PMC9672464_01
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.
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F1
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).
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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F2
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).
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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F3
A therapeutic approach was taken to help mitigate these lingering post-concussive symptoms (Figure 3).