Neurosurgical management of sports-related head injuries
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- Nagahiro Shinji
- Department of Neurosurgery, Tokushima University Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
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- Tani Satoshi
- Department of Neurosurgery, Jikei University School of Medicine Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
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- Ogino Masahiro
- Department of Neurosurgery, Dokkyo Medical University Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
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- Kawamata Tatsuro
- Department of Neurosurgery, Nihon University Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
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- Maeda Takeshi
- Department of Neurosurgery, Nihon University Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
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- Noji Masato
- Department of Neurosurgery, Kanagawa Prefectural Ashigarakami Hospital Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
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- Nariai Tadashi
- Department of Neurosurgery, Tokyo Medical and Dental University Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
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- Nakayama Haruo
- Department of Neurosurgery, Toho University Medical Center Ohashi Hospital Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
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- Fukuda Osamu
- Department of Neurosurgery, Saitoh Memorial Hospital Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
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- Abe Toshiaki
- Department of Neurosurgery, Jikei University School of Medicine Committee of Sports Head Injuries, The Japan Society of Neurotraumatology
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- Suzuki Michiyasu
- Department of Neurosurgery, Yamaguchi University
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- Yamada Kazuo
- Department of Neurosurgery, Nagoya City University
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- Katayama Yoichi
- Department of Neurosurgery, Nihon University
Bibliographic Information
- Other Title
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- 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
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- Neurotraumatology
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Neurotraumatology 36 (2), 119-128, 2013-12-15
The Japan Society of Neurotraumatology
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Details 詳細情報について
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- CRID
- 1390285300155220736
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- NII Article ID
- 130007838562
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- ISSN
- 24343900
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed