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Abstract Details

The Value of Neurology in Sports Medicine: A MedMal Case Report
Neuro Trauma and Critical Care
P10 - Poster Session 10 (5:00 PM-6:00 PM)
4-007
To Highlight Neurologists' role in Sports Medicine and emphasize the importance of team dynamics in modern healthcare delivery.

A legal petition and matter of public record formulated by a former Division I football athlete against an unnamed undergraduate institution, its board of supervisors, and a regional medical center. 

The onset of his neurologic symptoms began in a recent fall football season, with syncope and emesis in the absence of a hit. The team athletic trainers treated him with family physician oversight. He was cleared to play despite the progression of his symptoms on day 2. He was then re-evaluated to rule out concussion using a software application and was cleared without physician oversight. On day 6, the athletic trainer diagnosed further symptoms of vertigo without team physician evaluation. Ultimately, a referral to a neurologist on day 38 revealed a brain tumor diagnosis via MRI with and without contrast. Pathology reported a medulloblastoma. 

One day after receiving his diagnosis, the coaching staff knew before either he or his family, and “emergent” surgery was performed. He eventually went on to have multiple strokes and now cannot take care of himself, play collegiate football, or complete undergraduate studies.
Used Perplexity AI for a medically oriented synopsis of the public lawsuit, which was more than a dozen pages of legal technical language.
NA
In this case, much of the patient's suffering could have been resolved with a neurologist as part of the interdisciplinary team. Diagnosis and appropriate medical management would have been in place sooner. Had he been given autonomy over his medical care, seeking his own referral to a neurologist could have occurred in 35 days. The principles of autonomy and beneficence were breached. He was unable to appreciate the consequences of his surgery in a way he and his family could understand.
Authors/Disclosures
David Hernan Posas, BS
PRESENTER
Mr. Posas has nothing to disclose.
José H. Posas, MD, FAAN (UVA Department of Neurology) Dr. Posas has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Pfizer. Dr. Posas has or had stock in Dane Health.Dr. Posas has or had stock in Brainscope.Dr. Posas has a non-compensated relationship as a Advisor with Dane Health that is relevant to AAN interests or activities. Dr. Posas has a non-compensated relationship as a Lecturer with Concussion Corner Academy that is relevant to AAN interests or activities. Dr. Posas has a non-compensated relationship as a Advisor with Brainscope that is relevant to AAN interests or activities.