How to diagnose a concussion

Written by Li Jin Quan
General Surgery
Updated on September 19, 2024
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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.

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Written by Li Jin Quan
General Surgery
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Dietary considerations for mild concussion

Mild concussions usually do not show organic damage on a head CT; they are temporary functional dysfunctions of brain neural functions, typically manifesting as brief post-injury consciousness disturbances and retrograde amnesia. The diet for patients with mild concussions should avoid cold, raw, or strongly irritating foods, such as spicy dishes, and refrain from drinking alcohol or smoking. Their diet should primarily consist of light, easy-to-digest foods, high in protein and vitamins, but low in fat and sugar, including plenty of fresh vegetables and fruits.

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Written by Gao Yi Shen
Neurosurgery
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Precursors of concussion

Concussions generally do not have precursors, as they occur immediately after the brain is injured and certain clinical symptoms manifest. There is no concept of a precursor with concussions. The clinical symptoms of a concussion primarily appear after a trauma and include headaches, dizziness, nausea, vomiting, retrograde amnesia, and brief periods of unconsciousness. These symptoms must all be present to classify as related to a concussion. If symptoms are present and a head CT scan shows no significant bleeding, a concussion can generally be diagnosed. Therefore, there is no such thing as precursors, only related clinical manifestations.

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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 Chen Yu Fei
Neurosurgery
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What are the symptoms of a concussion?

Patients with concussions often present with a clear history of head trauma, followed by a brief period of impaired consciousness, often referred to as a state of drowsiness or stupor. As the condition progresses, patients usually regain consciousness spontaneously and experience significant symptoms such as headache, dizziness, nausea, and vomiting. In addition, during subsequent treatment, patients may experience clinical symptoms such as insomnia at night, frequent dreaming, and easy waking. Patients often cannot accurately recall the incident at the time of injury, a condition clinically known as retrograde amnesia. However, in such patients, head CT or MRI scans typically show no significant positive findings. For these patients, diagnosis is generally made based on clinical presentation.

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Written by Gao Yi Shen
Neurosurgery
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What are the dangers of a concussion?

In general, as long as one follows medical advice, recovery from a concussion is usually quite satisfactory, and it rarely leaves any long-term harm. Short-term harm can result in the patient experiencing some very painful symptoms such as headaches, dizziness, nausea, vomiting, etc. Such subjective experiences can comparatively make the patient suffer. For those who are emotionally excited or fragile, it may even lead to anxiety and depression, which are some of the recent damages. In the long term, some patients might experience a loss of memory, particularly short-term memory, which can also cause some inconvenience in their lives. However, overall, the damage from a concussion is very minimal, and as long as it is treated properly, there is generally no harm in the later stages.