What are the symptoms of a concussion?

Written by Chen Yu Fei
Neurosurgery
Updated on December 24, 2024
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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 Li Jin Quan
General Surgery
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What department should I go to for a concussion?

Concussion is a relatively mild form of traumatic brain injury, usually involving disturbances in consciousness and short-term memory loss, with patients unable to recall the incident. Symptoms may include a drop in blood pressure, pale complexion, headache, dizziness, nausea, loss of appetite, reduced memory, or lack of concentration. Long-term effects can appear three months later. Patients with concussion can be treated in neurology or neurosurgery departments, among others.

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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.

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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.

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Written by Chen Yu Fei
Neurosurgery
53sec home-news-image

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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home-news-image
Written by Li Jin Quan
General Surgery
35sec home-news-image

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.