Mild brain trauma in sports. Diagnosis and treatment guidelines

Sports Medicine

Volumn 25, Issue 6, 1998, Pages 351-358

  Sturmi, James E ^a,b   Smith, Craig ^a   Lombardo, John A ^a  

^a OHIO STATE UNIVERSITY   (United States)

^b THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMNESIA; ATHLETE; BRAIN INJURY; CLINICAL EXAMINATION; COMPUTER ASSISTED TOMOGRAPHY; CONCUSSION; CONSERVATIVE TREATMENT; CONSULTATION; DETERIORATION; HEADACHE; HUMAN; IMAGING; NEUROPSYCHOLOGY; NEUROSURGERY; PATHOPHYSIOLOGY; PATIENT CARE; PERSONALITY; PRACTICE GUIDELINE; REVIEW; SPORT INJURY; SYMPTOM; UNCONSCIOUSNESS;

ADOLESCENT; ATHLETIC INJURIES; BRAIN CONCUSSION; FOOTBALL; HUMANS; MALE; UNCONSCIOUSNESS;

EID: 0031852001     PISSN: 01121642     EISSN: None     Source Type: Journal    
DOI: 10.2165/00007256-199825060-00001     Document Type: Review

References (53)

1. Bruno LA, Gennarelli TA, Torg JS. Management guidelines for head injuries in athletics. Clin Sports Med 1987; 6 (2): 17-29
2. Cantu RC. Head and spine injuries in youth sports. Clin Sports Med 1995; 14 (3): 517-33
3. Kelly JP, Nichols JS, Filley CM, et al. Concussion in sports: guidelines for the prevention of catastrophic outcome. JAMA 1991; 266 (20): 2867-9
4. Nelson WE, Jane JA, Gieck JH. Minor head injury in sports: a new system of classification and management. Physician Sports Med 1984; 12 (3): 103-7
5. Cantu RC. Cerebral concussion in sport: management and prevention. Sports Med 1992; 14 (1): 64-74
6. Esselman PC, Uomoto JM. Classification of the spectrum of mild traumatic brain injury. Brain Inj 1995; 9 (4): 417-24
7. Maroon JC. Football head and neck injuries: an update. Clin Neurosurg 1980; 27: 414-29
8. Torg JS, Gennarelli TA. Head and cervical spine injuries. In: DeLee JC, Drez D Jr, editors. Orthopedic sports medicine: principles and practice. Philadelphia: W. B. Saunders, 1994: 422-5
9. Colorado Medical Society (CMS) Sports Medicine Committee. Guidelines for the management of concussion in sports. Rev. ed. Denver: CMS, 1990
10. Kelly JP, Rosenberg JH. Practice parameter: the management of concussion in sports. Neurology 1997; 48 (3): 581-5
11. Committee on Head Injury Nomenclature of the Congress of Neurological Surgeons. Clin Neurosurg 1966; 12: 386-94
12. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med 1995; 5 (1): 32-5
13. McKeag DB. Concussion. Syllabus from 1996 Advanced Team Physician Course (ACSM, AMSSM, AOSSM). 1996 Feb 29-Mar 3; Scottsdale (AZ)
14. Rimel RW, Giordani B, Barth JT et al. Disability caused by minor head injury. Neurosurgery 1981; 9: 221-8
15. Teasdale G, Jennet B. Assessment of coma and impaired consciousness: a practical scale. Lancet 1974; II: 81-4
16. Centers for Disease Control and Prevention. Sports-related recurrent brain injuries: United States. MMWR Morb Mortal Wkly Rep 1997; 46 (10): 224-7
17. Gerberich SG, Priest JD, Boen JR, et al. Concussion incidences and severity in secondary school varsity football players. Am J Public Health 1983; 73: 1370-5
18. Wilberger JE. Minor head injuries in American football. Sports Med 1993; 15 (5): 338-43
19. Buckley WE. Concussions in college football. Am J Sports Med 1988; 16 (1): 51-6
20. Alves WM. Football-induced mild head injury. In: Torg JS, editor. Athletic injuries to the head, neck, and face. 2nd ed. St Louis: Mosby-Yearbook, 1991
21. Barth J, Alves W, et al. Mild head injury in sports: Neuropsychological sequelae and recovery of function. In: Levin H, Eisenberg H, Benton A, editors. Mild head injury. New York: Oxford University Press, 1989: 257-75
22. Wilberger JE, Maroon JC. Head injuries in athletes: emergency management of the injured athlete. Clin Sports Med 1989; 8 (1): 1-9
23. Gerberich SG, Finke R, Madden M, et al. An epidemiological study of high school ice hockey injuries. Child Nerv Syst 1987; 3 (2): 59-64
24. Jorgensen U, Schmidt-Olsen S. The epidemiology of ice hockey injuries. Br J Sports Med 1986; 20 (1): 7-9
25. Shawdon A, Brukner P. Injury profile of amateur Australian rules footballers. Aust J Sci Med Sport 1994; 26 (3-4): 59-61
