case_images: PMC9672464_01
case_images: Schematic summary of Ehlers-Danlos syndrome-like symptoms before concussion and lingering post-concussive symptoms. This patient demonstrated various Ehlers-Danlos syndrome-like symptoms before her concussive event. After concussion, the patient developed various symptoms that continued long after the expected recovery time. Taken together, this patient case suggests a necessary diagnosis, support, and care of EDS as well as indicating increased vulnerability to increased symptom severity and longevity after traumatic brain injury in this patient population.
case_images: fped-10-937223-g001.jpg
case_images: PMC9672464_01_fped-10-937223-g001.jpg
case_images: F1
case_images: In addition, the patient displays bilateral piezogenic heel papules, bilateral inward-leaning pronation of the heels, and a 9 out of 9 on the Beighton hypermobility scale (Figure 1). At the time of this report, 6 months post-concussion, the patient still reports increased headaches, fatigue, left-sided weakness, dizziness, blurred vision, difficulty sleeping, increased sensitivity to loud noises, and trouble focusing with new-onset difficulty in academics (Figure 1).
case_images: MRI post-concussive brain imaging of the patient. In this case, the patient received an MRI 2 weeks after injury. The MRI revealed an incidental right frontal developmental venous anomaly (white arrow) and was otherwise normal. No pre-concussive MRIs are available for comparison.
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case_images: PMC9672464_01_fped-10-937223-g002.jpg
case_images: F2
case_images: A diagnosis of concussion was confirmed, and a brain MRI ordered, revealing no intracranial abnormality but showing an incidental right frontal developmental venous anomaly (Figure 2).
case_images: Timeline summary of therapeutic interventions relevant to this case report. This patient case required a therapeutic approach with various consultations and therapies recommended. These evaluations are summarized in this timeline.
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case_images: PMC9672464_01_fped-10-937223-g003.jpg
case_images: F3
case_images: A therapeutic approach was taken to help mitigate these lingering post-concussive symptoms (Figure 3).