Citation

Ellis MJ, Cordingley D, Girardin R, Ritchie L, Johnston J. Curr. Sports Med. Rep. 2017; 16(1): 14-18.

Affiliation

1Department of Surgery, University of Manitoba, Manitoba, Canada, 2Department of Pediatrics and Child Health, University of Manitoba, Manitoba, Canada, 3Section of Neurosurgery, University of Manitoba, Manitoba, Canada, 4Pan Am Concussion Program, University of Manitoba, Manitoba, Canada, 5Children's Hospital Research Institute of Manitoba, Manitoba, Canada; 6Canada North Concussion Network, Winnipeg, Manitoba, Canada; 7Department of Clinical Health Psychology, University of Manitoba, Manitoba, Canada, 8Department of Medicine and Ophthalmology, University of Manitoba, Manitoba, Canada, 9Department of Neurology, University of Manitoba, Manitoba, Canada.

Copyright

(Copyright © 2017, Lippincott Williams and Wilkins)

DOI

10.1249/JSR.0000000000000323

PMID

28067735

Abstract

The evaluation and management of athletes presenting with clinical features of migraine headache with aura in the setting of sports-related head trauma is challenging. We present a case report of a 15-yr-old boy with a history of migraine with visual aura that developed acute visual disturbance and headache after a head injury during an ice hockey game. The patient underwent comprehensive assessment at a multidisciplinary concussion program, including neuro-ophthalmological examination, neurocognitive testing, and graded aerobic treadmill testing. Clinical history and multidisciplinary assessment was consistent with the diagnosis of coexisting sports-related concussion and migraine with brainstem aura. The authors discuss the pearls and pitfalls of managing patients who develop migraine headache with visual aura after sports-related head injury and the value of a comprehensive multidisciplinary approach to this unique patient population.

Language: en