Olfactory Dysfunction in Sports Players following Moderate and Severe Head Injury: A Possible Cut-off from Normality to Pathology

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Gesualdo M Zucco*
Andrea Carletti
Richard J Stevenson

Abstract

Concussion occurs with some frequency in a variety of sports. Any trauma to the brain can also result in temporary or chronic olfactory dysfunction. The relationship between sports concussion and olfactory dysfunction is not well studied, nor do we know whether only more severe injuries result in smell impairments. Three sports players who had previously experienced either a moderate or severe concussion were compared to matched controls. Only the player with a previous severe concussion had a current olfactory impairment. We tentatively suggest that the distinction between moderate and severe concussion may represent a possible cut-off between the presence and absence of olfactory impairment in sports players.

Article Details

Zucco, G. M., Carletti, A., & Stevenson, R. J. (2016). Olfactory Dysfunction in Sports Players following Moderate and Severe Head Injury: A Possible Cut-off from Normality to Pathology. Journal of Sports Medicine and Therapy, 1(1), 001–005. https://doi.org/10.29328/journal.jsmt.1001001
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Charland-Verville V, Lassonde M, Frasnelli J. Olfaction in athletes with concussion. Am J Rhinol Allergy. 2012; 26: 222-226. Ref.:https://goo.gl/NJf6I0

Costanzo RM, Miwa T. Posttraumatic olfactory loss. In, T. Hummel & A. Welge-Lüssen (Eds): Taste and Smell. An Update. Basel: Karger. 2006 ; 63: 99-107. Ref.: https://goo.gl/6XoJn9

Costanzo RM, Di Nardo LJ, Reiter ER. Head injury and olfaction. In R. Doty (Ed): Handbook of olfaction and gustation. New York: Dekker. 2003; 629-638.

Mann NM. Head injury and anosmia. Conn Med. 2003; 67: 545-547. Ref.: https://goo.gl/90LMY6

Mueller CA, Hummel T. Recovery of olfaction function after nine years of post-traumatic anosmia: a case report. J Med Case Rep. 2009; 3: 9283-9286. Ref.: https://goo.gl/6WQUcS

Reiter ER, Costanzo RM. Chemosensory impairment after Traumatic brain injury: Assessment and Management. Int Neurotrauma Lett. 2012; 23: 3. Ref.: https://goo.gl/Cp0t6l

Kelly JP. Loss of consciousness: Pathophysiology and implications in grading and safe return to play. J Athl Train. 2001: 36: 249-252. Ref.: https://goo.gl/mbz6O0

Sumner D. Disturbances of the sense of smell and taste after head injures. In Vinken, P.J. & Bruyn, J.W. (Eds.): Handbook of clinical neurology. Amsterdam: North-Holland Press. 1975; 1-25.

Doty RL, Yousem DM, Pham LT, Kreshak AA, Geckle R, et al. Olfactory dysfunction in patients with head trauma. Arch Neurol. 1997; 54: 1131-1140. Ref.: https://goo.gl/MZ03h8

Mori J, Aiba T, Sugiura M, Matsumoto K, Tomiyama K, et al. Clinical study of olfactory disturbance. Acta Oto-Laryngologica. 1998; 118: 197- 201. Ref.: https://goo.gl/RdHFBW

Teasdale G, Jennet B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974; 2: 81-84. Ref.: https://goo.gl/b21EkL

Kelly JP, Rosenberg JH, Greenberg MK, et al. Practice parameter: The management of concussion in sports. Report of the Quality Standard Subcommittee. Neurology. 1997; 48: 581-585. Ref.: https://goo.gl/lj6KpU

Giza CC, Kutcher JS, Ashwal S, FAAN, Barth J, et al. Summary of evidence-based guideline update: Evaluation and management of concussion in sports: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2013; 80: 2250-2257. Ref.: https://goo.gl/ODiXdT

Hummel T, Kobal G, Gudziol H, Mackay-Sim A. Normative data for the “Sniffin Sticks” including tests of odor identification, odor discrimination, and olfactory thresholds: an upgrade based on a group of more than 3,000 subjects. Eur Arch Otorhinolaryngol. 2007; 264: 237-243. Ref.: https://goo.gl/bYducc

Hummel T, Sekinger B, Wolf S, Pauli E, Kobal G. ”Sniffin Sticks”: Olfactory performance assessed by the combined testing of odor identification, odor discrimination and olfactory thresholds. Chem Senses. 1997; 22: 39-52. Ref.: https://goo.gl/bHNjIp

Zucco GM, Hummel T, Tomaiuolo F, Stevenson RJ. The influence of short–term memory on standard discrimination and cued identification olfactory tasks. J Neurosci Methods. 2011; 222: 138-141. Ref.: https://goo.gl/HB3dxA

Crawford JR, Garthwaite PH, Porter S. Point and interval estimates effect size for the case-controls design in neuropsychology: rationale, methods, implementation and proposed reporting standard. Cogn Neuropsychol. 2010; 27; 245-260. Ref.: https://goo.gl/PcPx1M

Larson-Dupuis C, Chamard E, Falardeau V, Frasnelli J, Beaulieu C, et al. Impact of BDNF Val66Met polymorphism on olfactory functions of female concussed athletes. Brain Inj. 2015; 29: 963-970. Ref.: https://goo.gl/6dqjGb

Landis BN, Hummel T, Hugentobler M, Giger R, Lacroix JS. Ratings of overall olfactory function. Chem Senses. 2003; 28: 691-694. Ref.: https://goo.gl/5OvIx9