Management of concussions

Management of Concussions and Sport Related Injuries Ann Ritter, MD Leslie Hutchins, MD

Concussion (Mild Traumatic Brain Injury) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Concussion ,[object Object],[object Object],[object Object],[object Object],[object Object]

Possible Findings in Concussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Concussion Grading Grade Cantu System AAN System 1 (Mild) ,[object Object],[object Object],[object Object],[object Object],[object Object],2 (Moderate) ,[object Object],[object Object],[object Object],[object Object],[object Object],3 (Severe) ,[object Object],[object Object],Any LOC

Sports Related Concussion American Academy of Neurology Guidelines AAN Grade Management Recommendations for a single sports-related concussion: 1 Mild ,[object Object],[object Object],[object Object],2 Moderate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],3 Severe ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Contraindications for Return to Contact Sports ,[object Object],[object Object],[object Object],[object Object],[object Object]

Second Impact Syndrome ,[object Object],[object Object]

Neuroimaging ,[object Object],[object Object],[object Object],[object Object],[object Object]

Recommendations for multiple sports-related concussions in the same season Concussion Guidelines to be met before return to competition No. Severity ,[object Object],1 week Moderate or Severe 1 month + normal CT or MRI ,[object Object],Most consider this a season ending injury and recommend CT or MRI Moderate Season ending injury; consideration for ending all participation in contact sports ,[object Object]

Postconcussive Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Postconcussive Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Postconcussive Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Postconcussive Syndromes ,[object Object],[object Object],[object Object],[object Object]

Sports-related spinal cord injuries Type Description I Permanent SCI II Transient SCI without radiographic abnormality III Radiologic abnormality without neurologic deficit

Cervical Cord Neuropraxia ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cervical Cord Neuropraxia ,[object Object],[object Object]

“ Stinger” or “Burner” ,[object Object],[object Object],[object Object]

Burning Hands Syndrome ,[object Object],[object Object]

Other neurologic injuries… ,[object Object],[object Object],[object Object]

Management of concussions

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