TY - JOUR PY - 2007// TI - An unusual presentation of a minor head injury sustained during a game of rugby JO - Emergency medicine journal A1 - Rimal, Debesh A1 - Thapa, Sonu R. A1 - Munasinghe, Namal A1 - Errington, Mark SP - 485 EP - 486 VL - 24 IS - 7 N2 - 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.

Language: en

LA - en SN - 1472-0205 UR - http://dx.doi.org/10.1136/emj.2006.042895 ID - ref1 ER -