Abstract Details

Title Abulia in a Concussed Athlete

Topic Sports Neurology

Presentation(s) IN5 - (-)

Poster/Presentation
Number 010

Objective

Background While the majority of sports-related concussions present as headache, nausea, dizziness, confusion, and unsteadiness, there are other less common presenting symptoms such as mood disorders and irritability. Abuila is a disorder of diminished motivation with a reduction of spontaneous thought content and initiative.

Design/Methods In the case report we present a 14-year-old male who sustained a sports related concussion after falling during a high school basketball game. He injured the front of his head and initially complained of headache, nausea, and dizziness, which later progressed to symptoms of abulia. On neurologic examination he answered mental status questions appropriately but with a lack of emotion. The remainder of his neurologic exam was unremarkable.

Results Our patient underwent a head CT scan that was unremarkable. All of his symptoms improved over the next three days with the exception of his abulia. This persisted for a total of ten days and then he spontaneously remitted back to his baseline and was able to begin the return to play protocol.

Conclusions While abulia is not a common symptom of sports related concussion, this case illustrates an interesting presentation of frontal lobe injury resulting in lack of emotion, apathy, and decreased motivation. It is important to recognize that in addition to the classic symptoms of sports concussions, less common symptoms exist such as impulsivity, depression, insomnia, and in this case, abulia.

Authors/Disclosures
Jason J. Madey, MD PRESENTER	No disclosure on file
	No disclosure on file
Jeffrey D. Bodle, MD	No disclosure on file
Nolan Williams, MD	No disclosure on file
Michael S. Okun, MD, FAAN (University of Florida)	Dr. Okun has received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for NIH. Dr. Okun has received personal compensation in the range of $10,000-$49,999 for serving as an officer or member of the Board of Directors for Parkinson's Foundation. Dr. Okun has received personal compensation in the range of $5,000-$9,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for JAMA Neurology. Dr. Okun has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for NEJM Journal Watch. The institution of Dr. Okun has received research support from NIH. The institution of Dr. Okun has received research support from Parkinson's Foundation. The institution of Dr. Okun has received research support from Tourette Association of America. The institution of Dr. Okun has received research support from Michael J Fox. Dr. Okun has received publishing royalties from a publication relating to health care.
Rebecca K. Lehman, MD, FAAN (Prisma Health-Midlands)	No disclosure on file

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