How to diagnose a concussion?

Written by Li Jin Quan
General Surgery
Updated on September 06, 2024
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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 Pei
Neurosurgery
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Is a concussion serious?

Concussion is the mildest form of traumatic brain injury. It occurs as a transient inhibition of brain function following head trauma, characterized by a brief period of confusion post-injury, usually not exceeding half an hour. Patients may also experience retrograde amnesia, unable to recall the incident of injury. Neurological examinations and head CT scans typically show no significant abnormalities, and results from lumbar puncture and cerebrospinal fluid tests are normal. Most patients generally recover slowly after resting in bed for 1-2 weeks post-injury, without the need for special treatment. If symptoms such as headache or dizziness are prominent, some analgesics and sedatives or neurotrophic medications can be used for treatment, leading to gradual recovery. (Medication should be used under the guidance of a doctor.)

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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 Chen Yu Fei
Neurosurgery
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Symptoms of Concussion

Concussion is generally characterized by a clear history of head trauma, with transient consciousness disorders following the injury, usually lasting less than 30 minutes. It is often seen in falls from heights, car accidents, or injuries caused by accidental hits from others. After regaining consciousness, patients with concussions may experience headaches, dizziness, nausea, and vomiting. Some patients may have difficulty recalling the incident clearly, which is clinically referred to as retrograde amnesia. When these symptoms appear, a concussion is likely, and the patient should be immediately hospitalized for treatment; a head CT or MRI should be performed to help rule out the possibility of other intracranial organic diseases.

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Written by Li Jin Quan
General Surgery
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How to alleviate a mild concussion

Mild concussion usually leads to retrograde amnesia and transient consciousness disturbances in patients after the injury. Patients may also experience headaches, dizziness, loss of appetite, decline in memory, and lack of concentration. To alleviate mild concussion, it is important to first ensure that the patient gets adequate rest, avoids staying up late, and maintains a quiet environment. Secondly, it is essential to pay attention to the patient's nutritional needs, adopting a light and easily digestible diet. Thirdly, symptomatic medical treatment should be considered, especially if the patient suffers severely from headaches, nausea, loss of appetite, or insomnia. In such cases, analgesic and hypnotic medications can be used to relieve symptoms.

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Written by Chen Yu Fei
Neurosurgery
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Concussions are classified into several types.

Concussions are usually categorized into several levels based on the severity of their clinical symptoms. Generally, the higher the level, the more pronounced the symptoms in patients. They can generally be divided into five levels. Patients with a level one concussion may experience mild consciousness disturbances, but these are short-lived and generally do not leave noticeable residual effects. Patients with a level two concussion might experience slight headaches and dizziness, accompanied by vertigo. Patients with a level three concussion show evident retrograde amnesia. Patients with a level four concussion experience mild disturbances in consciousness, manifesting as states of drowsiness, stupor, or coma. Patients with a level five concussion present with clear clinical symptoms, characterized by recurrent headaches, dizziness, nausea, and vomiting.