Sport-related concussion: "how many is too many?".

Abstract:

:The long-term effects of multiple sport-related concussions are currently at the center of debate in the popular press and scientific community. The question, "How many concussions are too many," is frequently asked in the competitive sport environment by parents, athletes, and coaches. While research suggests that a history of concussion influences the risk and recovery from subsequent concussion, studies investigating the long-term effects of multiple concussions are less conclusive. This paper reviews the literature on multiple concussions and the potential long-term consequences of these injuries. Furthermore, this paper addresses how concussion history can inform clinical and return-to-play decisions. Recent studies incorporating novel brain imaging and electrophysiological technology for assessing residual impairment from multiple concussions are reviewed and the clinical implications of this work are discussed.

journal_name

Transl Stroke Res

authors

Elbin RJ,Covassin T,Henry L,Whalen DJ,Wedge J,Kontos AP

doi

10.1007/s12975-012-0237-y

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

425-31

issue

4

eissn

1868-4483

issn

1868-601X

journal_volume

4

pub_type

杂志文章,评审
  • Intracerebral hemorrhage: clinical overview and pathophysiologic concepts.

    abstract::Intracerebral hemorrhage is by far the most destructive form of stroke. Apart from the management in a specialized stroke or neurological intensive care unit (NICU), no specific therapies have been shown to consistently improve outcomes after ICH. Current guidelines endorse early aggressive optimization of physiologic...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-012-0175-8

    authors: Rincon F,Mayer SA

    更新日期:2012-07-01 00:00:00

  • Translational strategies for neuroprotection in ischemic stroke--focusing on acid-sensing ion channel 1a.

    abstract::Ischemic stroke contributes to the majority of brain injuries and remains to be a leading cause of death and long-term disability. Despite the devastating pathology and high incidence of disease, there remain only few treatment options (TPA and endovascular procedures), which may be hampered by time-dependent administ...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-013-0319-5

    authors: O'Bryant Z,Vann KT,Xiong ZG

    更新日期:2014-02-01 00:00:00

  • Neuroimaging of stroke and ischemia in animal models.

    abstract::Magnetic resonance imaging (MRI) has dramatically changed our ability to diagnose and treat stroke as well as follow its evolution and response to treatment. Early stroke and ischemia can be visualized using diffusion-weighted imaging that utilizes water diffusion within tissues as a reporter for evolving neuropatholo...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-011-0139-4

    authors: Obenaus A,Ashwal S

    更新日期:2012-03-01 00:00:00

  • Precision Stroke Animal Models: the Permanent MCAO Model Should Be the Primary Model, Not Transient MCAO.

    abstract::An argument for preclinical stroke research to make more use of the permanent middle cerebral artery occlusion (MCAO) model, rather than transient MCAO, is presented. Despite STAIR recommending permanent MCAO as the primary model, preclinical stroke research has not been listened. In 2012, Hossmann reported that 64% o...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-017-0554-2

    authors: McBride DW,Zhang JH

    更新日期:2017-07-17 00:00:00

  • Respiratory motor control disrupted by spinal cord injury: mechanisms, evaluation, and restoration.

    abstract::Pulmonary complications associated with persistent respiratory muscle weakness, paralysis, and spasticity are among the most important problems faced by patients with spinal cord injury when lack of muscle strength and disorganization of reciprocal respiratory muscle control lead to breathing insufficiency. This revie...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-011-0114-0

    authors: Terson de Paleville DG,McKay WB,Folz RJ,Ovechkin AV

    更新日期:2011-12-01 00:00:00

  • Healthcare Economics of Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage in the United States.

    abstract::Hydrocephalus is one of the most common sequelae after aneurysmal subarachnoid hemorrhage (aSAH), and it is a large contributor to the condition's high rates of readmission and mortality. Our objective was to quantify the healthcare resource utilization (HCRU) and health economic burden incurred by the US health syste...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-019-00697-9

    authors: Adil SM,Liu B,Charalambous LT,Kiyani M,Gramer R,Swisher CB,Verbick LZ,McCabe A,Parente BA,Pagadala P,Lad SP

    更新日期:2019-12-01 00:00:00

  • A Brain-Targeted Orally Available ROCK2 Inhibitor Benefits Mild and Aggressive Cavernous Angioma Disease.

    abstract::Cavernous angioma (CA) is a vascular pathology caused by loss of function in one of the 3 CA genes (CCM1, CCM2, and CCM3) that result in rho kinase (ROCK) activation. We investigated a novel ROCK2 selective inhibitor for the ability to reduce brain lesion formation, growth, and maturation. We used genetic methods to e...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-019-00725-8

    authors: McKerracher L,Shenkar R,Abbinanti M,Cao Y,Peiper A,Liao JK,Lightle R,Moore T,Hobson N,Gallione C,Ruschel J,Koskimäki J,Girard R,Rosen K,Marchuk DA,Awad IA

