18 Year Old Female With Convulsions After Getting Hit In Head By Volleyball.

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

18 Year Old Female With Convulsions After Getting Hit In Head By Volleyball. - Page #4

Working Diagnosis: Psychogenic paroxysmal non epileptic event sparked by migraine Treatment: Given rizatriptan with resolution of seizures within fifteen minutes. Held from physical activity until further evaluation by neuropsychiatry and neurology. Celexa and vyvanse were continued. Outcome: Re-evaluated by neurology, as well as neuropsychiatry, confirming underlying medical history of migraines and acute psychogenic seizure. Symptoms were not thought to be due to new/repeat concussion. Rather, the symptoms were thought to be due to patient fearing return of concussion-like syndrome after being hit in the head and experiencing mild headache. She was continued on treatment for underlying ADHD and depression. In addition, rizatriptan was continued as needed for migraine headaches. Patient returned to full physical activity following standard return-to-play protocol. Author's Comments: Management of concussions can be very difficult, especially when suffering from neurocognitive symptoms. It is important that providers be aware of alternate diagnoses that may be masked by underlying symptoms. References: 1. Benbadis SR. How many patients with pseudoseizures receive antiepileptic drigs prior to diagnosis. Eur Neurol. 1999;41:114-115. 2. Krumholz A, Niedermeyer E. Psychogenic seizures: a clinical study with follow-up data. Neurology. 1983;33:498-502. 3. Gokce NS, Haydar AT, Hulya I. Semiological and psychiatric characteristics of children with psychogenic nonepileptic seizures: Gender-related differences. Seizure. 2015;31:144-148. Return To The Case Studies List.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC