- Department of Neurosurgery, University of Pittsburgh Medical Center, Suite 5C, 200 Lothrop St., Pittsburgh, PA, USA
Joseph C. Maroon
Department of Neurosurgery, University of Pittsburgh Medical Center, Suite 5C, 200 Lothrop St., Pittsburgh, PA, USA
DOI:10.4103/2152-7806.151287Copyright: © 2015 Maroon JC. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
How to cite this article: Maroon JC. Handbook of neurological sports medicine concussion and other nervous system injuries in the athlete. Surg Neurol Int 12-Feb-2015;6:23
How to cite this URL: Maroon JC. Handbook of neurological sports medicine concussion and other nervous system injuries in the athlete. Surg Neurol Int 12-Feb-2015;6:23. Available from: http://sni.wpengine.com/surgicalint_articles/handbook-of-neurological-sports-medicine-concussion-and-other-nervous-system-injuries-in-the-athlete/
The authors of this text, authorities in sports medicine, have compiled one of the most all – inclusive and comprehensive books on the diagnosis and management of neurological sports injuries available. With the increased public awareness, particularly of concussion and its sequelae, parents, coaches, athletes, and physicians have an increased responsibility to be aware of the most current concepts in sports-related neurological injuries. One need only survey the table of contents to see how these issues are addressed. Robert Fitzsimmons, Esq., begins with a detailed overview of the medical legal considerations in neurological sports medicine. As the legal counsel for Mike Webster, former Pittsburgh Steeler great and the first professional football player diagnosed with chronic traumatic encephalopathy, he provides awareness of the most important medical legal principles and considerations.
The discussion of the biomechanics, pathophysiology, and the classification of concussions is current, lucid, and well presented. The chapters on evaluation and management of concussions and neuroimaging are also as up to date as any available in the medical literature.
I particularly appreciated their discussion of the neuropsychological assessment in concussion and the various instruments available with a discussion of pros and cons. In the appendix sample concussion checklists and assessment tools for adults and children are supplemented.
The chapter on the neuropathology of chronic traumatic encephalopathy (CTE) is authored by Bennett Omalu, the neuropathologist who first described CTE in football players. The neuropathology of posttraumatic encephalopathy is described and illustrated with firsthand experience. The emerging role of subconcussion is described and referenced by Dr. Julian Bailes, a leader in his field. The second impact syndrome, considerations in return to sports participation, and the management of sports-related injuries of the spine and peripheral nervous system are all covered with remarkable clarity and up to date current references.
Finally the pharmacologic therapy for postconcussion syndrome as well as the discussion of natural neuroprotective agents, both of which deserve much further consideration, are well summarized.
I really have no significant criticism of the book, which I believe should be read and available as a reliable and current resource for all those involved in sports medicine.