Complex Concussion - Page #3
 

Lab Studies:
Chemistry panel, PT, PTT and INR were normal. EKG showed sinus tachycardia. CT scan of the cervical spine and head were normal. Chest x-ray was normal.

Other Studies:
MRI Case Photo #1 showed multiple microhemorrhages throughout the cerebral hemispheres, pituitary and parietal lobes, consistent with shear injury.

Consultations:
Neurology - " ...Avoid collision sports at least for the season with serious discussion about permanent discontinuation...."

Neurosurgery and sports neurology - "Microhemorrhages may be acute phenomena found incidentally vs. sequela from previous head injuries" Repeat MRI in 6 weeks was recommended. Consideration for return to play if microhemorrhages resolved.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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