Sports-related brain injuries: 12 new articles in the April issue of Neurosurgery Focus

Apr 1, 2016 | | Say something

Sports-related brain injuries: 12 new articles in the April issue of Neurosurgery Focus ;

sports-related concussion (also known as mild traumatic brain traumatic [TBI]) and possible sequelae such as CTE (chronic traumatic encephalopathy) are hot items that can be found every day in the news media and often as story lines in the film and television shows. In March, the NFL (National Football League) gave a link between football and CTE, and The New York Times reported a connection between the NFL and previous research on the defective concussion.

Most symptoms of concussion headaches, confusion, dizziness, amnesia, temporary loss of consciousness, etc., are mild and short-lived. However, some bruises or series of concussions are accompanied by sequelae such as post-concussion syndrome (prolongation of symptoms), the second shock (rapid, severe [and sometimes fatal] brain swelling syndrome caused by a second concussion held before the first concussion has healed) and CTE (a neurodegenerative disease whose symptoms may not appear until years after the last injury).

Although most accounts focus on professional athletes, a much larger number of people affected by concussions related to sports are closer to home-in the street, next to, or above. Increased media interest in concussions and its aftermath has raised concern in parents of young athletes and suspicion in the minds of citizens who do not know whose turn to believe. There is a lot of information and misinformation about the concussion, and it is up to medical science to provide accurate reports.

The April issue of symptoms Neurosurgical Focus offers 12 articles presenting knowledge most up-to date of what constitutes a concussion related to sports and more serious brain injuries, the latest tools diagnostic evaluation, the underlying neuropathology, complications that may arise, prevention and case management strategies. All there is to know about concussion related to the sport? Not quite, but the April issue of Neurosurgical Focus offers a review of what is currently known as well as new research in mild and severe traumatic brain injury.

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Early in the publication of two articles examine the statistics on patients admitted to hospital for traumatic brain injuries sustained while participating in five categories: sports autumn and interpersonal contact sports, skiing / snowboarding, skate / skateboard rollers, equestrian sports and water sports. These articles describe the incidence of diseases associated with these sports and characterize predictors of outcome in patients of all ages injury:

  • “sports-related adult traumatic brain injury trauma centers in the United States” by Winkler et al.
  • traumatic brain injury related to sports

  • “pediatric trauma centers in the United States” by Yue et al.

excellent review article continues with full details on the diagnosis of concussion based on symptoms and discuss the potential of brain imaging as a diagnostic tool in the future. The authors describe the associated, such as axonal injury, brain contusion and intracranial hemorrhage and complications such as skull fracture, cervical spine injury, and injury to the eye injury. treatment strategies are reviewed; and current knowledge of the pathological features of concussion, post-concussion syndrome, cerebral, second impact syndrome, and CTE is included.

  • .. “Sports concussions related: diagnosis, complications and current management strategies” Hobbs et al
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These items are included in other articles and

Two articles provide information about the assessment instruments used to diagnose concussion on the sideline during a game and in the clinical setting.

  • “The Concussion Assessment Tool Sport: a systematic review.” By Yengo-Kahn et al
  • “Clinical evaluation of concussion: the changing role of the oculomotor assessments”. By Sussman et al

the difficult decision of when to warn young athletes to withdraw from the game to prevent further injury described. Variables that indicate this possibility are discussed and illustrative examples are provided.

  • “Retiro-de-sport pediatric concussion following considerations related to sport: case illustrations and institutional approach”. By Ellis et al

Relations between traumatic brain injuries and preexisting brain disorders as well as injuries of the cervical spine, based on systematic reviews and analysis of the relevant scientific literature are discussed. Although not a traumatic brain injury, an injury to the cervical spine can also be the result of a blow to the head during the game.

  • “structural brain damage associated with arachnoid cysts related to sport: a systematic review and quantitative analysis.” By Zuckerman et al
  • “cervical vertebral column surgery professional athletes: a systematic review” of Joaquim et al.

Traumatic brain injuries associated with cricket and rugby are discussed in the light of the helmets. Although so far no helmet has been developed to prevent concussions that occur, the evolution of helmet shells and padding have prevented many more serious LCT. Unfortunately, some players may rely too much on their helmets, leading to play more aggressively, while using them.

  • “craniofacial injuries in professional cricket: no more than a smokescreen” by Tripathi et al
  • “touched Rugby and prevention of concussion; misconceptions could increase aggressive play” by Menger et al .. [Accompanied by a podcast]
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Finally, two sequels of concussion are discussed: post-concussion syndrome and CTE. The authors found five factors in college athletes that increase the risk of developing post concussion syndrome. With respect to the CTE, an article examines the pathology of traumatic brain injury and CTE related to sport and the potential of the various forms of neuroimaging and biomarkers in the diagnosis. So far, the diagnosis of CTE has been possible only at autopsy. The other article discusses common questions about CTE and proposes guidelines for a new investigation.

  • “predictors of the syndrome postconcussion in college student-athletes” by Zuckerman et al
  • “related to sports brain injuries: the connection of pathology in diagnosis,” .. By Pan et al
  • “science and questions about chronic traumatic encephalopathy,” by Ban et al.

sports-related brain injury is not a new issue Neurosurgical Focus , a peer-reviewed neurosurgical topic driven magazine published online monthly and is freely accessible to the public. This is the third compilation of articles reporting on the results of current research in traumatic brain injuries related to sports. New research is emerging constantly, which brings us closer to unraveling the secrets surrounding remaining contusion injuries in the brain and, hopefully, reduce the number of traumatic brain injuries related to sports or at least reduce their impact.

This article was originally published on medicalxpress, Read the original article

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