Steve Smith has been ruled out of the remainder of the second Ashes Test between England and Australia at Lord's due to "delayed concussion".
Smith was hit on his neck by a bouncer from pacer Jofra Archer on Day 4 of the match, which forced the former Australia captain to retire hurt. He was also hit on left forearm by the debutant fast bowler a while before being hit on the neck, but continued batting after receiving medical treatment.
Smith, though, returned to batting after half an hour after being retired hurt as his initial replacement Peter Siddle was dismissed. After persisting for 15 minutes, Smith got out LBW to Chris Woakes on 92.
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The series is the first being played under the International Cricket's new concussion substitute regulations, part of the inaugural World Test Championship, which allow players who have suffered head or neck injuries to be replaced fully by a substitute, who was previously restricted to fielding alone.
Marnus Labuschagne, on the field as 12th man when play resumed Sunday, became the first concussion substitute in Test history after Australia's request was approved by match referee Ranjan Madugalle.
Labuschagne can now bat or bowl in Smith's place if required, unlike traditional substitutes who were restricted to fielding.
There are doubts whether star batsman Smith will feature in the third Test at Headingley starting on Thursday. The spokesman saying "the short turnaround is not in his favour".
The spokesman added: "Steve reported that his left arm which was also struck (by Archer) during his innings yesterday was 'much better'.
The spokesman added that as part of further testing on Sunday, Smith "demonstrated some deterioration" from his testing which was consistent with the emergence of the symptoms he was reporting.
"On that basis Steve has been withdrawn from the match by team doctor Richard Saw," the spokesman said.
Explaining how Smith had been allowed to resume his innings, the spokesman said: "It is not uncommon for players to pass their tests and feel well on the day of an injury and then display symptoms 24-48 hours later.
"Steve's fitness will be assessed on an ongoing basis.
"Steve will undergo a precautionary scan on his neck on Sunday." Australia, bidding for their first Ashes campaign triumph on English soil in 18 years, lead the five-match series 1-0 after a 251-run win at Edgbaston last week.
In that match, former captain Smith marked his first Test since completing a 12-month ban for his role in a ball-tampering scandal in South Africa with superb innings of 144 and 142.
After rain delayed Sunday's start by over an hour, England resumed on 96-4 in their second innings, a lead of 104 runs.
With AFP inputs