OBJECTIVE: To present the case of 2 adolescent high school student-athletes who developed postconcussion syndrome with protracted and limiting visual complaints that markedly affected academic, social, and athletic activity for a year after the onset of symptoms. Both had significant improvement soon after a unique intervention was administered. BACKGROUND: A 14-year-old female soccer and softball player sustained 2 concussions in the same week. She had persistent symptoms for a year that affected her grades and precluded athletic participation. A 15-year-old male football player sustained a concussion during an altercation with 2 other male adolescents. He continued to have symptoms 1 year later, with a marked decrease in academic performance and restriction from athletics. Both adolescents reported blurry vision, photophobia, and associated headache as significant components of the postconcussion syndrome. DIFFERENTIAL DIAGNOSIS: Concussion, postconcussion syndrome, skull fracture, subdural hematoma, epidural hematoma, second-impact syndrome, and visually sensitive migraine. TREATMENT: Both patients were advised to obtain computer gaming glasses to use throughout the day. The female patient was diligent in her use of the glasses, with marked lessening of symptoms. The male patient was less accepting of the glasses but did report lessening of symptoms when using the glasses. UNIQUENESS: We hypothesized that postconcussion syndrome with marked visual complaints would respond to and improve with decreased stimulation of the visual system. This was attempted with the addition of computer gaming glasses. Both adolescent athletes responded well to the filtering of visual stimuli by off-the-shelf computer gaming glasses. CONCLUSIONS: Postconcussion syndrome is a persistent condition with a myriad of symptoms. Two young athletes developed postconcussion syndrome with prominent visual symptoms that lasted a year. The addition of computer gaming glasses markedly lessened symptoms in both patients.
OBJECTIVE: To present the case of 2 adolescent high school student-athletes who developed postconcussion syndrome with protracted and limiting visual complaints that markedly affected academic, social, and athletic activity for a year after the onset of symptoms. Both had significant improvement soon after a unique intervention was administered. BACKGROUND: A 14-year-old female soccer and softball player sustained 2 concussions in the same week. She had persistent symptoms for a year that affected her grades and precluded athletic participation. A 15-year-old male football player sustained a concussion during an altercation with 2 other male adolescents. He continued to have symptoms 1 year later, with a marked decrease in academic performance and restriction from athletics. Both adolescents reported blurry vision, photophobia, and associated headache as significant components of the postconcussion syndrome. DIFFERENTIAL DIAGNOSIS: Concussion, postconcussion syndrome, skull fracture, subdural hematoma, epidural hematoma, second-impact syndrome, and visually sensitive migraine. TREATMENT: Both patients were advised to obtain computer gaming glasses to use throughout the day. The female patient was diligent in her use of the glasses, with marked lessening of symptoms. The male patient was less accepting of the glasses but did report lessening of symptoms when using the glasses. UNIQUENESS: We hypothesized that postconcussion syndrome with marked visual complaints would respond to and improve with decreased stimulation of the visual system. This was attempted with the addition of computer gaming glasses. Both adolescent athletes responded well to the filtering of visual stimuli by off-the-shelf computer gaming glasses. CONCLUSIONS: Postconcussion syndrome is a persistent condition with a myriad of symptoms. Two young athletes developed postconcussion syndrome with prominent visual symptoms that lasted a year. The addition of computer gaming glasses markedly lessened symptoms in both patients.
Authors: Paul McCrory; Willem Meeuwisse; Mark Aubry; Bob Cantu; Jiri Dvorak; Ruben J Echemendia; Lars Engebretsen; Karen Johnston; Jeffrey S Kutcher; Martin Raftery; Allen Sills; Brian W Benson; Gavin A Davis; Richard G Ellenbogen; Kevin M Guskiewicz; Stanley A Herring; Grant Iverson; Barry D Jordan; James Kissick; Michael McCrea; Andrew S McIntosh; David L Maddocks; Michael Makdissi; Laura Purcell; Margot Putukian; Michael Turner; Kathryn Schneider; Charles H Tator Journal: Clin J Sport Med Date: 2013-03 Impact factor: 3.638
Authors: Corwin Boake; Stephen R McCauley; Harvey S Levin; Claudia Pedroza; Charles F Contant; James X Song; Sharon A Brown; Heather Goodman; Susan I Brundage; Pedro J Diaz-Marchan Journal: J Neuropsychiatry Clin Neurosci Date: 2005 Impact factor: 2.198
Authors: Kimberly G Harmon; Jonathan A Drezner; Matthew Gammons; Kevin M Guskiewicz; Mark Halstead; Stanley A Herring; Jeffrey S Kutcher; Andrea Pana; Margot Putukian; William O Roberts Journal: Br J Sports Med Date: 2013-01 Impact factor: 13.800
Authors: Sarah B Rockswold; Philip C Burton; Amy Chang; Nova McNally; Andrea Grant; Gaylan L Rockswold; Walter C Low; Lynn E Eberly; Essa Yacoub; Christophe Lenglet Journal: J Neurotrauma Date: 2018-08-28 Impact factor: 5.269
Authors: Ann Mansur; Tyler M Hauer; Mohammed Wasif Hussain; Mohammed K Alatwi; Apameh Tarazi; Mozhgan Khodadadi; Charles H Tator Journal: J Neurotrauma Date: 2018-08-15 Impact factor: 5.269