Concussion is a neurological disease. Mild concussion can be relieved by paying more attention to rest. However, in severe cases, it may cause a decline in memory function, and the memory will be much worse than before. Some people may also fall into a coma, and choosing the right medicine is crucial at this time. Generally, you don't need to take any medicine, but you can take some pain relievers and sedatives. Concussion (neurosurgery) refers to a transient brain dysfunction that occurs immediately after the head is hit by external force. There is no obvious change in pathological changes, and the mechanism of occurrence is still under debate. The clinical manifestations include transient coma, recent amnesia, headache, nausea and vomiting, and no positive signs are found in neurological examination. It is the mildest type of brain injury and can usually be cured with treatment. It can occur alone or in combination with other craniocerebral injuries such as intracranial hematoma, and attention should be paid to making a differential diagnosis in a timely manner. 1. Disturbance of consciousness: It is mild and short-lived, lasting as short as a few seconds or minutes, but not more than half an hour. 2. Recent amnesia: After waking up, the individual cannot recall the circumstances and process of the injury, but can clearly recall events before the injury. 3. Other symptoms: headache, dizziness, nausea, anorexia, vomiting, tinnitus, insomnia, photophobia, inattention and slow reaction. 4. There are no positive signs in neurological examination. Inspection and testing No fracture was found on the skull radiograph; lumbar puncture pressure was within normal range, and there were no red blood cells in the cerebrospinal fluid; the electroencephalogram showed only low to high amplitude fast waves with occasional diffuse delta and theta waves, which recovered within 1 to 2 days, or a few patients had scattered slow waves that returned to normal within 1 to 2 weeks; the brainstem auditory evoked potentials may have prolonged intervals between waves Ⅰ to Ⅳ, prolonged latency of wave Ⅴ, or decreased amplitude or disappearance of the waveform; both plain and enhanced CT scans should be negative, but in clinical practice a few patients with bone disease have a negative first CT scan, but develop delayed intracranial secondary lesions during continuous dynamic observation, which should be noted. In addition, some scholars reported using single photon emission CT scans (SPECT) with radionuclides 123I-IMP and 99mTc-HM-PAO to examine adolescent concussion patients and found that 70% had decreased blood flow in the cerebellum and occipital lobe. |
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