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Related Concept Videos

Cranial and Spinal Meninges01:19

Cranial and Spinal Meninges

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The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
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Related Experiment Video

Updated: Mar 17, 2026

Modified Mouse Model of Repetitive Mild Traumatic Brain Injury Incorporating Thinned-Skull Window and Fluid Percussion
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Can Subdural Hematoma Result From Repeated Minor Head Injury?

D Shell, G A Carico, R M Patton

    The Physician and Sportsmedicine
    |July 23, 2016
    PubMed
    Summary

    A high school football player experienced a severe subdural hematoma weeks after two concussions. This case highlights the need for strict return-to-play protocols after head injuries in athletes.

    Area of Science:

    • Sports Medicine
    • Neurology
    • Traumatic Brain Injury

    Background:

    • Adolescent athletes are susceptible to head injuries, particularly concussions.
    • Repeated mild concussions can lead to severe, delayed neurological complications.
    • Current return-to-play guidelines may not adequately address the risk of long-term sequelae.

    Purpose of the Study:

    • To report a case of delayed subdural hematoma following multiple concussions in a young athlete.
    • To emphasize the potential for serious, long-term complications from seemingly mild head trauma.
    • To advocate for enhanced safety protocols in high school sports.

    Main Methods:

    • Case report of a 17-year-old male football player.
    • Clinical presentation including symptoms and progression of neurological decline.

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  • Diagnostic imaging (CT scan) to identify intracranial pathology.
  • Review of injury history and athletic participation.

    • Main Results:

    • The athlete sustained two concussions within a week.
    • Five weeks post-injury, he developed acute symptoms including headache, nausea, and respiratory distress.
    • Progressive neurological deterioration led to a comatose state.
    • CT scan confirmed a right subdural hematoma, potentially linked to the prior concussions.

    Conclusions:

    • Subdural hematomas can be a delayed complication of multiple mild concussions in adolescent athletes.
    • Physician clearance and neurocognitive testing are crucial before an athlete returns to play after head injury.
    • Stricter protocols are necessary to prevent severe outcomes and long-term neuropsychological deficits in head-injured athletes.