A boxer with a pipeline stent in the brain- Should this boxer be allowed to participate in professional boxing fight?

Nitin K Sethi
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Abstract

Professional boxing is a popular combat sport which unfortunately carries a high risk of acute traumatic brain injury (TBI). The nature of the sport is such that every punch thrown to the opponent’s head is thrown with the intention of winning by causing a concussive head injury (aka a knockout). Professional boxing is regulated by various State Athletic Commissions in the United States and abroad. Most commissions require an imaging study of the brain (either a computed tomography scan or a magnetic resonance scan) prior to licensure. The primary goal of neuroimaging prior to licensure is to identify and/or exclude coincidental or clinically suspected brain lesions which may pose a risk for rupture, bleeding, or other catastrophic brain injury during a bout/training. These lesions include aneurysms, arteriovenous malformations, cavernous malformations, large venous malformations, Vein of Galan malformations among others. A boxer with history of a left ophthalmic artery aneurysm status post embolization with placement of a pipeline shield in the distal left internal carotid artery (ICA) presented for licensure. Should this boxer be allowed to participate in professional boxing is debated.
一个大脑中有管道支架的拳击手——这个拳击手应该被允许参加职业拳击比赛吗?
职业拳击是一项受欢迎的格斗运动,不幸的是,它有很高的急性创伤性脑损伤风险。这项运动的本质是,每一拳打在对手的头上,都是为了通过造成头部震荡损伤(又称击倒)来获胜。职业拳击由美国和国外的各个州体育委员会监管。大多数委员会要求在获得许可之前对大脑进行成像研究(计算机断层扫描或磁共振扫描)。在获得许可之前,神经成像的主要目标是识别和/或排除巧合或临床上怀疑的脑损伤,这些损伤可能在比赛/训练期间造成破裂、出血或其他灾难性脑损伤的风险。这些病变包括动脉瘤、动静脉畸形、海绵状畸形、大静脉畸形、加兰静脉畸形等。一名有左眼动脉瘤病史的拳击手在栓塞后在左颈内动脉(ICA)远端放置管道护罩以获得许可。这个拳击手是否应该被允许参加职业拳击比赛是有争议的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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