What to check for a concussion?

Written by Li Jin Quan
General Surgery
Updated on September 25, 2024
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A head CT scan for concussion usually does not show organic changes, as it primarily stems from temporary dysfunction of brain neurological functions. The main symptoms include brief disturbances in consciousness, retrograde amnesia, and some patients may also experience a series of clinical symptoms such as headaches, dizziness, nausea, and vomiting. For patients with concussion, what we need to do is a head CT scan or an MRI of the head to rule out organic brain lesions. The second option is to examine the cerebrospinal fluid. The third option is to conduct an electroencephalogram (EEG) test.

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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 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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Is a concussion considered a minor injury?

Patients with concussion exhibit a brief disturbance in consciousness due to injury, which does not last more than half an hour. They also experience recent memory loss, meaning patients cannot recall the circumstances of the injury. Additionally, some patients may experience a range of clinical symptoms including headache, dizziness, nausea, insomnia, loss of appetite, lack of concentration, and decreased memory. The vast majority of concussion patients can recover with one to two weeks of rest. Furthermore, head CT scans of concussion patients do not show any organic changes. Therefore, concussions are generally not considered minor injuries.

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Written by Li Jin Quan
General Surgery
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How to deal with vomiting from a concussion?

Concussion usually manifests as temporary consciousness disorder and immediate amnesia, meaning the inability to recall specific details at the time. Some patients also experience a series of clinical symptoms including headaches, dizziness, nausea, vomiting, insomnia, and memory decline. If a patient with a concussion vomits, the first step should be to conduct a head CT to rule out the possibility of intracranial hemorrhage. In addition, symptomatic treatment can be actively provided, with metoclopramide commonly used for intramuscular injection.

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Written by Li Jin Quan
General Surgery
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What to do if you feel dizzy from a concussion?

Patients with concussion often exhibit signs of transient consciousness disorders and recent memory loss after injury. Some patients may experience varying degrees of headache, dizziness, nausea, vomiting, blindness, and other clinical symptoms. If a patient with concussion experiences dizziness, the first step is to rule out the possibility of intracranial organic lesions through examination of the head and body. Then, the patient should rest in bed in a quiet environment with dim lighting. Additionally, symptomatic treatment with medications, including some that expand cerebral blood vessels, can be administered.