Continuum of care and longitudinal recovery in a 17-year-old athlete with second impact syndrome

Second impact syndrome (SIS) is an uncommon, but devastating sports-related structural brain injury that results from a second head injury before complete recovery from an initial concussion. The pathophysiology of second impact syndrome is poorly understood, but is hypothesized to involve loss of a...

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Bibliographic Details
Published in:Brain injury 2023-03, Vol.37 (4), p.303-307
Main Authors: Enam, Nabela, Deng, Hansen, Race, Nicholas S, Majid, Dewan S, Okonkwo, David O, Franzese, Kevin M
Format: Article
Language:English
Subjects:
Adolescent
Athletes
Athletic Injuries - complications
Brain Concussion - complications
Brain Concussion - diagnostic imaging
Continuity of Patient Care
Football - injuries
Humans
Syndrome
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Summary:Second impact syndrome (SIS) is an uncommon, but devastating sports-related structural brain injury that results from a second head injury before complete recovery from an initial concussion. The pathophysiology of second impact syndrome is poorly understood, but is hypothesized to involve loss of autoregulation, diffuse cerebral edema, with progression to rapid brain herniation syndromes. Here, we present a case of second impact syndrome in an adolescent high school football player who experienced acute brain herniation and coma. Following stabilization, the patient underwent comprehensive, multidisciplinary rehabilitation in order to achieve significant recovery. A narrative detailing the patient's recovery from one-year post-injury is reviewed.
ISSN:0269-9052
1362-301X
DOI:10.1080/02699052.2022.2158227