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2014 ; 20
(6 Sports Neurology
): 1570-87
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Pediatric issues in sports concussions
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Giza CC
Continuum (Minneap Minn)
2014[Dec]; 20
(6 Sports Neurology
): 1570-87
PMID25470161
show ga
PURPOSE OF REVIEW: Sports-related concussions are receiving increasing attention
in both the lay press and medical literature. While most media attention has been
on high-profile collegiate or professional athletes, the vast majority of
individuals participating in contact and collision sports are adolescents and
children. This review provides a practical approach toward youth sports-related
concussion with a foundation in the recent guidelines, but including specific
considerations when applying these management principles to children and
adolescents. RECENT FINDINGS: Objective measurement of early signs and symptoms
is challenging in younger patients, and many commonly used assessment tools await
rigorous validation for younger patients. Excellent evidence-based guidelines
exist for CT evaluation of mild traumatic brain injury presenting to the
emergency department. Evidence suggests that recovery from sports-related
concussion takes longer in high school athletes compared with collegiate or
professionals; however, rigorous studies below high school age are still lacking.
SUMMARY: Proper care for concussion in youth requires a delicate balance of
clinical skills, age-appropriate assessment, and individualized management to
achieve optimal outcomes.
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