Department of Family Practice, University of Washington, Seattle, Washington.
Sports Health. 2010 Sep;2(5):391-4. doi: 10.1177/1941738110374628.
Most concussions in sports medicine are managed without advanced neurological imaging. However, computed tomography and magnetic resonance imaging are sometimes used in the management of complex sports concussions to identify acute/delayed intracranial bleeding or other associated pathology. Advances in imaging techniques have led to greater resolution and the identification of pathology of uncertain clinical significance. This report describes the presence of persistent cerebral microhemorrhages identified on magnetic resonance imaging in a collegiate football player who suffered a concussion. The associated risks and clinical significance of cerebral microhemorrhages have not been determined in the young athletic population. This case highlights provocative issues in the management of sports concussions as related to findings on modern neurological imaging and their potential implication on to return-to-play considerations.
在运动医学中，大多数脑震荡无需进行高级神经影像学检查即可进行管理。然而，在处理复杂的运动性脑震荡时，计算机断层扫描和磁共振成像有时会用于识别急性/延迟性颅内出血或其他相关病变。成像技术的进步提高了分辨率，并能识别出具有不确定临床意义的病变。本报告描述了一名大学生足球运动员脑震荡后磁共振成像上显示的持续脑微出血。在年轻运动员人群中，尚未确定脑微出血的相关风险和临床意义。该病例突出了与现代神经影像学检查结果相关的运动性脑震荡管理中的争议问题及其对重返赛场考虑的潜在影响。
