| Acute on chronic subdural hematoma in a female boxer: a case report. | |
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MedLine Citation:
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PMID: 15514497 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Although the sport of female boxing has a long history, the activity's current popularity is unprecedented. As more women participate, we can expect them to experience many of the serious neurologic injuries observed in their male counterparts. We present the first reported subdural hematoma in a female secondary to boxing and critique management decisions made by the athlete's trainer/coach. CASE REPORT: A 24-yr-old right-handed female boxer developed headaches of increasing intensity, nausea, and emesis after being knocked down while sparring. She was allowed to continue training despite persistent symptoms and participated in a match 2 wk after the incident that was stopped due to intolerable headache. Computed tomography scan of the brain revealed a large heterogeneous subdural fluid collection over the left cerebral hemisphere, causing effacement of the adjacent sulci and a large left-to-right midline shift, consistent with an acute on chronic subdural hematoma. After surgical evacuation, the patient reported persistent memory, concentration, and language problems. Neuropsychological evaluation was performed and revealed deficits in confrontational naming, information retrieval, and concentration difficulty. DISCUSSION: Several factors may increase the female participants' risk for acute neurological injury. The activity's current popularity and high demand with fans results in rapid advancement of inexperienced fighters, which leads to dangerous mismatches. Intergender sparring is common, and return to competition guidelines utilized for male participants are often not adhered to. This report is timely in that female athletes are more often crossing into previously male dominated sports and should serve as a reminder that these participants are vulnerable to similar injuries. Previous safety guidelines should be utilized in this new population of participants. |
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Authors:
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Vincent J Miele; Larry Carson; Ann Carr; Julian E Bailes |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Medicine and science in sports and exercise Volume: 36 ISSN: 0195-9131 ISO Abbreviation: Med Sci Sports Exerc Publication Date: 2004 Nov |
Date Detail:
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Created Date: 2004-10-29 Completed Date: 2005-03-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8005433 Medline TA: Med Sci Sports Exerc Country: United States |
Other Details:
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Languages: eng Pagination: 1852-5 Citation Subset: IM; S |
Affiliation:
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Department of Neurosurgery, West Virginia University School of Medicine, Morgantown, WV 26506-9183, USA. lesvin@adelphia.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Athletic Injuries / complications* Boxing / injuries* Brain / radiography Craniotomy Emergency Medicine / methods Female Glasgow Coma Scale Head Injuries, Closed / complications* Hematoma, Subdural, Acute / diagnosis*, etiology*, surgery Hematoma, Subdural, Chronic / diagnosis*, etiology*, surgery Humans Nervous System Diseases / diagnosis, etiology Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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