SANTA CLARA, Calif. -- Two San Francisco 49ers defenders could be done for the season because of concussions.
Safety Michael Lewis sustained his third concussion of the season during Sunday's 45-10 loss to the Atlanta Falcons and was scheduled to have further testing during the off week. Linebacker Jeff Ulbrich, who suffered a concussion on the opening kickoff of an Oct. 4 game against the St. Louis Rams, is scheduled to be seen by a neurologist Wednesday.
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It will be the first time the 10th-year pro has been examined by a neurologist, and Ulbrich said Monday he's not ruling out retirement after sustaining more concussions during his career than he can count.
"I don't know (how many)," Ulbrich said. "I don't even really know what a concussion is. They ask me if it's like seeing stars, but every linebacker in the NFL has five or six of those a game."
Lewis, who sustained two concussions during an 11-day span in the preseason, could be sidelined for a prolonged period, though 49ers coach Mike Singletary didn't want to speculate Monday.
Ulbrich said he's dealing with his health "day to day" and isn't thinking about his football career beyond Wednesday's exam. After that, he might be forced to make a big decision. He acknowledged that he's at a point in his life when he needs to think about his long-term health, future and family.
"I have to take all those things into consideration," Ulbrich said.
Lewis led with his helmet on the hit Sunday and was face down on the field for several minutes while being examined. He eventually sat up and was helped off the field, appearing dazed. Athletic trainers ran a series of tests on Lewis as he sat on the sideline.
Singletary said Monday that a player is at risk for serious injury when he leads with his head down.
"A third concussion. Once again, it was a situation in which he did have the concussion, and afterward, he cleared right away, meaning that he was coherent," Singletary said of Lewis. "He understood everything that was happening, which is a very good sign. So, now it's one of those things we have to really look at and watch day to day and see where it goes."
Lewis' first concussion occurred Aug. 18 during a joint practice with Oakland at the Raiders' training site in Napa when he was hit by a fullback. He suffered another concussion during an Aug. 29 preseason game at Dallas when he fell and took a knee to the helmet.
"I've done some research on it as well," he said. "The studies are somewhat scary because you see athletes all the time dealing with some kind of problem resulting from a head injury. You know it's a possibility (to deal with these issues down the road). As a pro football player, there could have been numerous times you took hits to the head and it could have been a concussion and you didn't know about it and you just played through it. Those things continue to add up over your career. You see guys like Dan Morgan who are forced to retire because of hits to the head. It's a concern."
Running back Frank Gore is expected to return to practice with the 49ers this week after missing the past two games with an ankle injury.
Copyright 2009 by The Associated Press