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sport subdural hematoma

Munzir Abbas, Sami Khairy, Mohammad AlWohaibi, Ahmed Aloriadi, Waleed Waslallah AlQurashi
BACKGROUND: The traumatic complication of an arachnoid cyst (AC) with intra-cystic and subdural hematoma has been reported in many cases. However, a unilateral extradural hematoma (EDH) as a complication of AC is extremely rare. Most arachnoid cysts are unilateral and are located in the middle cranial fossa. Bilateral temporal AC alone is an extremely rare condition, and a bilateral EDH on top of a bilateral temporal AC has never been reported in the literature. CLINICAL PRESENTATION: We report the case of a 25-year-old male with a known bilateral AC who was involved in a car accident and developed a bilateral temporal EDH...
April 16, 2018: World Neurosurgery
Xuanxuan Wu, Guichen Li, Jinchuan Zhao, Xiaobo Zhu, Yang Zhang, Kun Hou
BACKGROUND: Arachnoid cyst (AC)-associated chronic subdural hematoma (CSDH) differs significantly from its counterparts without AC in epidemiologic, demographic, and clinical characteristics, as well as in management and prognosis. This study was conducted to further examine the epidemiologic, demographic, and clinical characteristics; diagnosis; treatment; and prognosis of AC-associated CSDH. METHODS: This was a retrospective study of the medical records at the neurosurgical departments of 2 institutions along with a systematic PubMed search for relevant studies published in English or Chinese...
January 2018: World Neurosurgery
Shinya Koyama, Osamu Fukuda, Satoshi Kuroda
Snowboarding-related head injuries have become less common as the number of snowboarders has decreased;however, severe head injuries, such as acute subdural hematomas, occur every snowboarding season. We investigated the characteristics of cases of snowboarding-related acute subdural hematoma treated at our hospital. A total of 3,632 patients with snowboarding-related head injuries seen at our hospital between the 1995/96 and 2012/13 snowboarding seasons were enrolled in this study. Seventy-nine(2.2%)patients were diagnosed with acute subdural hematomas using computed tomography...
July 2016: No Shinkei Geka. Neurological Surgery
Yoshifumi Mizobuchi, Shinji Nagahiro
We review current topics in sport-related head injuries including acute subdural hematoma (ASDH), traumatic cerebrovascular disease, cerebral concussion, and chronic traumatic encephalopathy (CTE). Sports-related ASDH is a leading cause of death and severe morbidity in popular contact sports like American football and Japanese judo. Rotational acceleration can cause either cerebral concussion or ASDH due to rupture of a parasagittal bridging vein. Although rare, approximately 80% of patients with cerebral infarction due to sport participation are diagnosed with ischemia or infarction due to arterial dissection...
April 2016: Korean Journal of Neurotrauma
Jonathan G Hobbs, Jacob S Young, Julian E Bailes
Sports-related concussions (SRCs) are traumatic events that affect up to 3.8 million athletes per year. The initial diagnosis and management is often instituted on the field of play by coaches, athletic trainers, and team physicians. SRCs are usually transient episodes of neurological dysfunction following a traumatic impact, with most symptoms resolving in 7-10 days; however, a small percentage of patients will suffer protracted symptoms for years after the event and may develop chronic neurodegenerative disease...
April 2016: Neurosurgical Focus
John Lloyd, Frank Conidi
OBJECTIVE: Helmets are used for sports, military, and transportation to protect against impact forces and associated injuries. The common belief among end users is that the helmet protects the whole head, including the brain. However, current consensus among biomechanists and sports neurologists indicates that helmets do not provide significant protection against concussion and brain injuries. In this paper the authors present existing scientific evidence on the mechanisms underlying traumatic head and brain injuries, along with a biomechanical evaluation of 21 current and retired football helmets...
