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Neuro Block 5 > Concussion > Flashcards

Flashcards in Concussion Deck (23)
1

Why does the definition of a concussion use the term "impulse" instead of "impact"?

Because you don't need to hit your head to have a consussion - acceleration/deceleration injuries can cause them as well

2

What are the common symptoms you'll see in concussion?

headache, nausea, vertigo, fogginess, difficulty reading, difficulty concentrating, mood issues, withdrawn

symptoms worse with activity and stimulation - light sound and motion

3

WHat are sort of three reasons why a concussion patient can develop a depression

1. it can be a chemical response to the trauma
2. it can be a social reactive response to the fact that they've had to stop activity
3. chronic pain from headaches can also lead to a depression

4

DUring what time frame after a concussion do you become more prone to a 2nd concussion> Why?

for the following 10 days

this is because the 1st concussion likely slowed reaction time, altered spatial awareness, and impaired concentration - these all make you more prone to a second injury

5

How long does the average concussion last?

7-10 days

6

What is the emergent condition that can occur after a concussion

more specifically after the SECOND concussion in a short period of time - second impact syndrome, where the injured brain swells dramatically - this is malignant intracranial hypertension

7

According to MN Law, what is a coach's responsibility in concussion?

Groups that have sports for which people have to pay a fee to play must require their coaches to take an online training on concussion every 3 years

plus, if the player signs a consent form to play, there must be information on concussion risk and the rules for when they get a concussion

8

You are supposed to remove a player from play with both a SUSPECTED and confirmed concussion. When can they return to play?

It varies...

return to play after no symptoms, clearance by a healthcare provider - clearance in writing!

9

What are the goals in standardized testing for concussion?

1. to get a baseline function
2. to objectify a deficit in concussion
3. to gauge improvement after concussion

10

What are two options for side line testing of concussions?

the SCAT 2 is long and hard to administer

the King-Devick involves a test of visual tracking with voluntary and involuntary pathways from frontal, parietal, occipital, limbic and brainstem structures

11

Why do you frequently see "improvement" post concussionon ImPACT testing?

people sandbag the baseline test

12

The average high school football player receives ___ 20 g hits per season.

900

13

A study showing steady memory decline in hockey players over the course of the season without frank diagnosis of concussion brought about what controverial idea?

that there may be such a thing as a "silent concussion"

14

It takes __x as long to recover from a 2nd concussion than it did form the 1st.

2x -found by spect MRI

15

Who seems to get concussions worse, girls or boys?

girls - may be that the girls are just more honest, or it may be that they have more ligament laxity causing grater force to the brain durin injury

16

Brain atrophy will start in boxers after how man fights? In what are of the brain first?

after only 15 fights - in the thalamus first

17

What are the 4 sort of physiological reactions to concussion?

1. you have increased energy demand and increased glucos utilization in the injured area = perfusion mismatch
2. disruption of ion channel function
3. calcium influx
4. dynamic fluid changes in the white matter
5. changes in the network connectivity

18

CTE exhibits tauopathy. Where does tau usually live?

it's usually in the microtubules of axons. when the axons are injured, it can leak out and trigger the brain to lay down amyloid and start an immune response

19

Where does tau protein deposition usually occur in the brain from CTE?

perivascular, in the amygdala, thalamus and sulcal depths

(different from AD because that's usually closer to the cortex surface)

20

What happens to the BBB in concussion?

it seems to get disrupted somehow - an antibody that blocks the inflammatory changes decreases TBI symptoms

21

When do you typically give someone the diagnosis of a post concussive syndrome?

when the patient has persistent symptoms beyond 1 month

22

what might the symptoms of post concussive syndrome actually be?

it could just be a chronic headache disorder that was triggered by the initial concussion

23

What are Dr. Kanoff's two basic criteria for advising retirement from sport?

- 4 concussion in 4 years with each lasting 7 days
- 3 or more concussive events with progressive increasing deficits by both duration and severity