Citation Manager Formats
Make Comment
See Comments
This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
To the Editor:
The Quality Standards Subcommittee of the American Academy of Neurology has endorsed guidelines for management of concussion in sports.1 This practice parameter represented a consolidation and modification of previous concussion guidelines in sports.2,3 A major limitation and criticism of most management guidelines for concussion in sports has been that the determination of criteria for return to play has been arbitrarily established, based on theoretical considerations and limited clinical investigation.
In the absence of loss of consciousness, clinical grading scales for concussion in sports have focused on amnesia or confusion as possible criteria for assessing the severity of concussion. During the evaluation of concussion on the athletic field, the clinical distinction between amnesia and confusion is not practical. Posttraumatic amnesia is a clinical entity that features normal immediate recall and the inability to learn new material.4 During posttraumatic amnesia, there is relatively well-preserved retrieval of previously learned information except in cases associated with retrograde amnesia. Confusion is characterized by impaired immediate recall; reduced ability to learn new information; inability to retrieve already learned information; and incoherence secondary to inattention, distractibility, …
AAN Members
We have changed the login procedure to improve access between AAN.com and the Neurology journals. If you are experiencing issues, please log out of AAN.com and clear history and cookies. (For instructions by browser, please click the instruction pages below). After clearing, choose preferred Journal and select login for AAN Members. You will be redirected to a login page where you can log in with your AAN ID number and password. When you are returned to the Journal, your name should appear at the top right of the page.
AAN Non-Member Subscribers
Purchase access
For assistance, please contact:
AAN Members (800) 879-1960 or (612) 928-6000 (International)
Non-AAN Member subscribers (800) 638-3030 or (301) 223-2300 option 3, select 1 (international)
Sign Up
Information on how to subscribe to Neurology and Neurology: Clinical Practice can be found here
Purchase
Individual access to articles is available through the Add to Cart option on the article page. Access for 1 day (from the computer you are currently using) is US$ 39.00. Pay-per-view content is for the use of the payee only, and content may not be further distributed by print or electronic means. The payee may view, download, and/or print the article for his/her personal, scholarly, research, and educational use. Distributing copies (electronic or otherwise) of the article is not allowed.
Letters: Rapid online correspondence
REQUIREMENTS
You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.
You May Also be Interested in
Dr. Dennis Bourdette and Dr. Lindsey Wooliscroft
► Watch
Related Articles
- No related articles found.
Alert Me
Recommended articles
-
View and Review
Diagnosis and management of concussion in sportsJames P. Kelly, Jay H. Rosenberg et al.Neurology, March 01, 1997 -
Special Article
Summary of evidence-based guideline update: Evaluation and management of concussion in sportsReport of the Guideline Development Subcommittee of the American Academy of NeurologyChristopher C. Giza, Jeffrey S. Kutcher, Stephen Ashwal et al.Neurology, March 18, 2013 -
Special Article
Legal and ethical implications in the evaluation and management of sports-related concussionMatthew P. Kirschen, Amy Tsou, Sarah Bird Nelson et al.Neurology, July 09, 2014 -
Eye on Practice
Sports neurology topics in neurologic practiceA survey of AAN membersFrancis X. Conidi, Oksana Drogan, Christopher C. Giza et al.Neurology: Clinical Practice, December 20, 2013