British Journal of Sports Medicine 2009;43:451-454
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Clinics in neurology and neurosurgery of sport: traumatic cerebral contusion
1 Cabrini Medical Centre, Malvern, Victoria, Australia
2 Fusion Medical Education, LLC, Wakefield, Massachusetts, USA
3 Hopital Lariboisi, University Paris VII, Paris, France
4 Department of Neurosurgery, Hopital Lariboisi, University Paris VII, Paris, France
5 British Horeseracing Authority, London, UK
6 Centre for Health, Exercise and Sports Medicine, University of Melbourne, Victoria, Australia
Associate Professor P McCrory, Centre for Health, Exercise and Sports Medicine, University of Melbourne, Victoria, Australia 3010; p.mccrory@unimelb.edu.au
Accepted 17 March 2008
| The first 150 words of the full text of this article appear below. |
This case highlights the difficulties encountered in managing a sports player with traumatic brain injury. Fortunately, most head injuries in sport are minor and recover completely. Although the consensus definition1 of sports concussion emphasizes the lack of structural brain injury, this is not the case with more severe injuries.
The presence of acute abnormalities (eg, contusion, haemorrhage) on CT or MRI scans in such patients inherently pushes the nature and consequences of the injury higher up the spectrum of traumatic brain injury and standard sports concussion management guidelines may no longer apply.
The case described is one of mild TBI and not simple concussion. However, many elements of the management are common to both conditions, and for the sake of simplicity, we will accept, as have the faculty, that this is a case of concussion with a cerebral contusion.
CASE STUDIES: FRONTAL CONTUSION
A 26 year-old professional ice hockey player was celebrating
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