    更新日期:2020-06-01 00:00:00

  • How to Measure Recovery? Revisiting Concepts and Methods for Stroke Studies.

    abstract::In clinical trials, assessing efficacy is based on validated scales, and the primary endpoint is usually based on a single scale. The aim of the review is to revisit the concepts and methods to design and analyze studies focused on restoration, recovery and or compensation. These studies are becoming more frequent wit...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-016-0488-0

    authors: Hommel M,Detante O,Favre I,Touzé E,Jaillard A

    更新日期:2016-10-01 00:00:00

  • Distal occlusion of the middle cerebral artery in mice: are we ready to assess long-term functional outcome?

    abstract::Rodent animal models of stroke are widely used with brain ischemia inducible by various occlusion methods. Permanent or transient occlusion of the distal portion of the middle cerebral artery (MCAO) offers a reproducible model with low mortality rates, and it is the most likely model of choice for mid- and long-term s...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-012-0234-1

    authors: Rosell A,Agin V,Rahman M,Morancho A,Ali C,Koistinaho J,Wang X,Vivien D,Schwaninger M,Montaner J

    更新日期:2013-06-01 00:00:00

  • Vascular and Tissue Changes of Magnetic Susceptibility in the Mouse Brain After Transient Cerebral Ischemia.

    abstract::Quantitative susceptibility mapping (QSM) has been recently introduced as a novel MRI post-processing technique of gradient recalled echo (GRE) data. QSM is useful in depicting both brain anatomy and for detecting abnormalities. Its utility in the context of ischemic stroke has, however, not been extensively character...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-017-0591-x

    authors: Vaas M,Deistung A,Reichenbach JR,Keller A,Kipar A,Klohs J

    更新日期:2018-08-01 00:00:00

  • Mixed cerebrovascular disease and the future of stroke prevention.

    abstract::Stroke prevention efforts typically focus on either ischemic or hemorrhagic stroke. This approach is overly simplistic due to the frequent coexistence of ischemic and hemorrhagic cerebrovascular disease. This coexistence, termed "mixed cerebrovascular disease", offers a conceptual framework that appears useful for str...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-012-0185-6

    authors: Fisher M,Vasilevko V,Cribbs DH

    更新日期:2012-07-01 00:00:00

  • Positron Emission Tomography After Ischemic Brain Injury: Current Challenges and Future Developments.

    abstract::Positron emission tomography (PET) is widely used in clinical and animal studies, along with the development of diverse tracers. The biochemical characteristics of PET tracers may help uncover the pathophysiological consequences of cardiac arrest (CA) and ischemic stroke, which include cerebral ischemia and reperfusio...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-019-00765-0

    authors: Wang Z,Mascarenhas C,Jia X

    更新日期:2020-08-01 00:00:00

  • Chronic Systemic Immune Dysfunction in African-Americans with Small Vessel-Type Ischemic Stroke.

    abstract::The incidence of small vessel-type (lacunar) ischemic strokes is greater in African-Americans compared to whites. The chronic inflammatory changes that result from lacunar stroke are poorly understood. To elucidate these changes, we measured serum inflammatory and thrombotic biomarkers in African-Americans at least 6 ...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-015-0424-8

    authors: Brown CM,Bushnell CD,Samsa GP,Goldstein LB,Colton CA

    更新日期:2015-12-01 00:00:00

  • A brief history of behavioral assessment following experimental traumatic brain injury in juveniles.

    abstract::This review focuses on assessment of behavioral outcomes following traumatic brain injury in juvenile animal models. In the 15 years since the first publication in this field, the majority of studies have used rats roughly equivalent to human toddlers in terms of brain development. Few studies have tested ages closer ...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-011-0132-y

    authors: Hartman RE

    更新日期:2011-12-01 00:00:00

  • An Endovascular Perforation Model of Subarachnoid Haemorrhage in Rat Produces Heterogeneous Infarcts that Increase with Blood Load.

    abstract::Subarachnoid haemorrhage (SAH) is a devastating disease and a major burden on society. Despite this, pharmacological treatment options are limited. Appropriate animal modelling of SAH is essential for the development of neuroprotective drugs, but experimental SAH often fails to produce widespread neuronal loss, as fre...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-011-0124-y

    authors: Greenhalgh AD,Rothwell NJ,Allan SM

    更新日期:2012-03-01 00:00:00

  • Left Atrial Appendage Closure for Patients with Cerebral Amyloid Angiopathy and Atrial Fibrillation: the LAA-CAA Cohort.

