Miele Vincent J, Bailes Julian E, Martin Neil A
Department of Neurosurgery, West Virginia University School of Medicine, Morgantown, West Virginia 26506-9183, USA.
Neurosurg Focus. 2006 Oct 15;21(4):E9.
Despite a plethora of guidelines for return to play following mild head injury, a discussion of when and if an athlete should be allowed to participate in contact or collision sports if he or she sustains a structural brain lesion or after a head injury requiring craniotomy is lacking. The structural lesions discussed include arachnoid cyst, Chiari malformation Type I, cavum septum pellucidum, and the presence of ventriculoperitoneal shunts. Issues unique to this population with respect to the possibility of increased risk of head injury are addressed. The population of athletes with epilepsy and certain genetic risk factors is also discussed. Finally, the ability of athletes to participate in contact or collision sports after undergoing craniotomies for traumatic or congenital abnormalities is evaluated. Several known instances of athletes returning to contact sports following craniotomy are also reviewed.
尽管有大量关于轻度头部受伤后恢复比赛的指南，但对于运动员在遭受结构性脑损伤后或头部受伤需要开颅手术后，何时以及是否应被允许参加接触性或碰撞性运动，仍缺乏相关讨论。所讨论的结构性损伤包括蛛网膜囊肿、I型Chiari畸形、透明隔腔以及脑室腹腔分流管的存在。文中探讨了这一人群因头部受伤风险增加的可能性而产生的独特问题。还讨论了患有癫痫和某些遗传风险因素的运动员群体。最后，评估了运动员在因创伤性或先天性异常接受开颅手术后参加接触性或碰撞性运动的能力。还回顾了一些已知的运动员开颅术后重返接触性运动的案例。
