{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:15:28Z","timestamp":1790144128733,"version":"4.0.1"},"reference-count":43,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec>\n<jats:title>OBJECT<\/jats:title>\n<jats:p>The goal in this review was to summarize the results of clinical neuroimaging studies performed in patients with sports-related concussion (SRC) who were referred to a multidisciplinar ypediatric concussion program.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>The authors conducted a retrospective review of medical records and neuroimaging findings for all patients referred to a multidisciplinary pediatric concussion program between September 2013 and July 2014. Inclusion criteria were as follows: 1) age \u2264 19 years; and 2) physician-diagnosed SRC. All patients underwent evaluation and follow-up by the same neurosurgeon. The 2 outcomes examined in this review were the frequency of neuroimaging studies performed in this population (including CT and MRI) and the findings of those studies. Clinical indications for neuroimaging and the impact of neuroimaging findings on clinical decision making were summarized where available. This investigation was approved by the local institutional ethics review board.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>A total of 151 patients (mean age 14 years, 59% female) were included this study. Overall, 36 patients (24%) underwent neuroimaging studies, the results of which were normal in 78% of cases. Sixteen percent of patients underwent CT imaging; results were normal in 79% of cases. Abnormal CT findings included the following: arachnoid cyst (1 patient), skull fracture (2 patients), suspected intracranial hemorrhage (1 patient), and suspected hemorrhage into an arachnoid cyst (1 patient). Eleven percent of patients underwent MRI; results were normal in 75% of cases. Abnormal MRI findings included the following: intraparenchymal hemorrhage and sylvian fissure arachnoid cyst (1 patient); nonhemorrhagic contusion (1 patient); demyelinating disease (1 patient); and posterior fossa arachnoid cyst, cerebellar volume loss, and nonspecific white matter changes (1 patient).<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Results of clinical neuroimaging studies are normal in the majority of pediatric patients with SRC. However, in selected cases neuroimaging can provide information that impacts decision making about return to play and retirement from the sport.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2015.1.peds14510","type":"journal-article","created":{"date-parts":[[2015,6,2]],"date-time":"2015-06-02T15:08:50Z","timestamp":1433257730000},"page":"241-247","source":"Crossref","is-referenced-by-count":52,"title":["Neuroimaging findings in pediatric sports-related concussion"],"prefix":"10.3171","volume":"16","author":[{"given":"Michael J.","family":"Ellis","sequence":"first","affiliation":[{"name":"Departments of Surgery,"},{"name":"Pediatrics and Child Health, and"},{"name":"Section of Neurosurgery, University of Manitoba,"},{"name":"Pan Am Clinic, and"},{"name":"Children\u2019s Hospital Research Institute of Manitoba, Canada North Concussion Network, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff","family":"Leiter","sequence":"additional","affiliation":[{"name":"Departments of Surgery,"},{"name":"Pan Am Clinic, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Hall","sequence":"additional","affiliation":[{"name":"Pan Am Clinic, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"McDonald","sequence":"additional","affiliation":[{"name":"Departments of Surgery,"},{"name":"Pediatrics and Child Health, and"},{"name":"Section of Neurosurgery, University of Manitoba,"},{"name":"Pan Am Clinic, and"},{"name":"Children\u2019s Hospital Research Institute of Manitoba, Canada North Concussion Network, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Sawyer","sequence":"additional","affiliation":[{"name":"Pediatrics and Child Health, and"},{"name":"Health Sciences Centre Children\u2019s Hospital,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norm","family":"Silver","sequence":"additional","affiliation":[{"name":"Pediatrics and Child Health, and"},{"name":"Health Sciences Centre Children\u2019s Hospital,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Bunge","sequence":"additional","affiliation":[{"name":"Diagnostic Imaging and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Essig","sequence":"additional","affiliation":[{"name":"Diagnostic Imaging and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-peds14510","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"578","DOI":"10.3171\/2010.2.PEDS09464","article-title":"Prevalence and natural history of arachnoid cysts in children","volume":"5","author":"Al-Holou","year":"2010"},{"issue":"12 Suppl 2","key":"b2-peds14510","series-title":"Arch Phys Med Rehabil","doi-asserted-by":"publisher","first-page":"S50","DOI":"10.1016\/j.apmr.2006.07.275","article-title":"Susceptibility-weighted imaging and proton magnetic resonance spectroscopy in assessment of outcome after pediatric traumatic brain injury","volume":"87","author":"Ashwal","year":"2006"},{"key":"b3-peds14510","series-title":"Arch Pediatr Adolesc Med","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1001\/archpedi.162.5.439","article-title":"A clinical decision rule for cranial computed tomography in minor pediatric head trauma","volume":"162","author":"Atabaki","year":"2008"},{"key":"b4-peds14510","series-title":"Br J Sports Med","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1136\/bjsm.36.1.6","article-title":"Summary and agreement statement of the First International Conference on Concussion in Sport, Vienna 2001. 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