Symptom/diagnostic finding*Guideline
American Congress of Rehabilitation Medicine3 American Academy of Neurology4 World Health Organization5 Zurich Consensus Statement6 Centers for Disease Control and Prevention7 U.S. Department of Veterans Affairs/Department of Defense8
Altered mental status or alteration of consciousness (e.g., feeling dazed, disoriented, confused)AnyGrade 1, < 15 minutes; grade 2, > 15 minutesTransientTransientTransientTransient up to 24 hours
AmnesiaPosttraumatic amnesia less than 24 hours; any retrograde amnesiaGrade 1, posttraumatic amnesia < 15 minutes; grade 2, post-traumatic amnesia > 15 minutesLess than 24 hoursAround the time of injuryPosttraumatic amnesia for less than one day
Focal neurologic deficitAnyTransientTransient
Glasgow Coma ScoreInitial score of 13 to 15Initial score of 13 to 15, 30 minutes after injury or later on presentation to careBest score in first24 hours of 13 to 15
Intracranial lesionNot requiring surgeryNone visible on imagingNone visible on imaging
Loss of consciousness30 minutes or lessGrades 1–2, none; grade 3, seconds to minutes30 minutes or lessMay or may not occur30 minutes or less30 minutes or less
Postconcussive syndromeMay occur in a small subset of patients
SeizureTransient
Other symptoms/findingsDefinition specifically for concussion in sports; symptoms may be divided into early and late categories, and may vary from case to caseSymptoms must not be related to penetrating head injury, intoxicants or other medications, or other diagnosesDefinition specifically for concussion in sports; concussion may also occur with impulsive force transmitted to the headSpecifically uses terms concussion and mild traumatic brain injury interchangeably