    abstract::Anticoagulation increases the risk of intracerebral hemorrhage (ICH) in patients with cerebral amyloid angiopathy (CAA), so the management of stroke-risk in patients with both atrial fibrillation (AF) and CAA is controversial. Advances in left atrial appendage closure (LAAC) techniques provide a stroke-risk-reduction ...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-020-00838-5

    authors: Schrag M,Mac Grory B,Nackenoff A,Eaton J,Mistry E,Kirshner H,Yaghi S,Ellis CR

    更新日期:2020-08-07 00:00:00

  • Epigenetics and the environment: in search of the "toleroasome" vital to execution of ischemic preconditioning.

    abstract::Activation and repression of gene expression are key features of ischemic tolerance. Converging lines of inquiry from several groups suggests that epigenetic proteins may transduce sublethal stresses, including bioenergetic or oxidative stress into durable (2-3 days) changes in gene expression that mediate ischemic to...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-012-0235-0

    authors: Brand D,Ratan RR

    更新日期:2013-02-01 00:00:00

  • Neurovascular injury in acute hyperglycemia and diabetes: A comparative analysis in experimental stroke.

    abstract:BACKGROUND:Admission hyperglycemia impacts ischemic stroke deleteriously but the relative role of acute hyperglycemia (HG) versus diabetes in the pathogenesis of this poor outcome is not clear. PURPOSE:To determine the effect of acute HG on neurovascular outcomes of stroke under control and diabetic conditions. METHO...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-011-0083-3

    authors: Elgebaly MM,Ogbi S,Li W,Mezzetti EM,Prakash R,Johnson MH,Bruno A,Fagan SC,Ergul A

    更新日期:2011-09-01 00:00:00

  • Acute and chronic vascular responses to experimental focal arterial stroke in the neonate rat.

    abstract::The presence of active developmental angiogenesis and vascular outgrowth in the postnatal brain may differentially affect vascular responses to stroke in newborns and adults, but very little is known about the dynamics of vascular injury and re-growth after stroke during the neonatal period. In this study we used a cl...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-012-0214-5

    authors: Fernández-López D,Faustino J,Derugin N,Vexler ZS

    更新日期:2013-04-01 00:00:00

  • Activation of Sigma-1 Receptor Enhanced Pericyte Survival via the Interplay Between Apoptosis and Autophagy: Implications for Blood-Brain Barrier Integrity in Stroke.

    abstract::Stroke is a cerebrovascular disorder that affects many people worldwide. Pericytes play an important role in stroke progression and recovery. The sigma-1 receptor (σ-1R) signaling pathway has been suggested as having promising neuroprotective potential in treating stroke; however, whether σ-1R activation regulates per...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-019-00711-0

    authors: Zhang Y,Zhang X,Wei Q,Leng S,Li C,Han B,Bai Y,Zhang H,Yao H

    更新日期:2020-04-01 00:00:00

  • Tissue plasminogen activator induced delayed edema in experimental porcine intracranial hemorrhage: reduction with plasminogen activator inhibitor-1 administration.

    abstract::Hematoma puncture and subsequent clot lysis with recombinant tissue plasminogen activator (rtPA) emerged as an alternative therapy for spontaneous intracerebral hemorrhage (ICH) and is associated with delayed edema possibly counteracting the beneficial effects of hematoma volume reduction. We hypothesized that immedia...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-012-0188-3

    authors: Keric N,Maier GS,Samadani U,Kallenberg K,Dechent P,Brueck W,Heuer J,Rohde V

    更新日期:2012-07-01 00:00:00

  • Biomarkers of Acute Stroke Etiology (BASE) Study Methodology.

    abstract::Acute ischemic stroke affects over 800,000 US adults annually, with hundreds of thousands more experiencing a transient ischemic attack. Emergent evaluation, prompt acute treatment, and identification of stroke or TIA (transient ischemic attack) etiology for specific secondary prevention are critical for decreasing fu...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-017-0537-3

    authors: Jauch EC,Barreto AD,Broderick JP,Char DM,Cucchiara BL,Devlin TG,Haddock AJ,Hicks WJ,Hiestand BC,Jickling GC,June J,Liebeskind DS,Lowenkopf TJ,Miller JB,O'Neill J,Schoonover TL,Sharp FR,Peacock WF

    更新日期:2017-05-05 00:00:00

  • Noninvasive Measurements of Cerebral Blood Flow, Oxygen Extraction Fraction, and Oxygen Metabolic Index in Human with Inhalation of Air and Carbogen using Magnetic Resonance Imaging.

