Diagnostic Tests for Concussion: Is Vision Part of the Puzzle?. Issue 1 (March 2015)
- Record Type:
- Journal Article
- Title:
- Diagnostic Tests for Concussion: Is Vision Part of the Puzzle?. Issue 1 (March 2015)
- Main Title:
- Diagnostic Tests for Concussion
- Authors:
- Ventura, Rachel E.
Jancuska, Jeffrey M.
Balcer, Laura J.
Galetta, Steven L. - Other Names:
- Biousse Valérie section editor.
Galetta Steven section editor. - Abstract:
- Abstract : Background: Concussion, particularly in relation to sports and combat activities, is increasingly recognized as a potential cause of both short- and long-term neurologic sequelae. This review will focus on the neuro-ophthalmologic findings associated with concussion, the current tests for concussion, and the potential for visual performance measures to improve our detection and assessment of concussions. Evidence Acquisition: A PubMed search using the specific key words "concussion, " "mild traumatic brain injury, " "neuro-ophthalmological findings, " and "diagnostic and management tests" was performed. An emphasis was placed on articles published during the past 5 years, but additional articles referenced within recent publications were obtained. Results: Concussion is frequently associated with abnormalities of saccades, pursuit eye movements, convergence, accommodation, and the vestibular–ocular reflex. Current sideline testing for athletes includes the Sports Concussion Assessment Tool, Third Edition (SCAT3) incorporates cognitive and balance testing. The King–Devick (K–D) test is a rapid visual performance measures that can be used on sidelines by nonmedical personnel, including parents of youth athletes. The K–D test complements components of the SCAT3 and improves the detection of concussions. Other vision-based tools for diagnosing and for managing concussion include eye movement tracking devices, pupillary assessment, computerized testing, imagingAbstract : Background: Concussion, particularly in relation to sports and combat activities, is increasingly recognized as a potential cause of both short- and long-term neurologic sequelae. This review will focus on the neuro-ophthalmologic findings associated with concussion, the current tests for concussion, and the potential for visual performance measures to improve our detection and assessment of concussions. Evidence Acquisition: A PubMed search using the specific key words "concussion, " "mild traumatic brain injury, " "neuro-ophthalmological findings, " and "diagnostic and management tests" was performed. An emphasis was placed on articles published during the past 5 years, but additional articles referenced within recent publications were obtained. Results: Concussion is frequently associated with abnormalities of saccades, pursuit eye movements, convergence, accommodation, and the vestibular–ocular reflex. Current sideline testing for athletes includes the Sports Concussion Assessment Tool, Third Edition (SCAT3) incorporates cognitive and balance testing. The King–Devick (K–D) test is a rapid visual performance measures that can be used on sidelines by nonmedical personnel, including parents of youth athletes. The K–D test complements components of the SCAT3 and improves the detection of concussions. Other vision-based tools for diagnosing and for managing concussion include eye movement tracking devices, pupillary assessment, computerized testing, imaging modalities, and eletrophysiologic testing. Many of the imaging modalities and electrophysiological studies have been combined with vision-based tests. Conclusions: Concusssion is associated with many neuro-ophthalmologic signs and symptoms. Visual performance measures enhance the detection and management of concussion, and future studies are under way to further incorporate vision-based testing into sideline diagnosis and long-term clinical assessments. Abstract : Supplemental Digital Content is Available in the Text. … (more)
- Is Part Of:
- Journal of neuro-ophthalmology. Volume 35:Issue 1(2015:Mar.)
- Journal:
- Journal of neuro-ophthalmology
- Issue:
- Volume 35:Issue 1(2015:Mar.)
- Issue Display:
- Volume 35, Issue 1 (2015)
- Year:
- 2015
- Volume:
- 35
- Issue:
- 1
- Issue Sort Value:
- 2015-0035-0001-0000
- Page Start:
- Page End:
- Publication Date:
- 2015-03
- Subjects:
- Neuroophthalmology -- Periodicals
617.7 - Journal URLs:
- http://journals.lww.com/jneuro-ophthalmology/pages/default.aspx ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/WNO.0000000000000223 ↗
- Languages:
- English
- ISSNs:
- 1070-8022
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 5021.660000
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 6095.xml