How to check for a concussion?

Written by Jiang Fang Shuai
Neurosurgery
Updated on September 21, 2024
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How is a concussion diagnosed? In fact, the diagnosis of a concussion is primarily based on clinical manifestations such as a clear history of head trauma, temporary confusion, and retrograde amnesia. Concussions can also undergo some routine examinations, such as CT scans of the head, X-rays of the head, electroencephalography, cerebral blood flow imaging, and cerebrospinal fluid analysis. However, these test results are usually negative, meaning that the diagnosis of a concussion mainly relies on clinical manifestations and there are no effective diagnostic tests.

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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 Li Jin Quan
General Surgery
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Is a concussion scary?

Firstly, a concussion is the mildest form of brain injury, mainly characterized by transient consciousness disturbances, generally not lasting more than half an hour. The second characteristic is recent memory loss, with an inability to recall the circumstances of the injury. At the time of the injury, one may also experience pale complexion, blood pressure drop, and pupil constriction. After the injury, some patients may suffer from dizziness, headache, nausea, loss of appetite, tinnitus, lack of concentration, and memory decline, among other clinical symptoms. Patients with a concussion generally recover after 1-2 weeks of systematic treatment, and the majority of concussions are recoverable, so they are not as fearsome as believed.

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Written by Li Jin Quan
General Surgery
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Is a concussion serious?

Concussion is usually a mild condition where the brain has been injured. Clinically, it manifests as temporary disturbances in consciousness, typically not exceeding half an hour. Another symptom is recent memory loss, as the individual cannot recall the events during the injury. There may also be a decrease in blood pressure or pallor at the time of the injury. Following the injury, symptoms such as dizziness, headache, loss of appetite, nausea, memory decline, lack of concentration, or tinnitus can occur. Generally, with 1-2 weeks of treatment, most people can recover from a concussion, so it is not considered a very serious condition.

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Written by Jiang Fang Shuai
Neurosurgery
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Mild concussion sequelae

Mild concussions generally do not have any lasting effects. After a mild concussion, as long as one rests well, maintains a good mindset, and uses medication when necessary, along with symptomatic supportive treatment, the vast majority of people can fully recover within one to two weeks without any lasting effects. Only a few people, due to psychological and mental factors, may continue to experience symptoms that are difficult to improve for more than three months. In these cases, we consider these to be the after-effects of mild concussion, which mainly manifest as headaches, dizziness, dry heaving, vomiting, anxiety, insomnia, lack of concentration, memory decline, slow reactions, irritability, and a bad temper, among others.

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Written by Li Jin Quan
General Surgery
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How to identify a concussion

The first patient has a history of head trauma. The second patient's CT scan did not reveal any substantive changes in brain tissue. The third patient may exhibit some clinical symptoms, such as transient consciousness disorders, typically lasting no more than half an hour. There is also recent memory loss; the patient cannot recall the incident. Additionally, the patient experiences self-reported symptoms of dizziness, headache, nausea, loss of appetite, insomnia, memory decline, and lack of concentration. With these medical histories, some CT scans, and symptoms, a concussion can be diagnosed.