重复性运动相关脑震荡后延长的创伤后头痛

Liza Smirnoff
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引用次数: 0

摘要

背景:人类和动物研究表明,重复性损伤有病理性脑改变和认知功能障碍增加的证据。病例介绍:我们提出的情况下,长期持续的脑震荡后轻微脑震荡后的症状,在设置多个先前的脑震荡。在这个病例中,一名29岁的男子在骑山地自行车时被树枝撞到头盔造成轻微伤害,一个月来他每天都出现中度持续性头痛。在过去的五年中,他曾经历过一次与运动无关的脑震荡并失去意识,以及至少两次与运动有关的脑震荡,每隔一到两周就会出现头痛和头晕。在最初的评估中,他报告了持续的光敏,在屏幕上工作困难,以及间歇性头晕,失眠,易怒,焦虑和快感缺乏。在使用血清素-去甲肾上腺素再摄取抑制剂(SSRI)治疗三个月后,头痛症状完全消失,但他报告了一些持续的焦虑和抑郁症状。结论:本病例报告强调了长期影响,以及需要更具体的恢复活动指南,为患者多次脑震荡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prolonged Post Traumatic Headache after Repetitive Sports Related Concussions
Background: Human and animal studies have shown evidence of pathological brain changes as well as increased cognitive dysfunction with repetitive injury. Case Presentation: We present a case of prolonged persistent post concussive symptoms after a mild concussion, in the setting of multiple prior concussions. In this case a 29-year-old man presented for a moderate persistent daily headache for one month after a minor injury due to a branch hitting his helmet while mountain biking. He had previously sustained one non-sports related concussion with loss of consciousness as well as at least two other sports related concussions in the past five years which caused one-to-two-week intervals of headaches and dizziness. At initial evaluation he reported persistent photosensitivity, difficulty working on screens, as well as intermittent lightheadedness, insomnia, irritability, anxiety, and anhedonia. Symptoms of headache completely resolved over the course of three months with serotonin norepinephrine reuptake inhibitors (SSRI) management, but he reported some persistent anxiety and depressive symptoms. Conclusion: This case report highlights the long-term impact as well as the need for more specific return to activity guidelines for patients with multiple prior concussions.
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