Sports Related Concussion Diagnosis and Management 2nd Edition by Brian Sindelar, Julian E Bailes ISBN 1351649663 9781351649667

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ISBN 10: 1351649663 
ISBN 13: 9781351649667
Author: Brian Sindelar, Julian E Bailes

This new edition reflects the explosion of knowledge in basic science and clinical care for athletes with mild traumatic brain injury or concussion. Interest in management and methodology for making diagnoses and improving the clinical outcomes have changed dramatically. All U.S. states have laws dictating how sports concussion patients are cared for and require return to play decisions be coordinated with best practice methods. Epidemiology, classification, and biology of sports concussion, as well as, brain imaging,assessment tests, neuropsychological measures, and management strategies are covered. Illustrative clinical cases, correlative examples, and historical insights are featured.

Sports Related Concussion Diagnosis and Management 2nd Table of contents:

Chapter 1 Introduction to sports related concussion
Introduction
“What’s in a name?”
Concussion or mild traumatic brain injury?
Historical classification
Current definition of concussion
Concussion modifiers
Epidemiology
Sport specific concussion details
Football
Hockey
Soccer
Conclusion
References
Chapter 2 Biomechanics and pathophysiology of concussion
Introduction
Biomechanics of concussion
Direct and indirect impacts
Linear and rotational acceleration
Magnitude of force
Force mitigators
Molecular pathophysiology of concussion
Shortcomings of preclinical and clinical models
Primary and secondary injury
Neurometabolic cascade of concussion
Secondary axotomy
Energy mismatch
Neuroinflammation
Blood–brain barrier breakdown
Conclusion
References
Chapter 3 Acute assessment, diagnosis, and management of the concussed athlete
Introduction
Onfield preparedness
Onfield evaluation and diagnosis
Primary assessment
Secondary assessment
History
Physical exam
Symptoms
Symptom checklists
Sideline assessment tools
Acute management of the concussed player
Concussion in the emergency department
The emergency department evaluation
Concussion neuroimaging in the emergency department
Disposition from the emergency department
Conclusion
References
Chapter 4 Severe head injuries
Introduction
Skull fractures
Hemorrhagic contusion/traumatic intracerebral hemorrhage
Traumatic subarachnoid hemorrhage
Epidural hematoma
Subdural hematoma
Management of focal mass lesions
Arterial dissection
Seizures
Second impact syndrome
Introduction
Presentation
Pathophysiology
“First impact” syndrome
Imaging
Clinical management
Prevention
Conclusion
Case studies
Case 1
Case 2
Case 3
References
Chapter 5 Postconcussive syndrome
Introduction
Definition
Epidemiology
Predictors of prolonged symptoms/PCS
Demographics
Psychiatric conditions
Injury characteristics
Postinjury factors
Pathophysiology
Focused management of PCS clinical symptoms
Somatic symptoms
Fatigue/sleep-related symptoms
Psychiatric/affective symptoms
Exercise therapy
Prolonged postconcussive disorder
Conclusion
References
Chapter 6 Outpatient care of the concussed athlete: Gauging recovery to tailor rehabilitative needs
Introduction
Neuropsychological testing
Types of neuropsychological testing
Value of neuropsychological testing
Limitations with the use of neuropsychological testing
Recommendations for neuropsychological testing administration
Neuropsychological testing as a predictor of poor outcome
Particulars of neuropsychological testing
Baseline testing
Environmental influences
Effort
Adjunctive measures of concussion recovery
Vestibular system and concussion
Vestibular/balance testing
Ocular testing
Electrophysiological testing
Rehabilitation of the concussed athlete
Concussion education
Conclusion
References
Chapter 7 Return to activity following concussion
Introduction
Return to learn
Preclinical and clinical research
Return to learn guidelines
When to consider referral to a concussion specialist
Return-to-work guidelines
Return-to-drive guidelines
Return to play
Preclinical and clinical research
Return-to-play guidelines
Retirement from sport
Conclusion
Case studies
Case 1
Case 2
References
Chapter 8 Neuroimaging in concussion
Introduction
Clinical imaging modalities
Computed tomography (CT)
CT image findings
Cerebral contusion
Subdural hemorrhage
Conventional MRI (cMRI)
cMRI image findings
Cerebral contusion
Diffuse axonal injury
Diffusion weighted imaging (DWI)
Diffusion tensor imaging (DTI)
Experimental imaging modalities
Functional MRI (fMRI)
Task-based fMRI
Resting-state fMRI (RsfMRI)
MR spectroscopy (MRS)
MR perfusion weighted imaging (PWI)
Positron emission tomography (PET)
Single photon emission computed tomography (SPECT)
Magnetoencephalography (MEG)
Conclusion
References
Chapter 9 The advent of subconcussion and chronic traumatic encephalopathy
Introduction
Subconcussion
Preclinical evidence of subconcussion
Clinical evidence of subconcussion
Chronic traumatic encephalopathy
History
Pathological diagnosis of CTE
Co-existing proteinopathies/neurodegerative diseases in CTE
β-Amyloid and Alzheimer’s disease
TDP-43 and amyotrophic lateral sclerosis
α−Synuclein and Parkinson’s disease
Laboratory evidence and proposed molecular mechanism of CTE
Symptomatology of CTE
Clinical diagnosis of CTE
Future directions in CTE
Conclusion
References
Chapter 10 Promising advances in concussion diagnosis and treatment
Introduction
Biomarkers of concussion
Neuronal biomarkers
Ubiquitin carboxyl-terminal hydrolase isoenzyme L1
Neuron specific enolase (NSE)
Spectrin breakdown products (SBDPs)
α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor peptide
Axonal biomarkers
Tau
Neurofilaments
Astroglial biomarkers
S-100
Glial fibrillary astrocytic protein (GFAP)
Biomarkers of inflammation
Limitations of biomarkers
Future role of biomarkers in concussion
Concussion pharmacological agents and treatment remedies
Pharmacotherapy
Hyperbaric oxygen
Hypothermia
Transcranial low level laser therapy
Scalp light emitting diodes
Transcranial magnetic stimulation

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