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Neurosurgical management of sports-related head injuries

  • Nagahiro Shinji
    Department of Neurosurgery, Tokushima University Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
  • Tani Satoshi
    Department of Neurosurgery, Jikei University School of Medicine Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
  • Ogino Masahiro
    Department of Neurosurgery, Dokkyo Medical University Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
  • Kawamata Tatsuro
    Department of Neurosurgery, Nihon University Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
  • Maeda Takeshi
    Department of Neurosurgery, Nihon University Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
  • Noji Masato
    Department of Neurosurgery, Kanagawa Prefectural Ashigarakami Hospital Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
  • Nariai Tadashi
    Department of Neurosurgery, Tokyo Medical and Dental University Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
  • Nakayama Haruo
    Department of Neurosurgery, Toho University Medical Center Ohashi Hospital Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
  • Fukuda Osamu
    Department of Neurosurgery, Saitoh Memorial Hospital Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
  • Abe Toshiaki
    Department of Neurosurgery, Jikei University School of Medicine Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
  • Suzuki Michiyasu
    Department of Neurosurgery, Yamaguchi University
  • Yamada Kazuo
    Department of Neurosurgery, Nagoya City University
  • Katayama Yoichi
    Department of Neurosurgery, Nihon University

Bibliographic Information

Other Title
  • スポーツ頭部外傷における脳神経外科医の対応
  • —Interim consensus statement for guideline development—
  • ──ガイドライン作成に向けた中間提言──

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Abstract

<p>Judo-related severe head injury in children and adolescents is a hot topic in the media and in society. Neurosurgeons are often involved in many other sports-related head injuries. The Committee of Sport Head Injury in the Japan Society of Neurotraumatology has studied to develop guideline for neuro­surgeons how to manage the athletes with sports-related concussion or an intracranial structural lesion, and how to allow them to return to play.</p><p>Sports-related concussion includes not only transient uncon­sciousness and amnesia but also various somatic (e.g. head­ache), cognitive and emotional symptoms. The most con­cussions typically resolve in a short time, although the recovery may be longer over a week in children and adolescents. The Sports Concussion Assessment Tool (SCAT) is the standard method for evaluation of concussion. Repeated con­cussions may produce rapid catastrophic deterioration (sec­ond impact syndrome) or chronic traumatic encephalo­pathy presenting with cognitive dysfunction. Second impact syn­drome may occur in association with acute subdural hematoma. In concussion patients with prolonged symptoms (e.g. headache), brain CT or MRI should be recommended to exclude an intracranial structural lesion such as thin subdural hematoma. Once concussion is diagnosed, an athlete should not be return to play in the same day. An athlete must be asymptomatic prior to return to play, and should take a graduated return to play protocol lasting around one week. Once an intracranial structural lesion (e.g. subdural hematoma) has been found after sport head injury, the athlete should not be allowed principally to return to play contact sports.</p>

Journal

  • Neurotraumatology

    Neurotraumatology 36 (2), 119-128, 2013-12-15

    The Japan Society of Neurotraumatology

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