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. 2004 Oct;38(5):516–519. doi: 10.1136/bjsm.2004.014811

Can we manage sport related concussion in children the same as in adults?

P McCrory 1, A Collie 1, V Anderson 1, G Davis 1
PMCID: PMC1724912  PMID: 15388528

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Selected References

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  1. Albright J. P., McAuley E., Martin R. K., Crowley E. T., Foster D. T. Head and neck injuries in college football: an eight-year analysis. Am J Sports Med. 1985 May-Jun;13(3):147–152. doi: 10.1177/036354658501300301. [DOI] [PubMed] [Google Scholar]
  2. Alexander M. P. Mild traumatic brain injury: pathophysiology, natural history, and clinical management. Neurology. 1995 Jul;45(7):1253–1260. doi: 10.1212/wnl.45.7.1253. [DOI] [PubMed] [Google Scholar]
  3. Anderson V., Catroppa C., Morse S., Haritou F., Rosenfeld J. Outcome from mild head injury in young children: a prospective study. J Clin Exp Neuropsychol. 2001 Dec;23(6):705–717. doi: 10.1076/jcen.23.6.705.1015. [DOI] [PubMed] [Google Scholar]
  4. Annegers J. F., Hauser W. A., Coan S. P., Rocca W. A. A population-based study of seizures after traumatic brain injuries. N Engl J Med. 1998 Jan 1;338(1):20–24. doi: 10.1056/NEJM199801013380104. [DOI] [PubMed] [Google Scholar]
  5. Aubry M., Cantu R., Dvorak J., Graf-Baumann T., Johnston K., Kelly J., Lovell M., McCrory P., Meeuwisse W., Schamasch P. Summary and agreement statement of the First International Conference on Concussion in Sport, Vienna 2001. Recommendations for the improvement of safety and health of athletes who may suffer concussive injuries. Br J Sports Med. 2002 Feb;36(1):6–10. doi: 10.1136/bjsm.36.1.6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Bleiberg J., Garmoe W. S., Halpern E. L., Reeves D. L., Nadler J. D. Consistency of within-day and across-day performance after mild brain injury. Neuropsychiatry Neuropsychol Behav Neurol. 1997 Oct;10(4):247–253. [PubMed] [Google Scholar]
  7. Bruce D. A., Alavi A., Bilaniuk L., Dolinskas C., Obrist W., Uzzell B. Diffuse cerebral swelling following head injuries in children: the syndrome of "malignant brain edema". J Neurosurg. 1981 Feb;54(2):170–178. doi: 10.3171/jns.1981.54.2.0170. [DOI] [PubMed] [Google Scholar]
  8. Bruce D. A. Delayed deterioration of consciousness after trivial head injury in childhood. Br Med J (Clin Res Ed) 1984 Sep 22;289(6447):715–716. doi: 10.1136/bmj.289.6447.715. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Collie A., Darby D., Maruff P. Computerised cognitive assessment of athletes with sports related head injury. Br J Sports Med. 2001 Oct;35(5):297–302. doi: 10.1136/bjsm.35.5.297. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Collie A., Maruff P., Makdissi M., McStephen M., Darby D. G., McCrory P. Statistical procedures for determining the extent of cognitive change following concussion. Br J Sports Med. 2004 Jun;38(3):273–278. doi: 10.1136/bjsm.2003.000293. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Collie Alexander, Maruff Paul, Darby David G., McStephen Michael. The effects of practice on the cognitive test performance of neurologically normal individuals assessed at brief test-retest intervals. J Int Neuropsychol Soc. 2003 Mar;9(3):419–428. doi: 10.1017/S1355617703930074. [DOI] [PubMed] [Google Scholar]