26. Gibbs N. Injuries in professional rugby league. Am J Sports Med 1993; 21 (5): 696-700
27. Bruce DA, Schut L, Sutton LN. Brain and cervical spine injuries occurring during organized sports activities in children and adolescents. Clin Sports Med 1982; 1 (3): 495-514
28. Anonymous. Horseback-riding-associated traumatic brain injuries: Oklahoma, 1992-1994 [letter]. JAMA 1996; 275 (14): 1072
29. Gierup J, Larsson M, Lennquist S. Incidence and nature of horse-riding injuries. Acta Chir Scand 1976; 142: 57-61
30. Ommaya AK, Gennarelli TA. Cerebral concussion and traumatic unconsciousness: correlation of experimental and clinical observations on blunt head injuries. Brain 1974; 97: 633-54
31. Levin HS, Williams D, Crofford MJ, et al. Relationship of depth of brain lesion to consciousness and outcome after closed head injury. J Neurosurg 1988; 69: 861-6
32. Salazar AM, Warden DL. Traumatic brain injury. Sci Am 1996; 11 (V): 1-10
33. Hovda D. Concussive brain injury and cellular vulnerability. American Medical Society for Sports Medicine annual meeting: 1997 Apr 5-9; Colorado Springs, 127
34. Bergsneider M, Hovda D, Shalmon E, et al. Cerebral hyperglycolysis following severe traumatic brain injury in humans: a positron emission tomography study. J Neurosurg 1997; 86: 241-51
35. Yarnell PR, Lynch S. The 'ding' amnestic states in football trauma. Neurology 1973; 23: 196-7
36. Yarnell PR, Lynch S. Retrograde memory immediately after concussion. Lancet 1970; I: 863-4
37. Guthkelch AN. Post-traumatic amnesia, postconcussion symptoms, and accident neurosis. Eur Neurol 1980; 19: 91-102
38. Karzmark P, Hall K. Late onset postconcussion symptoms after mild brain injury: the role of pre-morbid, injury-related, environmental, and personality factors. Brain Inj 1995; 9 (1): 21-6
39. Hugenholtz H, Richard MT. Return to athletic competition following concussion. Can Med Assoc J 1982; 127: 827-9
40. Gronwall D, Wrightson P. Memory and information processing capacity after closed head injury. J Neurol Neurosurg Psychiatry 1981; 44: 889-95
41. Fekete JF. Severe brain injury and death from minor hockey accidents. Can Med Assoc J 1986; 99: 1234-9
42. Saunders RL, Harbaugh RE. The second impact in catastrophic contact sports head trauma. JAMA 1984; 252: 538-9
43. McLatchie G, Brooks N, Galbraith S, et al. Clinical neurological examination, neuropsychology, electroencephalography, and computed tomographic head scanning in active amateur boxers. J Neurol Neurosurg Psychiatry 1987; 50: 96-9
44. Kaste M, Vilkki J, Sainio K, et al. Is chronic brain damage in boxing a hazard of the past? Lancet 1982; II: 1186-8
45. Casson IR, Siegel O, Sham R, et al. Brain damage in modern boxers. JAMA 1984; 251: 2663-7
46. Tysvaer AT. Soccer injuries to the brain: a neuropsychologic study of former soccer players. Am J Sports Med 1991; 19 (1): 56-60
47. Leininger BE, Gramling SE, Farrell AD, et al. Neuropsychological deficits in symptomatic minor head injury patients after concussion and mild concussion. J Neurol Neurosurg Psychiatry 1990; 53: 293-6
48. Lovell MR. Neuropsychological testing in professional sports. American Medical Society for Sports Medicine annual meeting; 1997 Apr 5-9; Colorado Springs, 147-79
49. Echemendia RJ, Patukian M, Phillips TG. The Penn State Concussion Program. American Medical Society for Sports Medicine annual meeting; 1997 Apr 5-9; Colorado Springs
50. Masters SJ, McClean PM, Arcarese JS, et al. Skull x-ray examinations after head trauma: recommendations by a multidisciplinary panel and validation study. N Engl J Med 1987; 316: 84
51. Harad FT, Kerstein MD. Inadequacy of bedside clinical indicators in identifying significant intracranial injury in trauma patients. J Trauma 1992; 32 (3): 359-61
52. Levin HS, Amparo EG, Eisenberg HM, et al. Magnetic resonance imaging and computerized tomography in relation to the neurobehavioral sequelae of mild and moderate head injuries. J Neurosurg 1987; 66: 706-13
53. Gentry LR, Godersky JC, Thompson B, et al. Prospective comparative study of intermediate-field MR and CT in the evaluation of closed head trauma. Am J Neuroradiol 1988; 150: 673-82