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Schädel-Hirn-Trauma und Sport

Traumatic brain injury and sport

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Zusammenfassung

Prinzipiell besteht für Teilnehmer vieler Sportarten das Risiko eines Schädel-Hirn-Traumas. Man unterscheidet zwischen sportunfallassoziierten Geschehnissen (etwa im Rahmen von Sturzgeschehen oder unbeabsichtigten Kollisionen) und sportspezifischen Ereignissen (wie etwa beim Boxen und anderen Kampfsportarten). In jüngerer Zeit hat sich die medizinische Aufmerksamkeit von den akzidentellen akuten schweren Schädel-Hirn-Traumata mit oftmals tödlichem Ausgang auf die vermeintlich geringfügigen chronisch-repetitiven subletalen Traumata und den möglichen Zusammenhang zu neurodegenerativen Prozessen verlagert. Der vorliegende Beitrag gibt eine Übersicht über die wichtigsten Formen des akuten und chronischen Neurotraumas im Sport. Die Bedeutung des Themas wird durch die weltweit unüberschaubare Zahl sportlich aktiver Personen unterstrichen.

Abstract

In virtually any sports discipline the participants are at risk to suffer traumatic brain injury. Injury may occur with accidental falls or with non-intentional collisions with other athletes. Boxing and other combat sports, however, are unique with intentional and voluntary infliction of traumatic injury on the combatant. Recently, the medical focus has shifted from accidental acute often fatal forms of traumatic brain injury to potentially hazardous chronic repetitive mild head injury, such as concussion and the possible relationship to neurodegenerative processes. In this review the main issues of acute and chronic neurotrauma related to sports activities are discussed. Because of the extreme popularity of sports worldwide the implications of head injuries are enormous.

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Authors and Affiliations

  1. Forensische Neuropathologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland

    J. Matschke

  2. Institut für Neuropathologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    J. Matschke & M. Glatzel

  3. Institut für Rechtsmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    K. Püschel

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  1. J. Matschke
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  3. M. Glatzel
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Correspondence to J. Matschke.

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Matschke, J., Püschel, K. & Glatzel, M. Schädel-Hirn-Trauma und Sport. Rechtsmedizin 21, 191–196 (2011). https://doi.org/10.1007/s00194-011-0752-2

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