@article{ref1,
title="An unusual presentation of a minor head injury sustained during a game of rugby",
journal="Emergency medicine journal",
year="2007",
author="Rimal, Debesh and Thapa, Sonu R. and Munasinghe, Namal and Errington, Mark",
volume="24",
number="7",
pages="485-486",
abstract="In the UK, about 2% of the population attend the accident and emergency (A&E) department every year after a head injury. A majority of the patients have minor head injury and are discharged. Studies reveal that patients who reattend the A&E after a minor head injury represent a high-risk group. Concussion injuries are common and not all require treatment at the time of presentation. However, some may worsen after initial presentation and develop signs of serious head injury. A case of minor head injury as a result of head butt during a game of rugby, not associated with alteration in conscious state or focal neurological signs, and subsequent development of frontal lobe abscess a month later is reported. It is important that patients fit to be discharged at the time of consultation are discharged in the care of a responsible adult with clear head injury instruction sheets and are advised to return should their symptoms change. A high index of suspicion should be maintained and an early imaging technique, such as CT scan should be considered in patients reattending the A&E with persistent symptoms even after minor head injury.<p /> <p>Language: en</p>",
language="en",
issn="1472-0205",
doi="10.1136/emj.2006.042895",
url="http://dx.doi.org/10.1136/emj.2006.042895"
}