Concussion: symptoms, loss of consciousness?

A concussion is a form of brain injury caused by a fall or blow to the head, which can lead to loss of consciousness. Symptoms, causes, treatment, sequelae … We evaluate this head trauma.

Definition: What is a concussion?

concussion Defines temporary organ dysfunction, as a result of trauma or trauma to which it is subjected. talking about concussion when the brain The user is the victim of this failure. A concussion can also occur even in the absence of direct trauma, but during sudden movements of the head that dislodge brain structures that strike the chest of the skull.

What are the symptoms of a concussion?

Often in the acute stage, concussion results disturbances of consciousness, ranging from a state of ‘stupor’ to a temporary loss of consciousness, often within a few seconds. One can also experience post-traumatic stress amnesia, for example Forgetting events are usually less than 24 hours.

Then a group of symptoms called “after concussion“It may last from a few days to a few weeks after the accident. Headache, dizziness, visual, auditory, disturbances in the sense of taste and smell, fatigue, sleep disturbances. The patient may complain Memory loss and difficulty concentrating. It may also show a change in behavior with irritability, mood swings, anxiety and depression.

What are the sequelae after a concussion?

In most cases, Isolated concussion is not dangerousNo brain damage from this trauma. However, if the blow received is too violent, it can cause cerebral edema or hematoma (subdural or extradural) which may require surgical treatment.

But even with a mild head injury, Approximately 20% of patients will present a persistent complaint with potential impact on social and professional life. According to Dr. Muriel Lavon, a neurologist and epilepsy in Nice,Poor prognostic factors are: age over 40, low educational level, prolonged disturbance of consciousness in the acute phase and prolonged post-traumatic amnesia, the presence of pre-existing health problems, particularly in relation to neurological diseases“.

concussion and rugby

There is a specific condition related to recurrent concussions that can occur in some athletes such as boxers and rugby players. These patients may have memory problems or even dementia, and gradually onset mental disturbances and gait and movement disorders that are similar to the symptoms of Parkinson’s disease.

Post-traumatic or concussion?

It can be difficult to differentiate PTSD from post-concussion syndrome Dr. Muriel Lavon explains The two can also be combined. It is an ongoing psychological reaction after a traumatic event. “This post-traumatic stress state can also be a cause of memory loss, mood changes, sleep disturbance… PTSD treatment depends on psychotherapeutic care.

What causes a concussion?

always concussion As a result of a blow, fall or strong jolt that transmits an impulsive force to the head. It is, for example, common in car accidents with sudden stops, in some “violent” sports such as rugby, boxing or hockey, or even if the child is shaken severely.

What do you do in case of a concussion? For consultation ?

in case shock with loss of consciousness No matter how long it takes, it’s inevitable Consult the emergency department. Scanner Monitoring will be done in hospital and will sometimes be necessaryDr. Muriel Lavon explains. Far from being shocked, it is important to Consultation in case of memory problems or mood that may require the implementation of some specific treatments such as drug treatment or rehabilitation. “In rare cases, the Even years after a head injury, seizures can occur Which will require a new consultation to prepare the treatment‘, specialist.

What are the treatments for concussion?

Most concussion patients Recovers in less than 3 months. Rest is often necessary, both physically and intellectually, and a break from work is often necessary. but 10-20% of patients present with persistent physical, cognitive and psychological complaints, sometimes for several years. According to Dr. Muriel Lavon,It is therefore important to provide early care by a neurologist, psychiatrist, and psychiatrist to reduce the social and occupational impact on patients.

Thanks to Dr. Muriel Lavon, Neurologist and Epilepsy in Nice.

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