  12. Collie Alexander, Maruff Paul, Makdissi Michael, McCrory Paul, McStephen Michael, Darby David. CogSport: reliability and correlation with conventional cognitive tests used in postconcussion medical evaluations. Clin J Sport Med. 2003 Jan;13(1):28–32. doi: 10.1097/00042752-200301000-00006. [DOI] [PubMed] [Google Scholar]
  13. Dacey R. G., Jr, Alves W. M., Rimel R. W., Winn H. R., Jane J. A. Neurosurgical complications after apparently minor head injury. Assessment of risk in a series of 610 patients. J Neurosurg. 1986 Aug;65(2):203–210. doi: 10.3171/jns.1986.65.2.0203. [DOI] [PubMed] [Google Scholar]
  14. Echemendia R. J., Julian L. J. Mild traumatic brain injury in sports: neuropsychology's contribution to a developing field. Neuropsychol Rev. 2001 Jun;11(2):69–88. doi: 10.1023/a:1016651217141. [DOI] [PubMed] [Google Scholar]
  15. Field Melvin, Collins Michael W., Lovell Mark R., Maroon Joseph. Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes. J Pediatr. 2003 May;142(5):546–553. doi: 10.1067/mpd.2003.190. [DOI] [PubMed] [Google Scholar]
  16. Finch C. F., McIntosh A. S., McCrory P. What do under 15 year old schoolboy rugby union players think about protective headgear? Br J Sports Med. 2001 Apr;35(2):89–94. doi: 10.1136/bjsm.35.2.89. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Finch C. F., McIntosh A. S., McCrory P., Zazryn T. A pilot study of the attitudes of Australian Rules footballers towards protective headgear. J Sci Med Sport. 2003 Dec;6(4):505–511. doi: 10.1016/s1440-2440(03)80275-x. [DOI] [PubMed] [Google Scholar]
  18. Gerberich S. G., Priest J. D., Boen J. R., Straub C. P., Maxwell R. E. Concussion incidences and severity in secondary school varsity football players. Am J Public Health. 1983 Dec;73(12):1370–1375. doi: 10.2105/ajph.73.12.1370. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Guskiewicz Kevin M., McCrea Michael, Marshall Stephen W., Cantu Robert C., Randolph Christopher, Barr William, Onate James A., Kelly James P. Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study. JAMA. 2003 Nov 19;290(19):2549–2555. doi: 10.1001/jama.290.19.2549. [DOI] [PubMed] [Google Scholar]
  20. Hahn Y. S., McLone D. G. Risk factors in the outcome of children with minor head injury. Pediatr Neurosurg. 1993 May-Jun;19(3):135–142. doi: 10.1159/000120718. [DOI] [PubMed] [Google Scholar]
  21. Jennett B. Epidemiology of head injury. J Neurol Neurosurg Psychiatry. 1996 Apr;60(4):362–369. doi: 10.1136/jnnp.60.4.362. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Johnston K. M., McCrory P., Mohtadi N. G., Meeuwisse W. Evidence-Based review of sport-related concussion: clinical science. Clin J Sport Med. 2001 Jul;11(3):150–159. doi: 10.1097/00042752-200107000-00005. [DOI] [PubMed] [Google Scholar]
  23. Kors E. E., Terwindt G. M., Vermeulen F. L., Fitzsimons R. B., Jardine P. E., Heywood P., Love S., van den Maagdenberg A. M., Haan J., Frants R. R. Delayed cerebral edema and fatal coma after minor head trauma: role of the CACNA1A calcium channel subunit gene and relationship with familial hemiplegic migraine. Ann Neurol. 2001 Jun;49(6):753–760. doi: 10.1002/ana.1031. [DOI] [PubMed] [Google Scholar]
  24. Liberman Joshua N., Stewart Walter F., Wesnes Keith, Troncoso Juan. Apolipoprotein E epsilon 4 and short-term recovery from predominantly mild brain injury. Neurology. 2002 Apr 9;58(7):1038–1044. doi: 10.1212/wnl.58.7.1038. [DOI] [PubMed] [Google Scholar]
