Tag Archives: Diagnosis

Provocative Second-Impact Syndrome Article Headlines Latest Issue of Concussion Litigation Reporter

The September issue of Concussion Litigation Reporter features many great stories. But one in particular may strike a nerve. Steven E. Pachman, Esq., Montgomery McCracken Walker & Rhoads and Kimberly L. Sachs, Villanova University Charles Widger School of Law co-wrote an article entitled “Second Impact Syndrome: Diagnosis versus Myth.”

Other stories in the issue include:

Appeals Court Grants Relief to Riddell in Coverage Action

Jury Awards Concussed Softball Player $1.1 Million

Court Filing Urges Helmet Requirements to Protect Women Lacrosse Players

New Study Suggests Brain is in Recovery Mode Long After Athletes Have Been Cleared to Return to Play

The Golden State’s Golden Payouts No Longer Available to All Retired Athletes

Insurance Company and Conference Reportedly Settle Coverage Question

Letters of Protection, Deferred Medical Payments, and the Law

Attorney Assails CTE Study, Praises the Benefits of ‘Combat’ Sports

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New Study Identifies Way to Treat Sports-Related Concussions Using Telemedicine

An estimated 1.6 to 3.8 million traumatic brain injuries occur every year, according to the Centers for Disease Control and Prevention. More than 75 percent of the injuries are sports-related mild traumatic brain injuries or concussions.

While this issue is being recognized at the professional and elite levels, many youth and collegiate athletic programs across the U.S. lack the adequate medical personnel, specifically concussion specialists, to handle these injuries on the sidelines in real time.

Doctors at Mayo Clinic, in collaboration with the Northern Arizona University football team, conducted a study, Feasibility and Accuracy of Teleconcussion for Acute Evaluation of Suspected Concussion, which was recently published in the journal Neurology. The study, funded by Mayo Clinic, focuses on concussion specialists using telemedicine technology to determine if a player needs to be removed from play in real time.

“Telemedicine has been shown to be a safe and effective means to evaluate and treat numerous acute neurologic conditions, including stroke,” says Amaal Starling, M.D., neurologist and concussion expert at Mayo Clinic. “Now, doctors are starting to explore using telemedicine to manage concussions.”

Dr. Starling and Bert Vargas, M.D., director of the concussion program at UT Southwestern Medical Center, evaluated 11 consecutive male collegiate football players who suffered from a suspected concussion over two football seasons. All athletes received face-to-face baseline examination scores, including a symptom severity checklist, Standardized Assessment of Concussion, King-Devick test, and modified Balance Error Scoring System.

In total, 123 athletes were enrolled in the study, 50 of whom participated through two seasons.

During two football seasons, athletes with suspected concussions were evaluated in person by Northern Arizona University medical personnel and certified athletic trainers. Simultaneously, Dr. Vargas or Dr. Starling would perform a concussion examination via a telemedicine robot.

“During the remote examination, we had the ability to ask additional questions and repeat any portion of the physical evaluation,” says Dr. Vargas. “The decision as to whether or not the athlete should be removed from play was made by both the athletic trainer and neurologist.”

Both physicians had high agreement with the evaluation scoring and 100 percent agreement of the most important decision — removal from play. This suggests neurologists may be able to use telemedicine to manage concussions, make removal from play decisions, and close the gaps in medical care by providing all collegiate and youth athletes similar concussion care as professional athletes receive.

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Concussion Legacy Foundation: More Than 100 Former College Football Players Have Now Been Diagnosed with CTE

The Concussion Legacy Foundation announced yesterday that former players from over 100 college football programs have now been diagnosed with chronic traumatic encephalopathy (CTE) at the VA-BU-CLF Brain Bank. 15 colleges have had 3 or more confirmed cases, and those schools have combined for 64 national championships. Every conference within the Power 5 (ACC, Big 10, Big 12, Pac 12 and SEC) has at least one school represented in those 15 colleges with the most CTE diagnoses.

“This information is being released to raise awareness that CTE is not just an issue for professional football players,” said our co-founder and CEO Chris Nowinski. “The data should not be interpreted to say that players from these schools are at greater risk than other college players. Instead, the data shows the widespread reach of this disease, and the commitment by the alumni and their families of these schools to support CTE research by participating in brain donation.”

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