of accommodation (p < .001). Increased CISS total score was significantly associated with receded near point of convergence, developmental eye movement test error scores, and cause of concussion.

Conclusion

High PCSS scores may indicate an accommodation deficit and thus prompt an oculomotor assessment in patients following a concussion. Using the CISS and a detailed oculomotor assessment may reveal underlying oculomotor deficits, which may benefit from treatment.

中文翻译：

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青少年脑震荡后症状与动眼神经功能障碍之间的关联

摘要

目的

检查脑震荡后症状量表 (PCSS) 评分、收敛不足症状调查 (CISS) 评分和脑震荡后动眼神经功能障碍之间的关联。

方法

审查了 2014 年 7 月至 2019 年 5 月期间在多学科脑震荡诊所接受检查的青少年患者的记录。对 PCSS 和 CISS 评分、眼科检查和动眼神经评估结果、脑震荡史和人口统计学进行了抽象。

结果

140 例患者记录（中位年龄，15.3 岁；52 名男性，距最近一次脑震荡 109 天（中位）出现）符合纳入标准。PCSS 和 CISS 的平均总分分别为 46.67 ± 25.89 和 27.13 ± 13.22，彼此中度相关（r = 0.53，p < .001）。在 123 名 (88%) 患者中观察到动眼神经功能障碍。逐步线性回归发现 PCSS 总分增加与调节幅度降低显着相关 ( p < .001)。CISS 总分增加与会聚近点后退、发育性眼动测试错误分数和脑震荡原因显着相关。

结论

高 PCSS 分数可能表明调节缺陷，从而提示脑震荡后患者的动眼神经评估。使用 CISS 和详细的动眼神经评估可能会揭示潜在的动眼神经缺陷，这可能会从治疗中受益。