Differential diagnosis of sports-related concussion in children and adolescents

Acute conditions

Intracranial injury (eg, subdural or epidural hematoma, cerebral contusion, or diffuse axonal injury)

Heat illness

Hypoglycemia

Dehydration

Syncope (cardiogenic, orthostatic, or vasovagal syncope)

Subacute conditions

Primary headache (eg, cervicogenic, migraine, tension, or other posttraumatic types)

Psychiatric disorder (eg, depression, attention deficit hyperactivity disorder, anxiety or acute stress disorder, or substance abuse)

Overtraining/burnout

Chronic infection

Chronic fatigue syndrome (CFS), also known as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)

Uncorrected vision

Graphic 91003 Version 4.0