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Managing Successive Minor Head Injuries.

Margot Putukian, Ruben J Echemendia

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    |December 26, 2017
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    Summary

    A female basketball player experienced two head injuries, highlighting the risks of returning to play after concussion. Neuropsychological testing proved crucial when initial medical evaluations showed no abnormalities.

    Area of Science:

    • Sports Medicine
    • Neurology
    • Neuropsychology

    Background:

    • Head injuries in athletes pose significant risks, particularly concerning return-to-play protocols.
    • Recurrent head injuries can lead to persistent and complex neurological deficits.

    Purpose of the Study:

    • To present a case study of a college basketball player with sequential head injuries.
    • To emphasize the importance of careful return-to-play considerations for athletes post-concussion.
    • To highlight the diagnostic value of neuropsychological testing in cases of suspected mild traumatic brain injury.

    Main Methods:

    • Case report detailing a female college basketball player's injury history.
    • Description of initial symptoms including loss of consciousness and hemiparesis.

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  • Documentation of subsequent injury, persistent symptoms, and recovery.

    • Main Results:

    • The athlete experienced a second mild head injury after returning to play, leading to persistent headache and cognitive issues.
    • Neuropsychological testing revealed abnormalities not detected by standard medical examinations.
    • The athlete eventually made a full recovery.

    Conclusions:

    • This case underscores the critical need for cautious return-to-play decisions in athletes following head injuries.
    • Neuropsychological assessments are vital for identifying subtle cognitive impairments after mild traumatic brain injury.
    • The potential for recurrent injury and its consequences must be carefully managed in sports.