The Gaming of Concussions: A Unique Intervention in Postconcussion Syndrome

Abstract

Objective: To present the case of 2 adolescent high school student-athletes who developed postconcussion syndrome with protracted and limiting visual complaints that markedly affected academic, social, and athletic activity for a year after the onset of symptoms. Both had significant improvement soon after a unique intervention was administered.Background: A 14-year-old female soccer and softball player sustained 2 concussions in the same week. She had persistent symptoms for a year that affected her grades and precluded athletic participation. A 15-year-old male football player sustained a concussion during an altercation with 2 other male adolescents. He continued to have symptoms 1 year later, with a marked decrease in academic performance and restriction from athletics. Both adolescents reported blurry vision, photophobia, and associated headache as significant components of the postconcussion syndrome.Differential Diagnosis: Concussion, postconcussion syndrome, skull fracture, subdural hematoma, epidural hematoma, second-impact syndrome, and visually sensitive migraine.Treatment: Both patients were advised to obtain computer gaming glasses to use throughout the day. The female patient was diligent in her use of the glasses, with marked lessening of symptoms. The male patient was less accepting of the glasses but did report lessening of symptoms when using the glasses.Uniqueness: We hypothesized that postconcussion syndrome with marked visual complaints would respond to and improve with decreased stimulation of the visual system. This was attempted with the addition of computer gaming glasses. Both adolescent athletes responded well to the filtering of visual stimuli by off-the-shelf computer gaming glasses.Conclusions: Postconcussion syndrome is a persistent condition with a myriad of symptoms. Two young athletes developed postconcussion syndrome with prominent visual symptoms that lasted a year. The addition of computer gaming glasses markedly lessened symptoms in both patients.

Functional Magnetic Resonance Imaging and Oculomotor Dysfunction in Mild Traumatic Brain Injury

“…8,9 This cohort of patients with post-traumatic OMD, regardless of mechanism of injury, seem to demonstrate more significant and lasting disability and poorer overall outcome than other TBI cohorts, yet these correlations have not been studied adequately. 10,11 In addition, the exact neurostructural and biological basis of OMD after mTBI is unknown.…”

Vestibular dysfunction amongst adolescents: what do we know? A review

“…A number of triggers have been identified as potential causes of post-concussion vestibular dysfunction amongst adolescents, notably computer screen time and watching television. 24,25 Pavlou et al reported that post-concussion adolescents are more susceptible to visually induced dizziness. 26 It is imperative that these adolescents seek early treatment, as persistent vestibular dysfunction has been shown to result in psychological distress and work-related disability, 27 which may significantly impair overall quality of life.…”

“…A number of triggers have been identified as potential causes of post-concussion vestibular dysfunction amongst adolescents, notably computer screen time and watching television. 24,25 Pavlou et al . reported that post-concussion adolescents are more susceptible to visually induced dizziness.…”

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