March 2016: Journal of Neurosurgery
R Anna Oeur, Clara Karton, Andrew Post, Philippe Rousseau, T Blaine Hoshizaki, Shawn Marshall, Susan E Brien, Aynsley Smith, Michael D Cusimano, Michael D Gilchrist
OBJECT: Concussions typically resolve within several days, but in a few cases the symptoms last for a month or longer and are termed persistent postconcussive symptoms (PPCS). These persisting symptoms may also be associated with more serious brain trauma similar to subdural hematoma (SDH). The objective of this study was to investigate the head dynamic and brain tissue responses of injury reconstructions resulting in concussion, PPCS, and SDH. METHODS: Reconstruction cases were obtained from sports medicine clinics and hospitals...
August 2015: Journal of Neurosurgery
Shinji Nagahiro, Yoshifumi Mizobuchi
We review the current topic in sports-related head injuries including acute subdural hematoma (ASDH), concussion, and chronic traumatic encephalopathy (CTE). Sports-related ASDH is a leading cause of death and severe morbidity in popular contact sports like American football in the USA and judo in Japan. It is thought that rotational acceleration is most likely to produce not only cerebral concussion but also ASDH due to the rupture of a parasagittal bridging vein, depending on the severity of the rotational acceleration injury...
2014: Neurologia Medico-chirurgica
Saint-Aaron Morris, Wesley H Jones, Mark R Proctor, Arthur L Day
The focus of this article is the early recognition and emergent treatment of severe or catastrophic traumatic brain injury. The pathophysiology and management of mild traumatic brain injury are reviewed extensively in other sections. Classification of head injuries can be based on anatomic location (epidural, subdural, intraparenchymal), mechanism of injury (coup, contrecoup, linear, rotational), distribution (focal or diffuse), and clinical presentation. Severe head injuries include epidural hematoma, subdural hematoma, intracerebral contusion/hemorrhage, traumatic subarachnoid hemorrhage, diffuse axonal injury, and malignant brain edema syndrome, either alone or in combinations...
October 2014: Neurosurgery
Sri Kumar, Brian Herbst, Daniel Strickland
Traumatic brain injuries (TBI) are common in sports accidents. Helmets are generally known to provide protection to the head. However, the effectiveness of helmets in mitigating a TBI may be compromised due to the impact location and impact speed. Although it is known that the helmet decreases the linear head accelerations and the resulting head injury potential, to the best of our knowledge, limited research effort has been devoted to the study of the biomechanics of TBI in side impact conditions. The present work is designed to delineate the biomechanics of TBI in a fall impacting the parietal/temporal regions...
2012: Biomedical Sciences Instrumentation
Hayri Kertmen, Bora Gürer, Erdal Resit Yilmaz, Zeki Sekerci
Both chronic subdural hematoma and arachnoid cysts are common lesions in neurosurgical practice. Arachnoid cysts are a well-known predisposing factor for chronic subdural hematoma. Here, we present a 12-year-old taekwondo athlete with chronic subdural hematoma associated with arachnoid cysts. The chronic subdural hematoma was evacuated through 2 burr holes and the patient was discharged in good condition. To our knowledge, this is the first case of chronic subdural hematoma with associated arachnoid cysts in a taekwondo athlete...
2012: Pediatric Neurosurgery
Dan Kraft
Catastrophic head and neck injuries in athletes will always be a great concern in our society. The unpredictability of sports, which gives them the competitiveness that we love, will always make it extremely difficult to eliminate these injuries completely. Medical personal and sports officials need to attack this problem through improved safety equipment and rule changes.
November 2003: Pediatric Annals
Tao Zeng, Song-Sheng Shi, Yu-Feng Lin
The association of chronic subdural hematoma (CSDH) and arachnoid cyst (AC) is uncommon. We reported 2 juvenile athletes with CSDH associated with AC which occurred in their daily sports activities and reviewed the literature. Both of them were treated surgically, with satisfactory outcome. AC is a common predisposing factor in young patients with CSDH. The complication of intracranial bleeding is an indication for surgical management. Though there are still controversies in the treatment of asymptomatic AC, it is the consensus that the patients with AC should avoid violent sports so as to reduce the incidence of intracranial hemorrhage resulted from head injuries...
