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Das leichte Schädel-Hirn-Trauma im Sport

„Mild Traumatic Brain Injury“ mTBI

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Book cover Beschleunigungsverletzung der Halswirbelsäule

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Das leichte Schädel-Hirn-Trauma (engl. Mild Traumatic Brain Injury mTBI) ist eine der häufigsten Verletzungen überhaupt, sowohl in der Hausarztpraxis als auch in der Notaufnahme des Spitals. Oft tritt diese Art der Verletzung im Sport bzw. beim Sportler auf, so dass sich nicht nur die Frage nach der korrekten Behandlung stellt, sondern auch nach dem Zeitpunkt der Wiederaufnahme der sportlichen Tätigkeit. Diese Verletzungsart wird im Sport leider oft bagatellisiert. Der behandelnde Arzt geht meist davon aus, dass es sich hierbei in den meisten Fällen um eine nicht-strukturelle Hirnverletzung handelt, die in jedem Fall eine blande Prognose hat. Dieser Artikel zeigt, dass es sich auch beim mTBI um eine behandlungsbedürftige strukturelle Hirnschädigung mit potentiell lebensbedrohlichen Folgen handeln kann. Die Therapie sollte nach genau festgelegten Richtlinien — wie die der Concussion in Sports (CIS) Gruppe — erfolgen und eine Rückkehr zum Sport sollte erst nach Abklingen jeglicher physischen, aber auch kognitiven Symptome erfolgen.

N. Biasca ist „Medical Consultant“ des Internationalen Eishockey Verbandes (IIHF). Der Inhalt dieses Artikels gibt die persönliche Auffassung des Autors wieder, die nicht unbedingt den Ansichten der „Concussion in Sports (CIS) Group der IOC/IIHF/FIFA“ entspricht.

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  1. Medical Consultant des Internationalen Eishockeyverbandes IIHF, Chirurgische Klinik, Spital Oberengadin, CH-7503, Samedan, Switzerland

    Dr. med. N. Biasca

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    Christian Grill

  3. Ass. jur. Kanzlei Dr. W.G. Schmidt, Bahnhofstraße 21, 87527, Sonthofen

    Hans-Dieter Wedig

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Biasca, N. (2009). Das leichte Schädel-Hirn-Trauma im Sport. In: Graf, M., Grill, C., Wedig, HD. (eds) Beschleunigungsverletzung der Halswirbelsäule. Steinkopff. https://doi.org/10.1007/978-3-7985-1838-4_28

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