title: Diagnosis and management of sports-related concussion: a 15-year-old athlete with a concussion.
abstract: Concussion in youth athletes is a growing problem worldwide. During the past decade, significant progress has been made in standardization of the assessment of young athletes, and a growing appreciation of metabolic vulnerability, activity, and cognitive challenges has led to guidelines and suggestions for rest from the field as well as cognitive rest from school. Outcome data have begun to establish groups linked to symptom class, genetics, and sex who are at risk of worse outcomes from concussions. Decisions regarding return to activity are now based on at-rest symptoms, graded increases in activity, and neuropsychological testing. Using the case of Ms X, a 15-year-old otherwise healthy high school student who fell while skiing, evaluation, prognosis, and management of concussion are discussed.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Harvard Medical School, and Spaulding Rehabilitation Hospital Network, 125 Nashua St, Boston, MA 02114, USA. rzafonte@partners.org
authors.forename: Ross
authors.initials: R
authors.lastname: Zafonte
mesh_terms: D000058:Accidental Falls; D000293:Adolescent; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D001265:Athletic Injuries / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D001924:Brain Concussion / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control / Q000628:therapy*; D006259:Craniocerebral Trauma / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control / Q000628:therapy; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D007052:Ibuprofen / Q000008:administration & dosage; D008487:Medical History Taking; D019547:Neck Pain / Q000209:etiology; D010808:Physical Examination; D011379:Prognosis; D020127:Recovery of Function; D012008:Recurrence; D012865:Skiing / Q000293:injuries; D014474:Unconsciousness
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D007052:Ibuprofen