Key result
A second head impact sustained before initial concussion symptoms resolved resulted in devastating second impact syndrome despite a normal head CT scan between the two impacts.
Case Report (n=1)
This case report provides novel neuroimaging insights obtained between first and second impacts in a pediatric athlete with second impact syndrome.
Premature return to play for the concussed pediatric athlete may result in devastating neurological injury. Identification of at-risk patients and ideal management of the concussed athlete remain challenging for the pediatrician. The authors review a case of second impact syndrome in which neuroimaging was obtained between the first and second impacts, a circumstance which to their knowledge has not been previously reported. This case offers new insights into the underlying pathophysiology of this disease process and potential risk factors for its development.
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Weinstein et al. (2013) conducted a case report in Second impact syndrome (n=1). Second head impact before concussion symptom resolution was evaluated. A second head impact sustained before initial concussion symptoms resolved resulted in devastating second impact syndrome despite a normal head CT scan between the two impacts.
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