Headache - Football
HISTORY: An 18-year-old male college football player in his normal state of health was participating in off-season, noncontact, conditioning drills when he suddenly developed a throbbing, posterior headache with associated posterior neck pain. PHYSICAL EXAMINATION: Vital signs stable. Afebrile. Eyes...
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| Published in: | Medicine and science in sports and exercise Vol. 44; no. 5S; p. 151 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
01-05-2012
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| Online Access: | Get full text |
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| Summary: | HISTORY: An 18-year-old male college football player in his normal state of health was participating in off-season, noncontact, conditioning drills when he suddenly developed a throbbing, posterior headache with associated posterior neck pain. PHYSICAL EXAMINATION: Vital signs stable. Afebrile. Eyes closed due to his severe headache but interactive and cooperative throughout the examination. Cardiovascular and respiratory exam were normal. DIFFERENTIAL DIAGNOSIS: 1. Meningitis 2. Migraine Headache 3. Tension Headache TESTS AND RESULTS: Noncontrast Head CT in ED - Acute intraparenchymal hemorrhage of the right thalamus with intraventricular extension CTA of the Head on Second Day of Hospital Stay - Acute intraparenchymal hemorrhage with right thalamic arteriovenous malformation measuring 1.8 cm in diameter FINAL WORKING DIAGNOSIS Intracranial Arteriovenous Malformation (AVM) TREATMENT AND OUTCOMES 1. Stereotactic radiosurgery for treatment of AVM 2. Medical exemption from football this year 3. Currently cleared for weightlifting 4. Discussion with neurosurgery within the next year on return to play options |
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| Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 content type line 23 ObjectType-Feature-2 |
| ISSN: | 0195-9131 |