TY - JOUR T1 - SPorts-related recurrent brain injuries— united states Y1 - 1997/04/16 N1 - 10.1001/jama.1997.03540390020009 JO - JAMA SP - 1190 EP - 1191 VL - 277 IS - 15 N2 - AN ESTIMATED 300000 sports-related traumatic brain injuries (TBIs) of mild to moderate severity,1 most of which can be classified as concussions (i.e., conditions of temporarily altered mental status as a result of head trauma), occur in the United States each year. The proportion of these concussions that are repeat injuries is unknown; however, there is an increased risk for subsequent TBI among persons who have had at least one previous TBI.2,3 Repeated mild brain injuries occurring over an extended period (i.e., months or years) can result in cumulative neurologic and cognitive deficits,4,5 but repeated mild brain injuries occurring within a short period (i.e., hours, days, or weeks) can be catastrophic or fatal. The latter phenomenon, termed "second impact syndrome," has been reported more frequently since it was first characterized in 1984.6-8This report describes two cases of second impact syndrome and presents recommendations developed SN - 0098-7484 M3 - doi: 10.1001/jama.1997.03540390020009 UR - http://dx.doi.org/10.1001/jama.1997.03540390020009 ER -