TY  - JOUR
PY  - 2019//
TI  - Is it really the result of a concussion? Lessons from a case study
JO  - Sports medicine open
A1  - McGeown, Joshua P.
A1  - Hume, Patria A.
A1  - Kara, Stephen
A1  - Neary, J. Patrick
A1  - Gardner, Will
SP  - e8
EP  - e8
VL  - 5
IS  - 1
N2  - 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>
LA  - en
SN  - 2199-1170
UR  - http://dx.doi.org/10.1186/s40798-019-0181-4
ID  - ref1
ER  -