Book contents
- Post-traumatic Epilepsy
- Post-traumatic Epilepsy
- Copyright page
- Contents
- Contributors
- Foreword
- Preface
- Chapter 1 Neurobiological Aspects of Post-traumatic Epilepsy: Lessons from Animal Models
- Chapter 2 Post-traumatic Epilepsy: Epidemiology, Definition and Terminology
- Chapter 3 Traumatic Brain Injury: The Acute Management and Prevention Programmes
- Chapter 4 Critical Care Management of Traumatic Brain Injury
- Chapter 5 Post-traumatic Epilepsy in Children
- Chapter 6 Sport-related Concussive Convulsions
- Chapter 7 Accidents and Injuries during Seizures
- Chapter 8 Cognitive Rehabilitation of Traumatic Brain Injury and Post-traumatic Epilepsy
- Chapter 9 Neuropsychiatric Consequences of Moderate to Severe Traumatic Brain Injury
- Chapter 10 Traumatic Brain Injury and Psychogenic Nonepileptic Seizures
- Chapter 11 Post-traumatic Epilepsy and Post-traumatic Stress Disorder
- Chapter 12 Antiepileptogenic Therapies for Post-traumatic Epilepsy: Is There Any Evidence?
- Chapter 13 Effects of Antiepileptic Drugs on Cognition
- Chapter 14 Post-traumatic Epilepsy in Low Income Countries
- Index
- References
Chapter 6 - Sport-related Concussive Convulsions
Published online by Cambridge University Press: 10 August 2021
- Post-traumatic Epilepsy
- Post-traumatic Epilepsy
- Copyright page
- Contents
- Contributors
- Foreword
- Preface
- Chapter 1 Neurobiological Aspects of Post-traumatic Epilepsy: Lessons from Animal Models
- Chapter 2 Post-traumatic Epilepsy: Epidemiology, Definition and Terminology
- Chapter 3 Traumatic Brain Injury: The Acute Management and Prevention Programmes
- Chapter 4 Critical Care Management of Traumatic Brain Injury
- Chapter 5 Post-traumatic Epilepsy in Children
- Chapter 6 Sport-related Concussive Convulsions
- Chapter 7 Accidents and Injuries during Seizures
- Chapter 8 Cognitive Rehabilitation of Traumatic Brain Injury and Post-traumatic Epilepsy
- Chapter 9 Neuropsychiatric Consequences of Moderate to Severe Traumatic Brain Injury
- Chapter 10 Traumatic Brain Injury and Psychogenic Nonepileptic Seizures
- Chapter 11 Post-traumatic Epilepsy and Post-traumatic Stress Disorder
- Chapter 12 Antiepileptogenic Therapies for Post-traumatic Epilepsy: Is There Any Evidence?
- Chapter 13 Effects of Antiepileptic Drugs on Cognition
- Chapter 14 Post-traumatic Epilepsy in Low Income Countries
- Index
- References
Summary
Sports-related concussive (SRC) convulsions are defined as episodes of transient, abnormal movements, occurring immediately following a head injury and after which an individual returns to a normal or only mildly altered level of consciousness (GCS 13-15). These episodes do not recur in the absence of a repeat head injury. While SRC-convulsions were once assumed to be early manifestations of post-traumatic epilepsy (PTE), they are now recognized as a distinct clinical entity. The pathophysiology of this clinical entity is largely unknown, with hypotheses suggesting either hypoxia-related functional decerebration or functional decerebration from shear forces on the ascending reticular activating formation. Due to the relative dearth of studies on SRC-convulsions, robust epidemiologic data are lacking, and the exact incidence is unknown. The diagnosis of SRC-convulsions is largely clinical, relying on detailed history and observed convulsion semiology. Electroencephalography (EEG) and neuroimaging studies, including computed tomography (CT) and magnetic resonance imaging (MRI), are of limited utility in the work-up of SRC-convulsions. Management with anti-epileptic drugs (AEDs) appears to be unnecessary, and follow-up should occur similarly to any concussed patient. Ultimately, more research is needed to better understand SRC-convulsions.
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- Post-traumatic Epilepsy , pp. 90 - 96Publisher: Cambridge University PressPrint publication year: 2021