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Sports Medicine

Concussion

09/03/2008

Question:

My 13 year old son suffered a concussion playing school football. The concussion was defined as a grade 2, and his CT scan was normal. This is post-concussion day 3. Other than some fatigue and diminishing neck pain, his symptoms are gone. His activites are currently limited to school (no gym) and rest. We know that he should follow this routine for 7 days, but we are getting conflicting information on a return to football. What are the guidelines? (Also to be considered is the fact that he had epilepsy when he was a very young child. He had his last seizure 10 years ago, and he has been off of medicine and 8 years.)

Answer:

Colorado Medical Society Guidelines recommend that with a Grade 2 concussion, that an athlete be completely asymptomatic for 1 week before returning to play.  His history of epilepsy is not a factor to determine when he should return to play. 

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Response by:

Charles Webster, MD
Assistant Professor
College of Medicine
University of Cincinnati