  25. Lovell M. R., Iverson G. L., Collins M. W., McKeag D., Maroon J. C. Does loss of consciousness predict neuropsychological decrements after concussion? Clin J Sport Med. 1999 Oct;9(4):193–198. doi: 10.1097/00042752-199910000-00002. [DOI] [PubMed] [Google Scholar]
  26. Macciocchi S. N., Barth J. T., Alves W., Rimel R. W., Jane J. A. Neuropsychological functioning and recovery after mild head injury in collegiate athletes. Neurosurgery. 1996 Sep;39(3):510–514. [PubMed] [Google Scholar]
  27. Maddocks D. L., Dicker G. D., Saling M. M. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32–35. doi: 10.1097/00042752-199501000-00006. [DOI] [PubMed] [Google Scholar]
  28. McCrea M., Kelly J. P., Randolph C., Kluge J., Bartolic E., Finn G., Baxter B. Standardized assessment of concussion (SAC): on-site mental status evaluation of the athlete. J Head Trauma Rehabil. 1998 Apr;13(2):27–35. doi: 10.1097/00001199-199804000-00005. [DOI] [PubMed] [Google Scholar]
  29. McCrory P. R., Berkovic S. F. Second impact syndrome. Neurology. 1998 Mar;50(3):677–683. doi: 10.1212/wnl.50.3.677. [DOI] [PubMed] [Google Scholar]
  30. McCrory P., Johnston K. M., Mohtadi N. G., Meeuwisse W. Evidence-based review of sport-related concussion: basic science. Clin J Sport Med. 2001 Jul;11(3):160–165. doi: 10.1097/00042752-200107000-00006. [DOI] [PubMed] [Google Scholar]
  31. Ommaya A. K., Goldsmith W., Thibault L. Biomechanics and neuropathology of adult and paediatric head injury. Br J Neurosurg. 2002 Jun;16(3):220–242. doi: 10.1080/02688690220148824. [DOI] [PubMed] [Google Scholar]
  32. PICKLES W. Acute general edema of the brain in children with head injuries. N Engl J Med. 1950 Apr 20;242(16):607–611. doi: 10.1056/NEJM195004202421602. [DOI] [PubMed] [Google Scholar]
  33. Ponsford J., Willmott C., Rothwell A., Cameron P., Ayton G., Nelms R., Curran C., Ng K. T. Cognitive and behavioral outcome following mild traumatic head injury in children. J Head Trauma Rehabil. 1999 Aug;14(4):360–372. doi: 10.1097/00001199-199908000-00005. [DOI] [PubMed] [Google Scholar]
  34. Snoek J. W., Minderhoud J. M., Wilmink J. T. Delayed deterioration following mild head injury in children. Brain. 1984 Mar;107(Pt 1):15–36. doi: 10.1093/brain/107.1.15. [DOI] [PubMed] [Google Scholar]
  35. Tate R. L., McDonald S., Lulham J. M. Incidence of hospital-treated traumatic brain injury in an Australian community. Aust N Z J Public Health. 1998 Jun;22(4):419–423. doi: 10.1111/j.1467-842x.1998.tb01406.x. [DOI] [PubMed] [Google Scholar]
  36. Teasdale G. M., Murray G., Anderson E., Mendelow A. D., MacMillan R., Jennett B., Brookes M. Risks of acute traumatic intracranial haematoma in children and adults: implications for managing head injuries. BMJ. 1990 Feb 10;300(6721):363–367. doi: 10.1136/bmj.300.6721.363. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Wrightson P., Gronwall D. Mild head injury in New Zealand: incidence of injury and persisting symptoms. N Z Med J. 1998 Mar 27;111(1062):99–101. [PubMed] [Google Scholar]
  38. Yeates K. O., Luria J., Bartkowski H., Rusin J., Martin L., Bigler E. D. Postconcussive symptoms in children with mild closed head injuries. J Head Trauma Rehabil. 1999 Aug;14(4):337–350. doi: 10.1097/00001199-199908000-00003. [DOI] [PubMed] [Google Scholar]

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