Is a concussion dangerous?

Written by Jiang Fang Shuai
Neurosurgery
Updated on September 22, 2024
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Concussion is not a severe brain injury and there is no need for excessive worry; symptomatic supportive treatment is usually sufficient. Typically, rest is advised, along with a light diet, regular living habits, and abstaining from smoking and alcohol. If necessary, treatment may include neuro-nutritive medications and drugs to improve microcirculation. Generally, symptoms should subside within one to two weeks. It is important to note that concussions occur after head trauma, and there is a certain likelihood of re-bleeding within the first three days following the trauma. After three days, the possibility of intracranial hemorrhage becomes very very low. Therefore, post-concussion there is still some risk, and it is necessary to closely monitor any changes in the condition, potentially requiring hospitalization for observation and treatment.

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Written by Li Jin Quan
General Surgery
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How to diagnose a concussion?

Concussion typically involves functional impairment of brain activities. His head CT showed no organic damage. The main clinical symptoms include transient consciousness disturbances and recent memory loss after the injury. Some patients may experience significant symptoms such as headache, dizziness, nausea, vomiting, and insomnia, among other clinical symptoms. For concussion patients, the first step is to conduct a head CT to rule out intracranial organic injuries, followed by cerebrospinal fluid examination, and then an electroencephalogram test.

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Written by Li Jin Quan
General Surgery
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What is a concussion?

Firstly, a concussion is a relatively mild condition where the brain sustains damage, usually accompanied by disturbances in consciousness, which are temporary, such as unconsciousness lasting no longer than half an hour. The second symptom is akin to amnesia, where the injured person is unable to recall the circumstances of the injury. At the time of the injury, symptoms such as a drop in blood pressure and pale complexion can occur; some patients may also experience dizziness, headache, nausea, loss of appetite, poor sleep, as well as a range of clinical manifestations including lack of concentration and memory decline.

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Written by Jiang Fang Shuai
Neurosurgery
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How long does it take to recover from a concussion?

In clinical practice, we often see mild cases of concussion. After suffering from trauma, patients only show mild symptoms such as headache and dizziness, or may experience nausea. Some patients may not have any symptoms at all, and their recovery tends to be quick, often within two to three days, or even up to about 2 to 3 weeks to fully return to normal. However, for severe cases of concussion, symptoms such as headaches, dizziness, nausea, and vomiting are more pronounced, and some patients may exhibit certain mental, psychological, and behavioral disorders. In these cases, hospitalization is usually required, and the recovery period can be quite lengthy, lasting for over a month, or even up to three months.

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Written by Li Jin Quan
General Surgery
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How is a concussion diagnosed?

Concussion diagnosis usually includes, first, a history of head trauma; second, after a head CT scan, no significant substantive changes are observed, but the patient has experienced a transient loss of consciousness, typically not exceeding half an hour. Third, there is approximated amnesia where the patient cannot recall the incident. Some may show symptoms such as decreased blood pressure and pale complexion, while others can experience dizziness, headache, nausea, loss of appetite, insomnia, memory deterioration, and lack of concentration among a series of clinical presentations. Diagnosis of concussion can be confirmed through medical history, supplementary examinations, and clinical symptoms.

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Written by Jiang Fang Shuai
Neurosurgery
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Is a concussion dangerous?

Concussion is not a severe brain injury and there is no need for excessive worry; symptomatic supportive treatment is usually sufficient. Typically, rest is advised, along with a light diet, regular living habits, and abstaining from smoking and alcohol. If necessary, treatment may include neuro-nutritive medications and drugs to improve microcirculation. Generally, symptoms should subside within one to two weeks. It is important to note that concussions occur after head trauma, and there is a certain likelihood of re-bleeding within the first three days following the trauma. After three days, the possibility of intracranial hemorrhage becomes very very low. Therefore, post-concussion there is still some risk, and it is necessary to closely monitor any changes in the condition, potentially requiring hospitalization for observation and treatment.