Is There Casual Relationship Between Compensation Claims and Post Consussion Syndrome?
Author: Richard H. Adler With post-concussion syndrome, also known as post-traumatic syndrome, symptoms can sometimes be difficult to verify objectively. The usual components of this syndrome are headaches, dizziness, and nervous instability. In addition to this triad of symptoms, the syndrome is also characterized by a tendency to worsen instead of improving as expected after injury, treatment, and convalescence. There is also lack of correlation between the occurrence of the syndrome and the severity of the injury, duration of amnesia, or other indices of cranio-cerebral trauma. Because of this, some doctors are sensitive to the possibility of conscious simulation of symptoms due to the so called “compensation neurosis.” In 1961, Henry Miller, M.D., reported on 200 head-injury patients with long-term subjective complaints whose cases were still under insurance review. He concluded that nearly ΒΌ had what he called “unequivocally” psycho-neurotic complaints. In these 45 cases, he felt