Journal
CLINICAL JOURNAL OF SPORT MEDICINE
Volume 11, Issue 3, Pages 144-149Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00042752-200107000-00004
Keywords
concussion; cerebral edema; second impact syndrome
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Second impact syndrome (SIS) is a widely feared complication of traumatic brain injury. Although postulated to occur after repeated concussion, the evidence for such a premise is nor compelling. This paper reviews the published evidence for and against the existence of this controversial entity. Rather than SIS being a complication nf recurrent concussion it is far more likely that the clinical condition represents diffuse cerebral swelling, a well-recognized complication of traumatic brain injury. This condition is more common in children and adolescents. which reflects the known demographics of so-called second impact syndrome. We propose that clinicians abandon the misleading term second impact syndrome and refer to the syndrome as diffuse cerebral swelling.
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