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[Acute subdural hematoma caused by professional boxing]

S Sawauchi1, S Murakami, S Tani

  • 1Department of Neurosurgery, Jikei University School of Medicine.

No Shinkei Geka. Neurological Surgery
|October 1, 1996
PubMed
Summary

Acute subdural hematoma in boxing is a severe brain injury. Early diagnosis and treatment of boxing-related brain injuries lead to better recovery outcomes.

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Area of Science:

  • Neurology
  • Sports Medicine
  • Trauma Surgery

Background:

  • Acute subdural hematoma (ASH) is the most common and fatal brain injury in boxing.
  • Understanding the clinical presentation and outcomes of ASH in boxers is crucial for improving patient management.

Observation:

  • This study analyzed 15 boxers with ASH, classifying them into transient, lucid interval, and deterioration types based on consciousness loss.
  • ASH occurred most frequently in 10-round bouts, with a predilection for the left cerebral hemisphere.
  • CT scans revealed subdural hematomas without cerebral contusions in all subjects.

Findings:

  • Transient type (GCS 14-15) had thin hematomas, responded to conservative treatment, and achieved good recovery.
  • Lucid interval and deterioration types presented with thicker hematomas, midline shift, required surgery, and had poorer outcomes, including disability and death.

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  • Overall outcomes were better than reported for other head injury types, attributed to younger patient age, prompt surgery, and absence of cerebral contusions.

    • Implications:

    • The pattern of consciousness loss and CT findings correlate with ASH severity and prognosis in boxers.
    • Early detection and intervention are critical for improving outcomes in professional boxers suffering from acute subdural hematoma.
    • Further research into the effects of repeated head trauma in boxing is warranted.