According to the American Academy of Neurology, a brain concussion is a trauma-induced alteration in mental status that may or may not involve loss of consciousness. Confusion and amnesia are the hallmarks of concussion. This confusion and/or amnesia may occur immediately after the trauma or may occur several minutes later.
A grading scale to rank concussions according to severity has been established, as follows.
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1. |
Transient confusion |
1. |
Transient confusion |
1. |
Any loss of consciousness. |
2. |
No loss of consciousness |
2. |
No loss of consciousness |
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3. |
- Concussion symptoms (see below) or mental status abnormalities which resolve in under 15 minutes.
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3. |
Concussion symptoms or mental status abnormalities which last more than 15 minutes. |
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Symptoms of Concussion |
Early (within first few hours)
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Late (days or weeks later)
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Headache |
Persistent low-grade headache |
Dizziness or vertigo |
Light-headedness |
Lack of awareness of surroundings |
Poor attention and concentration |
Nausea or vomiting |
Memory problems |
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Tires easily |
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Irritable with low frustration tolerance |
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Intolerance of bright lights or trouble focusing vision |
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Intolerance of loud noises |
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Ringing in the ears |
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Anxiety or depression |
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- Sleep disturbances
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Most concussions clear up within a few hours or days. If symptoms persist, contact your physician for a neurological examination. Other neurological testing may be indicated, such as a CT or MRI of the brain. Consultation with a neuropsychologist may be helpful to clarify the types of problems caused by the concussion, identify ways of helping in recovery, and minimize the disruptive effects of the concussion.
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