Kirschen Matthew P, Illes Judy
Continuum (Minneap Minn). 2014 Dec;20(6 Sports Neurology):1683-7. doi: 10.1212/01.CON.0000458965.17777.b0.
The clinical and ethical implications of an asymptomatic 17-year-old competitive football player incidentally found to have a type 1 Chiari malformation without a syrinx on brain imaging are discussed. Considering that patients with Chiari malformations can sustain irreversible neurologic injury or death after a mild head injury, and given the lack of data describing the risk of catastrophic injury after head trauma, the ethics of clearing this athlete to return to play are reviewed.
讨论了一名17岁无症状的竞技足球运动员在脑部成像中偶然发现患有I型Chiari畸形且无脊髓空洞症的临床和伦理意义。鉴于Chiari畸形患者在轻度头部受伤后可能会遭受不可逆的神经损伤或死亡,且缺乏描述头部创伤后灾难性损伤风险的数据,对批准该运动员重返赛场的伦理问题进行了审查。