concussion

What happens with a concussion?

The brain is a vital and particularly sensitive organ. It is therefore well protected inside the skull. In addition, it is surrounded by a fluid that is located between the brain and the skull bone and which also surrounds the spinal cord (cerebrospinal fluid). Mostly a concussion is caused by a dull blow to the head or an impact, such as a fall from the bike or while skiing. Especially children are more often affected by a concussion: Typical causes are, for example, falls from the changing table, from the parental bed or from the stairs.

The concussion is caused by the fact that the brain bumps against the skull wall from the inside. The outer skin on the head and the skull bone may or may not necessarily be injured. Since there is a temporary dysfunction of the brain, one expects the cerebral commotio – by doctors sometimes referred to as Commotio – to the skull-brain injuries.

Traumatic brain injuries are divided into three degrees of severity; the Commotio cerebri corresponds to grade I, the lightest form. By definition, this can lead to unconsciousness, which lasts no longer than 15 minutes, consequential damage is not to be expected in a concussion. More about causes, symptoms, diagnosis and prognosis of craniocerebral trauma can be found here.

Concussion: symptoms

Mostly, a concussion causes symptoms that are quite typical. The extent of the symptoms may vary. Signs of a concussion can appear right after the accident, but in some cases there are several hours between the triggering event and the first complaint.

Signs concussion – what is typical?

Symptoms of a concussion include short memory gaps that often affect the period before, sometimes after the accident (anterograde or retrograde amnesia). It may also be that the person concerned for a short time loses consciousness, If the unconsciousness lasts longer, one must assume a more serious traumatic brain injury. In many cases, the Commotio cerebri leads to moderate, sometimes strong a headachewhich are often accompanied by dizziness, nausea and vomiting. As an expression of the transient dysfunction of the brain, some people with a concussion also react sensitively to light or loud noises. Also, the sense of smell and taste may be temporarily irritated.

Concussion Toddler – what do I have to look out for?

A concussion in children and babies is relatively common. Infants and toddlers, however, can not yet comment on their condition, so it is especially important for parents to keep a close eye on their child after a fall or accident. Basically, if your child was unconscious after an accident, even if only for a few moments, always consult a doctor. Immediate crying after a fall can initially be considered a good sign. If, however, the crying stops, vomiting occurs or the child appears particularly restless or listless and drowsy, one should not wait any longer with the doctor’s visit. In infants, it should also be remembered that the symptoms of a concussion may be delayed, so even after six, twelve or more hours may appear. Basically, parents are well advised to have their child examined by a pediatrician after a fall or blow on the head.

Concussion: treatment

A slight concussion does not necessarily have to be treated. Help against headaches painkillers, such as acetaminophen or ibuprofen. In some cases, the doctor also prescribes a remedy for nausea. In any case, it is advisable for a few days bed rest to keep. Watching TV or reading is not recommended during this time, as the symptoms may increase. A serious concussion should be taken very seriously. Therefore, these patients usually stay in the hospital for about 24 hours for observation.