Graded Symptom Checklist (GSC) for Athlete Following Sport-Related Concussion

Purpose: To evaluate an athlete with sport-related concussion using the graded symptom checklist (GCS) of Mihalik et al.

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Evaluation

Are you evaluating an athlete with sport-related concussion?

Yes

Select an appropriate answer for each symptom

Difficulty concentrating

Difficulty remembering

Sensation of being in a fog

Trouble sleeping

Sleeping more than usual

Drowsiness

Sadness (depression)

Irritability

Dizziness or balance problems

Blurred vision

Neck pain

Numbness or tingling sensation

Headache

Nausea

Sensitivity to light

Sensitivity to sound

Fatigue

Emesis (vomiting)

Skin rash or itching

Joint stiffness

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Subscore for cognition

Subscore for sleep

Subscore for mood

Subscore for neurologic symptoms

Subscore for headache-related symptoms

Subscore for other symptoms

Subscore for distractor symptoms

Total score

Caution: A qualified health practitioner should verify all results.
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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Clinical Risk Score for Persistent Postconcussion Symptoms Among Children
Clinical Diagnosis, Including Family History For Genetics
- The 1997 Practice Parameter of the American Academy of Neurology (AAN) for Concussion in Sports
- Post Traumatic Migraine in Sport-Related Concussion
Severity, Prognosis, Stage
- The 1997 Practice Parameter of the American Academy of Neurology (AAN) for Concussion in Sports
- Clinical Risk Score for Persistent Postconcussion Symptoms Among Children
Complications
- Clinical Risk Score for Persistent Postconcussion Symptoms Among Children
- Post Traumatic Migraine in Sport-Related Concussion

Patient Concerns

Exercise
- The 1997 Practice Parameter of the American Academy of Neurology (AAN) for Concussion in Sports

Specialty

Surgery, orthopedic
Neurology

Objective

clinical diagnosis
including family history for genetics
severity
prognosis
stage

ICD-10

S06.0 - Concussion

Info

Purpose: To evaluate an athlete with sport-related concussion using the graded symptom checklist (GCS) of Mihalik et al.

Specialty: Surgery, orthopedic, Neurology

Objective: clinical diagnosis, including family history for genetics, severity, prognosis, stage

ICD-10: S06.0,

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