The complex clinical issues involved in an athlete's decision to retire from collision sport due to multiple concussions: A case study of a professional athlete

Frontiers in Neurology

Volumn 4 SEP, Issue , 2013, Pages

  Gardner, Andrew ^a  

^a UNIVERSITY OF NEWCASTLE   (Australia)

Author keywords

Athlete; Brain concussion; Case study; Retirement; Sport

Indexed keywords

ADULT; ARTICLE; ATHLETE; CAREER; CASE REPORT; CASE STUDY; CLINICAL FEATURE; CONCUSSION; DECISION MAKING; DIFFERENTIAL DIAGNOSIS; EVIDENCE BASED MEDICINE; HEALTH HAZARD; HUMAN; MALE; MEDICAL HISTORY; MOTIVATION; MULTIPLE TRAUMA; PRACTICE GUIDELINE; RECURRENT DISEASE; RETIREMENT; SPORT INJURY; SYMPTOM;

EID: 84885350182     PISSN: None     EISSN: 16642295     Source Type: Journal    
DOI: 10.3389/fneur.2013.00141     Document Type: Article

References (29)

1. McKee AC, Stein TD, Nowinski CJ, Stern RA, Daneshvar DH, Alvarez VE, et al. The spectrum of disease in chronic traumatic encephalopathy. Brain (2013) 136(1):43-64.
2. Omalu BI, Bailes J, Hammers JL, Fitzsimmons RP. Chronic traumatic encephalopathy, suicides and parasuicides in professional American athletes: the role of the forensic pathologist. Am J Forensic Med Pathol (2010) 31(1):1-3. doi:10.1097/PAF.0b013e3181ca7f35.
3. McCrory P, Johnston K, Meeuwisse W, Aubry M, Cantu R, Dvorak J, et al. Summary and agreement statement of the 2nd International Conference on Concussion in Sport, Prague 2004. Br J Sports Med (2005) 39(4):196-204. doi:10.1136/bjsm.2005.018614.
4. Aubry M, Cantu R, Dvorak J, Graf-Baumann T, Johnston K, Kelly J, et al. Summary and agreement statement of the First International Conference on Concussion in Sport, Vienna 2001. Br J Sports Med (2002) 36(3):6-10. doi:10.1136/bjsm.36.1.6.
5. McCrory P, Meeuwisse W, Johnston K, Dvorak J, Aubry M, Molloy M, et al. Consensus statement on concussion in sport-the 3rd International Conference on Concussion in Sport held in Zurich, November 2008. J Sci Med Sport (2009) 12(3):340-51. doi:10.1016/j.jsams.2009.02.004.
6. McCrory P, Meeuwisse WH, Aubry M, Cantu B, Dvorák J, Echemendia RJ, et al. Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. Br J Sports Med (2013) 47(5):250-8. doi:10.1136/bjsports-2013-092313.
7. McCrory P. When to retire after concussion? Br J Sports Med (2001) 35:380-2. doi:10.1136/bjsm.35.6.380.
8. Omalu BI, Hamilton RL, Kamboh MI, DeKosky ST, Bailes J. Chronic traumatic encephalopathy (CTE) in a national football league player: case report and emerging medicolegal practice questions. J Forensic Nurs (2010) 6(1):40-6. doi:10.1111/j.1939-3938.2009.01064.x.
9. Hecht AN. Legal and ethical aspects of sports-related concussions: the Merril Hoge story. Senton Hall J Sports Law (2002) 12:17-50.
10. Bauman J. Returning to play. The mind does matter. Clin J Sport Med (2005) 15(6):432-5. doi:10.1097/01.jsm.0000186682.21040.82.
11. Johnson R. The unique ethics of sports medicine. Clin Sports Med (2004) 23(2):175-82. doi:10.1016/j.csm.2004.01.003 [Review].
12. Gardner A, Iverson GL, McCrory P. Chronic traumatic encephalopathy in sport: a systematic review. Br J Sports Med (2013). doi:10.1136/bjsports-2013-092646.
13. McCrory P, Meeuwisse WH, Kutcher JS, Jordan BD, Gardner A. What is the evidence for chronic concussion-related changes in retired athletes: behavioural, pathological and clinical outcomes? Br J Sports Med (2013) 47(5):327-30. doi:10.1136/bjsports-2013-092248.
14. Kaye AH, McCrory P. Does football cause brain damage? Available evidence suggests anecdotal media reports need to be assessed carefully. Med J Aust (2012) 196(9):547-9.
15. Omalu BI, Bailes J, Hamilton RL, Kamboh MI, Hammers J, Case M, et al. Emerging histomorphologic phenotypes of chronic traumatic encephalopathy in American athletes. Neurosurgery (2011) 69(1):173-83. doi:10.1227/NEU.0b013e318212bc7b.
16. Gissane C, Jennings DC, Cumine AJ, Stephenson SE, White JA. Differences in the incidence of injury between rugby league forwards and backs. Aust J Sci Med Sport (1997) 29(4):91-4.
17. Shehata N, Wiley JP, Richea S, Benson BW, Duits L, Meeuwisse WH. Sport concussion assessment tool: baseline values for varsity collision sport athletes. Br J Sports Med (2009) 43:730-4. doi:10.1136/bjsm.2009.059832.
18. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep (2003) 2(1):24-30. doi:10.1249/00149619-200302000-00006.
19. McCrea M. Standardized mental status testing on the sideline after sport-related concussion. J Athl Train (2001) 36(3):274-9.
20. Brewer TL. Attentional Impairment in Minor Brain Injury. Ann Arbor, MI: University of Michigan (1998).
21. Gardner A, Shores EA, Batchelor J. Reduced processing speed in rugby union players reporting three or more previous concussions. Arch Clin Neuropsychol (2010) 25(3):174-81. doi:10.1093/arclin/acq007.
22. Cantu RC, Register-Mihalik JK. Consideration for return-to-play and retirement decisions after concussion. PM R (2011) 3(S2):S440-4. doi:10.1016/j.pmrj.2011.07.013.
23. Cantu RC. Recurrent athletic head injury: risks and when to retire. Clin Sports Med (2003) 22(3):593-603. doi:10.1016/S0278-5919(02)00095-9.
24. Sedney CL, Orphanos J, Bailes JE. When to consider retiring an athlete after sports-related concussion. Clin Sports Med (2011) 30(1):189-200. doi:10.1016/j.csm.2010.08.005.
25. Tanriverdi F, Unluhizarci K, Kelestimur F. Pituitary function in subjects with mild traumatic brain injury: a review of literature and proposal of a screening strategy. Pituitary (2010) 13(2):146-53. doi:10.1007/s11102-009-0215-x.
26. Kelestimur F, Tanriverdi F, Atmaca H, Unluhizarci K, Selcuklu A, Casanueva FF. Boxing as a sport activity associated with isolated GH deficiency. J Endocrinol Invest (2004) 27(11):RC28-32.
27. Dubourg J, Messerer M. Sports-related chronic repetitive head trauma as a cause of pituitary dysfunction. Neurosurg Focus (2011) 31(5):E2. doi:10.3171/2011.8.FOCUS11182.
28. Echemendia RJ, Cantu RC. Return to play following sports-related mild traumatic brain injury: the role for neuropsychology. Appl Neuropsychol (2003) 10(1):48-55. doi:10.1207/S15324826AN1001_7.
29. Schatz P, Zillmer EA. Computer-based assessment of sports-related concussion. Appl Neuropsychol (2003) 10(1):42-7. doi:10.1207/S15324826AN1001_6.