Radiographic and neurobehavioral profile of sports-related concussion associated with scholastic wrestling: a case report

Wentao Li, Celia Chang, Shannon Liang, Erin D. Bigler

Research output: Contribution to journalArticle

Abstract

Sports-related concussions (SRCs) are typically characterized by transient neurologic deficits due to physiologic and metabolic brain injury. However, following an SRC, subsequent insults may lead to severe and permanent injury in the affected brain cells. We present the case of a 15-year-old female scholastic wrestler who developed acute encephalopathy, macroscopic white matter injury on imaging, and chronic behavioral changes from inadequate neuro-recovery after a documented SRC. We also compare her case with established SRC data, demonstrating that wrestling-related concussions and repetitive head impacts can produce similar degrees of diffuse neuroinflammation, myelinated axonopathy, blood-brain barrier disruption, and post-concussive symptoms.

Original languageEnglish (US)
Pages (from-to)147-155
Number of pages9
JournalNeurocase
Volume26
Issue number3
DOIs
StatePublished - May 3 2020

Keywords

  • longitudinal outcomes
  • neurobehavior
  • neuroimaging
  • repetitive head injury
  • scholastic wrestling
  • Sports related concussion
  • sub-concussive Injury
  • traumatic brain injury

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology

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