Diagnosis and management of sports-related concussion: a 15-year-old athlete with a concussion

JAMA. 2011 Jul 6;306(1):79-86. doi: 10.1001/jama.2011.819. Epub 2011 May 31.

Abstract

Concussion in youth athletes is a growing problem worldwide. During the past decade, significant progress has been made in standardization of the assessment of young athletes, and a growing appreciation of metabolic vulnerability, activity, and cognitive challenges has led to guidelines and suggestions for rest from the field as well as cognitive rest from school. Outcome data have begun to establish groups linked to symptom class, genetics, and sex who are at risk of worse outcomes from concussions. Decisions regarding return to activity are now based on at-rest symptoms, graded increases in activity, and neuropsychological testing. Using the case of Ms X, a 15-year-old otherwise healthy high school student who fell while skiing, evaluation, prognosis, and management of concussion are discussed.

Publication types

  • Case Reports
  • Clinical Conference

MeSH terms

  • Accidental Falls
  • Adolescent
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Athletic Injuries / diagnosis*
  • Athletic Injuries / physiopathology
  • Athletic Injuries / therapy*
  • Brain Concussion / diagnosis*
  • Brain Concussion / epidemiology
  • Brain Concussion / physiopathology
  • Brain Concussion / prevention & control
  • Brain Concussion / therapy*
  • Craniocerebral Trauma / diagnosis
  • Craniocerebral Trauma / epidemiology
  • Craniocerebral Trauma / physiopathology
  • Craniocerebral Trauma / prevention & control
  • Craniocerebral Trauma / therapy
  • Female
  • Headache / etiology
  • Humans
  • Ibuprofen / administration & dosage
  • Medical History Taking
  • Neck Pain / etiology
  • Physical Examination
  • Prognosis
  • Recovery of Function
  • Recurrence
  • Skiing / injuries
  • Unconsciousness

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Ibuprofen