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An unusual presentation of a minor head injury sustained during a game of rugby
  1. Debesh Rimal,
  2. Sonu R Thapa,
  3. Namal Munasinghe,
  4. Mark Errington
  1. James Paget University Hospital, NHS Foundation Trust, Great Yarmouth, Norfolk NR31 6LA, UK
  1. Correspondence to:
 Dr D Rimal
 James Paget University Hospital, NHS Foundation Trust, Great Yarmouth, Norfolk NR31 6LA, UK; kathmanducity{at}


In the UK, about 2% of the population attend the accident and emergency (A&E) department every year after a head injury. A majority of the patients have minor head injury and are discharged. Studies reveal that patients who reattend the A&E after a minor head injury represent a high-risk group.

Concussion injuries are common and not all require treatment at the time of presentation. However, some may worsen after initial presentation and develop signs of serious head injury. A case of minor head injury as a result of head butt during a game of rugby, not associated with alteration in conscious state or focal neurological signs, and subsequent development of frontal lobe abscess a month later is reported. It is important that patients fit to be discharged at the time of consultation are discharged in the care of a responsible adult with clear head injury instruction sheets and are advised to return should their symptoms change. A high index of suspicion should be maintained and an early imaging technique, such as CT scan should be considered in patients reattending the A&E with persistent symptoms even after minor head injury.

  • A&E, accident and emergency

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