Exceptional Neurologic Recovery in a Teenage Football Player After Second Impact Syndrome With a Thin Subdural Hematoma

Potts, Michelle; Stewart, Eric W.; Griesser, Michael J.; Harris, Joshua D.; Gelfius, Carl D.; Klamar, Karl

doi:10.1016/j.pmrj.2012.01.015

Cited by 13 publications

(4 citation statements)

References 9 publications

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“…After the second impact, the athlete's condition quickly deteriorates and is often fatal (11). Most of those who survive are severely disabled (12). It was fi rst described in 1973 by Richard Schneider in two athletes and the term secondimpact syndrome was coined in 1984 by Saunders and Harbaugh.…”

Section: Second-impact Syndromementioning

confidence: 99%

Type and occurrence of serious complications in patients after mild traumatic brain injury

Sivak¹,

Nosáľ²,

Bittšanský³

et al. 2016

BLL

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Traumatic brain injury (TBI) remains a major public health and socio-economic problem, and 70 -90 % of all TBIs are classifi ed as mild. Mild TBIs and concussions are mostly considered to be non-serious conditions with symptoms subsiding within a few days or weeks. However in 10 -15 % of patients, the symptoms persist one year after concussion and mostly include headache, fatigue, irritability, and cognitive problems (e.g. memory, concentration). These persisting symptoms negatively infl uence patient daily activities as postconcussion syndrome (PCS). Second-impact syndrome (SIS) is a very rare but usually fatal condition and occurs when repeated brain injuries lead to a catastrophic diffuse brain swelling. There is no scientifi c evidence on the incidence and risk of SIS. Chronic traumatic encephalopathy (CTE) is a progressive degenerative disease of the brain found in patients with a history of repetitive brain trauma. CTE presents with behavioural, cognitive, and motor symptoms. The literature to date lacks prospective epidemiological studies of the incidence of CTE. In recent medical literature, there is a description of 110 athletes with postmortem diagnosis of CTE (Tab. 1, Ref. 37

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Section: Second-impact Syndromementioning

confidence: 99%

Type and occurrence of serious complications in patients after mild traumatic brain injury

Sivak¹,

Nosáľ²,

Bittšanský³

et al. 2016

BLL

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“…Two interesting cases have been published in the last year regarding SIS. The first case details the most complete recovery after SIS, and the second is a unique and rare case of normal computed tomography (CT) images obtained between the first impact revealing no intracranial abnormalities and the catastrophic second impact [8,9].…”

Section: Sideline Management Of Sports Concussionmentioning

confidence: 99%

Concussion in Children and Adolescents

Clayton

Kirkwood

Laker

et al. 2013

Curr Phys Med Rehabil Rep

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Pediatric concussion is a growing concern as children across the country become more involved in sports and are leading more active lifestyles. Mild traumatic injuries to the brain are common and can have varied clinical presentation ranging from minimal to severe symptomatology. The morbidity associated with these injuries usually resolves in a matter of weeks or becomes more protracted, causing significant disruption in lifestyle and quality of life. We explore here recent research addressing innovations in acute care, treatment of protracted concussive recovery (postconcussion syndrome), and the assessment of cognitive outcomes and their interpretation as well as new approaches to modeling recovery based on biochemical and neuroimaging biomarkers.

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“…57,58 The epidemiology of SIS is largely based on anecdotal case reports, complicated by the debate over whether SIS exists (Table 5). 73,101 McCrory 57 believes that by the strict definition of SIS, only 5 cases meet criteria for "probable SIS," with several reports being excluded. The US National Center for Catastrophic Sport Injury Research cited 145 cases of catastrophic cerebral injury over a 26-year period with only a single case of possible SIS (http://www.unc.edu/depts/nccsi/).…”

Section: Diffuse Cerebral Edemamentioning

confidence: 99%

Structural brain injury in sports-related concussion

Zuckerman

Kuhn

Dewan

et al. 2012

FOC

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Object Sports-related concussions (SRCs) represent a significant and growing public health concern. The vast majority of SRCs produce mild symptoms that resolve within 1–2 weeks and are not associated with imaging-documented changes. On occasion, however, structural brain injury occurs, and neurosurgical management and intervention is appropriate. Methods A literature review was performed to address the epidemiology of SRC with a targeted focus on structural brain injury in the last half decade. MEDLINE and PubMed databases were searched to identify all studies pertaining to structural head injury in sports-related head injuries. Results The literature review yielded a variety of case reports, several small series, and no prospective cohort studies. Conclusions The authors conclude that reliable incidence and prevalence data related to structural brain injuries in SRC cannot be offered at present. A prospective registry collecting incidence, management, and follow-up data after structural brain injuries in the setting of SRC would be of great benefit to the neurosurgical community.

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Exceptional Neurologic Recovery in a Teenage Football Player After Second Impact Syndrome With a Thin Subdural Hematoma

Cited by 13 publications

References 9 publications

Type and occurrence of serious complications in patients after mild traumatic brain injury

Type and occurrence of serious complications in patients after mild traumatic brain injury

Concussion in Children and Adolescents

Structural brain injury in sports-related concussion

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