Mild concussion sequelae

Written by Jiang Fang Shuai
Neurosurgery
Updated on September 15, 2024
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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 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 Li Jin Quan
General Surgery
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What should be done for a concussion?

Patients with concussion generally experience fear and anxiety, so it is important to keep them calm and avoid disturbing them as much as possible. Some psychological communication with the patient can help maintain a calm state of mind. Secondly, closely observe the patient's general condition and changes in consciousness to prevent delayed intracranial hemorrhage. Thirdly, administer symptomatic medication as needed, such as pain relievers and sleep aids for symptoms like headache and insomnia. Fourthly, use medications that promote the recovery of nerve cells for treatment.

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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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How long does vomiting last with a mild concussion?

Patients with mild concussion typically exhibit brief disturbances in consciousness lasting from several seconds to several minutes after the injury, usually not exceeding half an hour, along with retrograde amnesia. Some patients may also experience varying degrees of headache, dizziness, nausea, vomiting, and other clinical symptoms. The vast majority of mild concussion patients can recover within five to seven days with rest and conditioning, meaning that mild concussion symptoms, including vomiting, can resolve within 5-7 days.

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

Typically, patients with concussions do not show organic changes on head CT scans; their primary clinical symptoms include temporary disturbances in consciousness after the injury and short-term memory loss. Some patients also experience varying degrees of headache, dizziness, nausea, vomiting, blindness, impaired memory, or lack of concentration, among other clinical symptoms. Generally, the essential tests include: first, a head CT scan; second, an electroencephalogram (EEG); third, cerebrospinal fluid examination.