    abstract::Noninvasive magnetic resonance (MR) methods have been explored to provide quantitative measurements of cerebral blood flow (CBF), oxygen extraction fraction (OEF), and oxygen metabolic index (OMI = CBF × OEF). In this study, we sought to evaluate whether MR measured OEF, CBF, and OMI can consistently detect the expect...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-011-0142-9

    authors: An H,Sen S,Chen Y,Powers WJ,Lin W

    更新日期:2012-06-01 00:00:00

  • Experimental subarachnoid hemorrhage: double cisterna magna injection rat model--assessment of delayed pathological effects of cerebral vasospasm.

    abstract::Aneurysmal subarachnoid hemorrhage comprises of an early phase after the bleeding and a late phase of delayed consequences of the bleeding. The development of delayed injury mechanisms, like the reduction of cerebral blood flow (CBF) due to cerebral vasospasm (CVS), seems mainly to depend on the amount and the duratio...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-015-0392-z

    authors: Güresir E,Schuss P,Borger V,Vatter H

    更新日期:2015-06-01 00:00:00

  • VGF, Which Is Induced Transcriptionally in Stroke Brain, Enhances Neurite Extension and Confers Protection Against Ischemia In Vitro.

    abstract::Ischemic stroke is a devastating neural event as currently no therapies other than physical rehabilitation are available to enhance recovery after stroke. To identify endogenous mediators to repair stroke brain, we performed the expression profiling analysis of transcripts in the mouse photothrombotic stroke brain. Ba...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-015-0401-2

    authors: Sakamoto M,Miyazaki Y,Kitajo K,Yamaguchi A

    更新日期:2015-08-01 00:00:00

  • Author Correction: Predictors for Intracranial Hemorrhage Following Intravenous Thrombolysis in Posterior Circulation Stroke.

    abstract::In the original publication of the article, there was a switched order of author names. ...

    journal_title:Translational stroke research

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s12975-018-0618-y

    authors: Dorňák T,Král M,Sedláčková Z,Šaňák D,Čecháková E,Divišová P,Zapletalová J,Kaňovský P

    更新日期:2018-12-01 00:00:00

  • Shifts in Leukocyte Counts Drive the Differential Expression of Transcriptional Stroke Biomarkers in Whole Blood.

    abstract::Our group recently identified a panel of ten genes whose RNA expression levels in whole blood have utility for detection of stroke. The purpose of this study was to determine the mechanisms by which these genes become differentially expressed during stroke pathology. First, we assessed the transcriptional distribution...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-018-0623-1

    authors: O'Connell GC,Treadway MB,Tennant CS,Lucke-Wold N,Chantler PD,Barr TL

    更新日期:2019-02-01 00:00:00

  • SIRT1 regulation modulates stroke outcome.

    abstract::Silent information regulator 1 (SIRT1) is a NAD+-dependent histone deacetylase that represses gene expression and plays a role in longevity. SIRT1 responds to diverse stress conditions and regulates metabolism in nutrient deficiency conditions; therefore, it is involved in adaptive pathways to better fulfill tissue ne...

    journal_title:Translational stroke research

    pub_type: 杂志文章,评审

    doi:10.1007/s12975-013-0277-y

    authors: Petegnief V,Planas AM

    更新日期:2013-12-01 00:00:00

  • A New Angiographic Collateral Grading System for Acute Basilar Artery Occlusion Treated with Endovascular Therapy.

    abstract::Poor clinical outcomes despite endovascular therapy (EVT) are common in patients with acute basilar artery occlusion (BAO). We aimed to develop a new angiographic collateral grading system for predicting 90-day functional outcomes of acute BAO after EVT. A prospectively registered consecutive cohort of acute BAO patie...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-020-00856-3

    authors: Gao F,Tong X,Sun X,Miao Z

    更新日期:2020-09-28 00:00:00

  • Recombinant T cell receptor ligand treatment improves neurological outcome in the presence of tissue plasminogen activator in experimental ischemic stroke.

    abstract::RTL1000 is a partial human MHC molecule coupled to a human myelin peptide. We previously demonstrated that RTL1000 was protective against experimental ischemic stroke in HLA-DR2 transgenic (DR2-Tg) mice. Since thrombolysis with recombinant tissue plasminogen activator (t-PA) is a standard therapy for stroke, we determ...

    journal_title:Translational stroke research

    pub_type: 杂志文章

    doi:10.1007/s12975-014-0348-8

    authors: Zhu W,Libal NL,Casper A,Bodhankar S,Offner H,Alkayed NJ

    更新日期:2014-10-01 00:00:00