Nancy M. Benegas, MD; Gary S. Solomon, PhD, FACPN; Allan K. Sills, MD, ABPP-CN, Jennifer V. Werthe, PhD;
Jeffrey D. Schall, PhD
Vanderbilt Eye Institute
Purpose/Relevance: Extraocular motility abnormalities have been described in association with concussion and traumatic brain injury (TBI). The King Devick test has been validated for use in various concussion protocols and incorporates assessment of eye movement abnormalities into concussion and TBI diagnosis. This multi-disciplinary workshop brings together international experts on King-Devick testing, NHL and NFL concussion protocols, anatomical injury from concussion and discusses return to function following a TBI.
Target Audience: AAPOS membership: pediatric ophthalmologists and orthoptists
Current Practice: Many pediatric ophthalmologists have limited knowledge of how concussions are diagnosed, particularly by non-medical providers on the sidelines of youth sporting events.
Best Practice: Understand the role of the King-Devick test in concussion diagnosis, learn about concussion diagnosis and management from youth sports to professional football and hockey. Increase our knowledge base as a subspecialty concerning this important topic with overlaps to our field.
Expected Outcomes: Improved knowledge and understanding of concussion diagnosis, managment, and public health implications of concussion. Increase our knowledge and awareness of our role when patients present in our clinics with concussion diagnosis.
Format: Primary author will moderate panel. Each expert will present a didactic lecture, with a Q&A session at the end.
Summary: Use of the King-Devick Test to aid in diagnosing concussion will be presented with discussion of validated data. NFL and NHL concussion protocols will be discussed by a consultant for both leagues. The anatomical injuries and repercussions will be discussed by a neurosurgeon with an emphasis on concussion.
References: Ocular motor assessment in concussion: Current status and future directions.
Ventura RE, Balcer LJ, Galetta SL, Rucker JC.
J Neurol Sci. 2016 Feb 15;361:79-86. doi: 10.1016/j.jns.2015.12.010. Epub 2015 Dec 9. Review.
Militana A, Donahue M, Strother M, Sills A, Solomon G, Morgan V: Increased cerebrovascular reactivity in the days following sports-related concussion in college athletes. ASNR Meeting, Montreal, Quebec, June 2014. 73. Zuckerman S, Sills AK, Solomon G: Risk factors for post-concussion syndrome in an exclusively sport-related concussion group: Case control study. CNS Annual Meeting, Boston, MA,
Love, S.M., & Solomon, G.S. (2014). Talking with parents of high school football players about Chronic Traumatic Encephalopathy (CTE): A concise summary. American Journal of Sports Medicine, in press.
Sills AK, Gregory A, Solomon G. “Sports Concussion Update.” Primary Care Clinics in Sports Medicine, 2012.