@article{ref1,
title="Stuttering as a symptom of concussion: confirmation of association using nontraditional information sources",
journal="Pediatric emergency care",
year="2017",
author="Cherry, Jonathan C. and Gordon, Kevin Eric",
volume="33",
number="11",
pages="e137-e139",
abstract="OBJECTIVE: A 12-year-old girl presented to our pediatric emergency department after a head injury with symptoms of concussion and acute stuttering. A PubMed search identified only 1 similar pediatric case. We investigated whether new-onset stuttering may be seen in the presence of acute concussive symptoms using an infodemiologic approach. <br><br>METHODS: We conducted a search with a metabrowser search engine (www.dogpile.com) using the free-text words &quot;concussion&quot; and &quot;stuttering.&quot; The first 100 hits were scanned specifically for forum posts, extracting reports of concussions that were followed by new-onset stuttering. Duplicates were minimized by cross-referencing user name, location, date, and reported age and sex. <br><br>RESULTS: Of the first 100 hits, we identified 17 unique posts that described an injury leading to a concussion followed within a short interval by new-onset stuttering. Posts were primarily by the affected individual (76%) and 64% involved female individuals. Sports and falls/injury accounted for most injuries (71%). Forty-one percent of posts explicitly stated that the concussion had been formally diagnosed. For those that reported the timing of stuttering onset (47%), the stuttering was documented within 1 hour of the injury (4/8) or between 1 and 24 hours (4/8). <br><br>CONCLUSIONS: The ease with which we found so many reports of stuttering after head injury with concussive symptoms confirms that new-onset stuttering may be a symptom of concussion. Our experience highlights both a failure of using conventional medical literature and a success of using nontraditional information sources in identifying uncommonly associated symptoms of frequently encountered conditions.<p /> <p>Language: en</p>",
language="en",
issn="0749-5161",
doi="10.1097/PEC.0000000000001326",
url="http://dx.doi.org/10.1097/PEC.0000000000001326"
}