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Structural brain injury in sports-related concussion

机译：体育相关脑震荡的结构脑损伤

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Object: Sports-related concussions (SRCs) represent a significant and growing public health concern. The vast majority of SRCs produce mild symptoms that resolve within 1-2 weeks and are not associated with imaging-documented changes. On occasion, however, structural brain injury occurs, and neurosurgical management and intervention is appropriate. Methods: A literature review was performed to address the epidemiology of SRC with a targeted focus on structural brain injury in the last half decade. MEDLINE and PubMed databases were searched to identify all studies pertaining to structural head injury in sports-related head injuries. Results: The literature review yielded a variety of case reports, several small series, and no prospective cohort studies. Conclusions: The authors conclude that reliable incidence and prevalence data related to structural brain injuries in SRC cannot be offered at present. A prospective registry collecting incidence, management, and follow-up data after structural brain injuries in the setting of SRC would be of great benefit to the neurosurgical community.
机译：对象：与体育相关的脑震荡（SRCs）代表着一个重要和不断增长的公共卫生问题。绝大多数Srcs产生轻度症状，可在1-2周内解决，并且与成像记录的变化无关。然而，有时，发生结构脑损伤，而神经外科管理和干预是合适的。方法：进行文献综述，以解决SRC的流行病学，以目标重点关注过去半年的结构脑损伤。搜索MEDLINE和PUBMED数据库，以确定与体育相关头部伤害的结构头部损伤有关的所有研究。结果：文献综述产生了各种案例报告，几个小系列，也没有未来的队列研究。结论：作者得出结论，目前无法提供与SRC结构脑损伤有关的可靠发病率和患病率数据。在SRC设置中结构脑损伤后，预期登记处收集率，管理和后续数据将对神经外科界具有很大的益处。

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