How to diagnose a concussion?

Concussion is a relatively mild type of brain injury. Don’t think that concussion is not dangerous. It is just milder than other injuries. Doctors are very experienced in dealing with concussions. When the brain is subjected to external force, temporary brain dysfunction will occur. This is a concussion, but it will not manifest itself immediately after the impact. So, how do you judge a concussion?

Concussion (neurosurgery) refers to a transient brain dysfunction that occurs immediately after a blow to the head. 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. Concussion diagnosis: Impairment 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. Concussion diagnosis: Recent amnesia: After waking up, the patient cannot recall the circumstances and process of the injury, but can clearly recall events before the injury.

3. Other symptoms for diagnosis of concussion: headache, dizziness, nausea, anorexia, vomiting, tinnitus, insomnia, photophobia, inattention and slow reaction.

4. No positive signs were found in neurological examination.

(1) A transient coma occurs immediately after a head injury, which lasts for less than 30 minutes. After waking up, the patient often has symptoms such as forgetfulness of recent events, headache, dizziness, nausea, anorexia, vomiting, tinnitus, and inattention. Blood pressure, respiration, and pulse are basically normal.

(2) Neurological examination showed no positive signs, and lumbar puncture showed normal cerebrospinal fluid pressure and composition.

Some cases of intracranial hemorrhage or cerebral edema may not show obvious symptoms until several hours, or even 1 to 2 days after a head collision. Parents should not take it lightly because no problems are found in the hospital immediately after the collision. Parents need to observe carefully for 48 hours. Don't let your child do strenuous exercise. Generally he needs to be woken up twice at night, at midnight and at four in the morning.

Wake the child up to the point where he can talk and walk clearly, and note whether his pupils on both sides are the same size, but this is not easy to observe for children with low cooperation. You can sleep next to your child to observe his or her breathing and sleeping habits. If there is anything unusual, wake him up to see if he is unconscious.

In addition, avoid eating within six hours of head trauma, and drink only boiled water. If you still have nausea and vomiting symptoms after six hours, you should also avoid eating. When older children complain of dizziness, headache, fatigue, and lack of energy, and young children appear sleepy or unusually irritable, crying, and solace is ineffective, refusing to eat, and vomiting, seek medical attention immediately.

Generally speaking, concussion does not require special treatment. Just lie in bed and rest for five to seven days. Reduce external stimulation, give painkillers, and don't be too afraid of concussion. Generally speaking, concussion patients can fully recover within two weeks and there will be no sequelae. Patients can rest assured.