Concussion

 

FACTS

 

HPI

     

    PHYSICAL EXAM

    IMAGING

    CTH will most likely be negative, but if an MRI is obtained you will likely see evdence of DAI
    Figure 1: (LEFT) negative CT scan (RIGHT) Grade 1 R frontal DAI
    Figure 1: (LEFT) negative CT scan (RIGHT) Grade 1 R frontal DAI
    A/P
    • Generally do not obtain further imaging beyond CTH unless a strong indication (patient is really far off from baseline, confused, not following commands) → if indicated, start with an MRI Brain w/o contrast with SWAN sequences to evaluate for diffuse axonal injury
    • return to play gradually after 24-48h rest
    • Concussion clinic referral