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Published on: June 18, 2021
Acute subdural hematoma because of boxing
Hidehiko Kushi1, Takeshi Saito, Yuichiro Sakagami
1Department of Emergency and Critical Care Medicine, Nihon University School of Medicine, Itabashi-ku, Tokyo, Japan. hkushi@med.nihon-u.ac.jp
The Journal of Trauma
|February 11, 2009
Summary
Acute subdural hematoma (ASDH) in boxers often stems from bridging or cortical vein bleeds. The bleeding site significantly impacts prognosis, unlike in non-boxer ASDH cases.
Area of Science:
- Neuroscience
- Trauma Surgery
- Sports Medicine
Background:
- Acute subdural hematoma (ASDH) is a severe traumatic brain injury.
- Boxing-related injuries present unique challenges in diagnosing and managing ASDH.
- Understanding specific injury mechanisms in boxers is crucial for improving patient outcomes.
Purpose of the Study:
- To compare clinical characteristics and prognosis of ASDH in boxers versus non-boxers.
- To identify specific factors influencing ASDH outcomes in athletes.
- To elucidate the relationship between injury mechanism and hematoma characteristics.
Main Methods:
- Comparative study of 10 boxers with ASDH and 26 non-boxers with ASDH.
- Standardized neurological examinations and neurosurgical interventions were applied.
- Analysis of demographic data, Glasgow Coma Scale, imaging (CT scans), and surgical findings.
Main Results:
- Boxers with ASDH were younger and exhibited lucid intervals, with no cerebral contusions or contralateral injuries.
- Bleeding in boxers originated exclusively from bridging or cortical veins.
- Prognosis in boxers was strongly correlated with the bleeding site and midline shift, unlike in the non-boxer group.
Conclusions:
- ASDH in boxers is distinct, characterized by specific venous bleeding patterns.
- The anatomical site of bleeding is a critical determinant of prognosis in boxing-related ASDH.
- These findings aid in tailoring treatment and predicting outcomes for athletes with traumatic brain injuries.
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