Podell Kenneth, Presley Chase, Derman Howard
Department of Neurology, Weill-Cornell Medical College, Houston Methodist Hospital, Houston Methodist Concussion Center, 6560 Fannin Street, Suite 1840, Houston, TX 77030, USA.
Department of Neurology, Houston Methodist Hospital, Houston Methodist Concussion Center, 6560 Fannin Street, Suite 1840, Houston, TX 77030, USA.
Neurol Clin. 2017 Aug;35(3):435-450. doi: 10.1016/j.ncl.2017.03.003.
The sideline assessment of concussions is a complex multisystem assessment to detect whether an athlete shows signs or symptoms of concussion and should be removed from practice or competition to prevent greater neurologic compromise. Sideline concussion assessments are challenging given some of the environmental conditions, substitution rules of some sports, the possibility of athletes underreporting symptoms, and the difficulties of defining a concussion. The SCAT is the standard of care and is augmented with other procedures to enhance sensitivity and specificity. Serial assessments acutely are important to detect any evolving neurologic emergencies. This article provides a detailed review of the procedures in performing a sideline concussion assessment.
脑震荡的场边评估是一项复杂的多系统评估，旨在检测运动员是否出现脑震荡的体征或症状，以及是否应停止训练或比赛，以防止更严重的神经功能损害。鉴于一些环境条件、某些运动的换人规则、运动员可能少报症状以及定义脑震荡的困难，场边脑震荡评估具有挑战性。SCAT是护理标准，并辅以其他程序以提高敏感性和特异性。急性期的系列评估对于检测任何不断发展的神经急症很重要。本文详细回顾了进行场边脑震荡评估的程序。
