@article{ref1,
title="Is it really the result of a concussion? Lessons from a case study",
journal="Sports medicine open",
year="2019",
author="McGeown, Joshua P. and Hume, Patria A. and Kara, Stephen and Neary, J. Patrick and Gardner, Will",
volume="5",
number="1",
pages="e8-e8",
abstract="BACKGROUND: Within the last two decades, attitudes have shifted from considering sports-related concussion as an insignificant minor injury with no long-term repercussions to a potentially serious brain injury garnering attention from media, clinicians, researchers, and the general public. <br><br>OBJECTIVES: To conduct a case study to determine the underlying cause of persistent issues suspected to be associated with a history of sports-related concussion. PROTOCOL: Participant A underwent neurophysiological testing following the Neary protocol (assessment of cerebrovascular and cardiovascular variables), comprehensive concussion assessment at a dedicated sports concussion clinic (history, neurological assessment, cervical spine screening, vestibulo-ocular screening, SCAT-5, and exercise testing), referral to a neurologist, structural MRI scan, and referral for specialised assessment at a dedicated dizziness and balance centre. <br><br>RESULTS: Despite a history of multiple sports-related concussions, Participant A's persistent symptom reports were associated with peripheral vestibular dysfunction and otolithic dysfunction seemingly unrelated to his concussion history. <br><br>DISCUSSION: Lessons from Participant A's case study showed that on-going symptoms that patients may associate with the effects of concussions may instead be due to unrelated causes that share similar symptomology. <br><br>CONCLUSION: This research exemplifies the importance of a multi-disciplinary assessment using a repeated testing protocol.<p /> <p>Language: en</p>",
language="en",
issn="2199-1170",
doi="10.1186/s40798-019-0181-4",
url="http://dx.doi.org/10.1186/s40798-019-0181-4"
}