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Titre : | The importance of a neck exam in sport-related concussion: Cervical schwannoma in post concussion syndrome (2017) |
Auteurs : | David M. Langelier ; K. Schneider ; John Hurlbert ; et al. |
Type de document : | Article |
Dans : | Physical therapy in sport (2017/3, May 2017) |
Article en page(s) : | p. 84-88 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cou ; Douleur |
Mots-clés: | Syndrome post-commotionnel ; Blessure traumatique de la tête ; Neurinome |
Résumé : |
Objective Few cases of cervical schwannoma have been reported following head trauma. The present case, involves a schwannoma of the C2 spinal nerve mimicking post-concussion symptoms following a sport-related concussion (SRC). Design Case study. Setting University of Calgary, Sport Medicine Clinic, Calgary, Alberta, Canada. Results We report a 28 year old, athlete who developed headache, dizziness, photophobia, and neck pain following a cycling accident. She presented nine months later to our sports clinic with persistent symptoms. She had a normal neurological examination but complained of painful neck range of motion, and exacerbation of symptoms with neck extension. On palpation, a lump was found in the right suboccipital muscles and MRI showed a T2 hyperintense mass at the C1-2 level. The patient underwent resection and histology revealed a schwannoma of the C2 nerve root. Following resection her symptoms improved, with no recurrence at 2 months follow up. Conclusion Our patient's slow recovery following SRC is consistent with a schwannoma formation, which may have been precipitated by the injury itself or merely unmasked from trauma. This case illustrates the importance of a thorough physical examination and broad differential in patients presenting with worsening of symptoms after initial improvement in SRC. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X17300184 |