June 1, 2011: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
Hao-Kuang Wang, Han-Jung Chen, Kang Lu, Po-Chou Liliang, Cheng-Loong Liang, Yu-Duan Tsai, Kuo-Wei Wang
Chronic subdural hematoma is a subdural hematoma that is older than 3 weeks. Chronic subdural hematoma is predominantly a disease of the elderly and is rare in children. Its common manifestations are altered mental state and focal neurological deficits. We report here a rare case of chronic subdural hematoma in a 9-year-old child due to repeated minor dodgeball head injuries. Although such a case has never been reported in sport, the risk still exists. No altered mental state or focal neurological deficits were observed; the child presented with intermittent severe headache with nausea and vomiting...
September 2010: Pediatric Emergency Care
Harald De Cauwer, Roel Van Giel, Luc Mortelmans, Luc van den Hauwe
Subdural haematomas can result from bridging vein rupture. Rotational acceleration in the sagittal plane and in a forward direction, as in falls, is very likely the 'mechanical' cause of subdural haematoma, as shown in cadaveric studies. Some recreational activities, for example roller-coaster rides and bungee jumping, have been associated with subdural haematoma, owing to acceleration/deceleration or repetitive head movements. We report a case of chronic subdural haemorrhage in a male teenager without precipitating factors and no history of head trauma...
August 2009: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
Alaa Alhadad, Stefan Acosta, Latif Sarabi, Tilo Kölbel
We present the case of a 19-year-old male athlete with protein C deficiency who developed proximal deep venous thrombosis and pulmonary embolism while abusing anabolic-androgenic steroids. Anabolic-androgenic steroids have been reported to have anticoagulatory and profibrinolytic effects in patients with protein C deficiency. Despite these antithrombotic effects, the patient developed repeated venous thromboembolism during treatment with low-molecular-weight heparin. The net effect of anabolic-androgenic steroids on the haemostatic system may change from antithrombotic to prothrombotic in male abusers of anabolic steroids with protein C deficiency...
April 2010: Clinical and Applied Thrombosis/hemostasis
Mohamad Zoghi-Moghadam, Ali M Sadegh
Blunt and rotational head impacts due to vehicular collisions, falls and contact sports cause relative motion between the brain and skull. This increases the normal and shear stresses in the (skull/brain) interface region consisting of cerebrospinal fluid (CSF) and subarachnoid space (SAS) trabeculae. The relative motion between the brain and skull can explain many types of traumatic brain injuries (TBI) including acute subdural hematomas (ASDH) and subarachnoid hemorrhage (SAH) which is caused by the rupture of bridging veins that transverse from the deep brain tissue to the superficial meningeal coverings...
February 2009: Computer Methods in Biomechanics and Biomedical Engineering
Gerald McGwin, Jonathan T Zoghby, Russell Griffin, Loring W Rue
BACKGROUND: Golf carts have become a popular mode of transportation off of the links because of their small size, low maintenance, and ease of use. Case reports suggest severe, debilitating injuries as a consequence of golf cart incidents. To date, there has been no national population-based study of golf cart- related injuries. METHODS: The National Electronic Injury Surveillance System identified individuals who visited participating emergency departments from January 1, 2002 to December 31, 2005 for injuries sustained as a result of golf carts...
June 2008: Journal of Trauma
Erhan Türkoğlu, Gökhan Serbes, Metin Sanli, Onur Sari, Zeki Sekerci
Chronic subdural hematomas in young people is extremely rare and has some provoking factors such as V-P shunts, arachnoid cyst, anticoagulant drug usage, vigorous sports and coagulopathies. A static or dynamic mechanical load is almost always delivered to skull associated with either mild or severe head trauma. A 25-year old-man who was previously healthy has complained of intermittent headache for six months. He had been interested in capoiera (Brazilian exciting sport) for two years and has had no any evidence of head injury...
January 2008: Turkish Neurosurgery
Abrar A Wani, A U Ramzan, R Tariq, A R Kirmani, A R Bhat
OBJECTIVES: The aim of the study was the assessment of head injury caused by cricket ball injury in children. In underdeveloped countries, this is particularly important due to the absence of safety precautions. The study was undertaken to increase the public awareness of the need to reduce the morbidity related to this sport. METHODS: This was a prospective study in which all the children <18 years who had sustained head injury due to cricket balls were enrolled...
2008: Pediatric Neurosurgery
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