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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr0920092309.
Published online Nov 2, 2010. doi:  10.1136/bcr.09.2009.2309
PMCID: PMC3027911
Unusual presentation of more common disease/injury
Sports-related mild traumatic brain injury in female youths
Michelle L Keightley,1 Ashley Yule,1 Kimberley Garland,1 Nicholas Reed,2 Jim McAuliffe,3 Janice Garton,1 Stephanie Green,2 and Tim Taha4
1Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
2Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Canada
3Physical and Health Education, Nipissing University, North Bay, Canada
4Faculty of Physical Education and Health, University of Toronto, Toronto, Canada
Correspondence to Michelle L Keightley, michelle.keightley/at/
Sports-related concussion or mild-traumatic brain injury (mTBI) is common in children who participate in organised sports. We describe two case studies involving 14-year-old girls who each sustained a mTBI during ice hockey competition. Neurocognitive functioning post-injury is compared to baseline pre-injury assessment on the same measures. Results from Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), Conners' Continuous Performance Test II (CPT-II) and the Attention Network Test (ANT) revealed decreased performance in attention, memory functioning and reaction time. Furthermore, some measures had not returned to baseline at midseason testing sessions approximately 30–40 days post-injury. The results are discussed with respect to the difference in recovery profiles and the need for thorough and ongoing evaluation following mTBI in the paediatric population, and for girls in particular.
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