Neurosurgical Emergencies in Sports Neurology

Ban, Vin Shen; Botros, James A.; Madden, Christopher J.; Batjer, H. Hunt

doi:10.1007/s11916-016-0586-4

Cited by 4 publications

(4 citation statements)

References 44 publications

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“…This area has the potential to dissect or form a pseudoaneurysm [ 4 ]. A severe occlusive dissection or embolization of the thrombus is a major risk factor for cerebral infarction [ 4 , 5 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…CTA of the carotid arteries both during initial and follow-up scans were normal. Considering the presenting symptoms and negative CTA, MRI of the brain and cerebral vessels, echocardiogram, and observation would have been an appropriate approach to prompt further diagnostic testing with DSA [ 2 , 4 , 8 , 10 ]. Considering the patient's initial cerebrovascular signs and symptoms, a stroke specialist or neurologist would have been an appropriate consultant despite negative imaging.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Delayed Stroke following Blunt Neck Trauma: A Case Illustration with Recommendations for Diagnosis and Treatment

Anyama

Treitl

Wessell

et al. 2017

Case Reports in Emergency Medicine

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Blunt cerebrovascular injury (BCVI) to the carotid artery is a relatively rare injury that is difficult to identify even with imaging. Any symptoms or neurological deficits following blunt neck injury mandate evaluation and consideration of BCVI. In an effort to highlight this issue, we report the case of a 31-year-old male patient who presented with left-sided weakness consistent with transient ischemic attack (TIA) and concussion. The patient's symptoms occurred within 24 hours of a blunt neck injury sustained by a knee strike during a basketball game. An initial computerized tomography (CT) scan of the brain was normal; a CT angiogram (CTA) of the neck and carotids did not reveal obstruction, dissection, stenosis, or abnormalities of the carotid or vertebral vessels and the patient was subsequently discharged. A magnetic resonance imaging (MRI) of the brain obtained four days after the initial injury demonstrated an acute infarct in the right middle cerebral artery (MCA) territory. Thus, despite initial negative imaging, neurological deficits must be aggressively pursued in order to prevent stroke in BCVI cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Delayed Stroke following Blunt Neck Trauma: A Case Illustration with Recommendations for Diagnosis and Treatment

Anyama

Treitl

Wessell

et al. 2017

Case Reports in Emergency Medicine

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“…14 Although the neurophysiological basis for convulsions in this setting is uncertain, evidence supports transient release of excitatory neurotransmitters, followed by global cortical inhibition, resulting in seizure-like activity. 15 However, immediate or early seizures poorly predict future seizure activity and imaging studies are typically unrevealing for underlying pathology. When treating the concussions of these individuals, no additional antiepileptic therapy is recommended.…”

Section: Case Reportmentioning

confidence: 99%

Post-Traumatic Epilepsy after Sports-Related Concussion: A Case Report

Hellwinkel

Anderson

Trofa

et al. 2020

Neurotrauma Reports

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Sports-related concussions (SRCs) are a public health concern across the United States, and they lead to neurological sequelae that can last long after the event itself. Concussive convulsions at the time of injury are common and rarely require additional workup or treatment. Post-traumatic epilepsy (PTE), however, is a rare phenomenon that can develop after traumatic brain injury and must be managed with adequate medical therapy. Herein we present the case of a 15-year-old football player who developed PTE after an SRC. This condition must be identified through proper education of sports clinicians and those involved in care and management of athletes.

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“…Rarely, mild traumatic brain injury can cause an acute subdural hematoma or epidural hematoma especially in high‐energy collisions occurring in sports such as motorsports (formula racing, rallying), boardsports (skateboarding and snowboarding), and skiing …”

Section: Expert Opinionmentioning

confidence: 99%