Brain concussion

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A concussion is a type of traumatic brain injury in which there is a reversible disruption of the brain without organic damage to its structures.

A concussion is the mildest type of traumatic brain injury. Occurs as a result of mechanical impact directly on the skull or on the whole body at once (sharp acceleration or braking in a car, fall).

In this case, the shaking of the brain substance occurs: the interconnections between the hemispheres, the brain stem, brain centers and individual brain cells are disrupted, biochemical parameters in the brain tissue change. With adequate treatment, such damage is completely restored within a few days and a person can begin their usual life.

Manifestations of a concussion

A concussion usually accompanies an episode of impaired consciousness. Sometimes the disturbance of consciousness is mild or very short-lived, so it remains unnoticed. Impairment of consciousness can occur in the form of a short-term soporous state (confusion, lethargy) or complete loss of consciousness, lasting from a few seconds to six hours. The longer the episode of impaired consciousness, the worse the prognosis for recovery.

concussion most often accompanied by loss of memory for events that immediately preceded the injury. The person does not remember where he went, what he did, what caused the incident. This memory loss is called retrograde amnesia. Usually the memory comes back after a while.

A symptom of a concussion is usually a diffuse headache – pain in the entire head. Over time, nausea and, possibly, vomiting joins. Nonspecific signs of a disorder of the autonomic nervous system may develop: palpitations, sweating, weakness, malaise, dizziness.

A person suffering from a traumatic brain injury should be constantly monitored. Brain damage is dangerous because it is very difficult, and sometimes impossible, to immediately judge the severity and depth of the lesion. Even the most severe injuries usually have a light period when a person feels good. However, after some time, the condition can get out of control and begin to progressively worsen. To prevent this from happening, it is necessary to consult a doctor in a timely manner.

Read more: Concussion: how to recognize?

Concussion Diagnosis

To make a diagnosis, the victim is placed under observation in a hospital. During the first few days, the condition can change significantly, the features of the clinical picture serve as important diagnostic signs.

Sometimes an x-ray of the skull is prescribed to exclude damage to the bones upon impact. In recent years, CT or MRI diagnostics of brain structures has gained great importance in order to exclude organic damage.

An examination in case of suspected concussion is carried out by a neurologist, using special techniques.

Treatment for a concussion

All people affected by a concussion are assigned strict bed rest for several days. Information loads are excluded: watching TV, reading, listening to the radio, etc.

Symptomatic therapy is prescribed to relieve headache and dizziness, nausea and vomiting.

When the diagnosis of a concussion is beyond doubt, a few days after the injury, a course of vascular and metabolic therapy is prescribed: drugs that improve metabolic processes in the brain tissue, increase blood circulation, help nourish the cells of the nervous system and speed up the recovery of cognitive functions: memory, thinking, reproduction and assimilation of information, etc. Of great importance during this period is good nutrition and taking multivitamins.

During the recovery period, adaptogens are prescribed: ginseng, eleutherococcus, magnolia vine, as well as sedative therapy: valerian, motherwort, etc.

The prognosis after a concussion is favorable. As a rule, after a few days the condition improves and after 1-2 weeks a person can return to his usual life.


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