Symptoms of concussion

Written by Li Pei
Neurosurgery
Updated on April 20, 2025
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Concussion is the mildest form of traumatic brain injury. The symptoms of concussion primarily include: first, a brief period of clouded consciousness shortly after the injury, typically lasting from a few seconds to a few minutes, generally not exceeding half an hour; second, retrograde amnesia, where the patient cannot clearly recall the events during the injury, but memory of events prior to the injury remains clear; third, common symptoms such as headache, dizziness, nausea, vomiting, poor sleep, and decreased memory; fourth, the patient's cranial examination reveals no significant abnormalities, and lumbar puncture cerebrospinal fluid color and tests are normal.

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Mild concussion symptoms

For patients with mild concussion, they often experience temporary loss of consciousness after suffering from violent blows, car accidents, falls from heights, and other accidental injuries, generally lasting no longer than 30 minutes. When patients regain consciousness, they may feel headaches, dizziness, nausea, vomiting, and have difficulty accurately recalling the incident, often referred to as retrograde amnesia. For such patients, cranial CT or MRI scans often show no significant positive signs, and it is suggested that no special treatment is necessary. Instead, patients should focus on rest, avoid overworking and exhaustion, and reduce excessive mental stimulation. The symptoms of most patients will gradually alleviate or even disappear within about two weeks.

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Mild concussion sequelae

Mild concussions generally do not have any lasting effects. After a mild concussion, as long as one rests well, maintains a good mindset, and uses medication when necessary, along with symptomatic supportive treatment, the vast majority of people can fully recover within one to two weeks without any lasting effects. Only a few people, due to psychological and mental factors, may continue to experience symptoms that are difficult to improve for more than three months. In these cases, we consider these to be the after-effects of mild concussion, which mainly manifest as headaches, dizziness, dry heaving, vomiting, anxiety, insomnia, lack of concentration, memory decline, slow reactions, irritability, and a bad temper, among others.

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How long does vomiting last with a mild concussion?

Patients with mild concussion typically exhibit brief disturbances in consciousness lasting from several seconds to several minutes after the injury, usually not exceeding half an hour, along with retrograde amnesia. Some patients may also experience varying degrees of headache, dizziness, nausea, vomiting, and other clinical symptoms. The vast majority of mild concussion patients can recover within five to seven days with rest and conditioning, meaning that mild concussion symptoms, including vomiting, can resolve within 5-7 days.

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Written by Li Pei
Neurosurgery
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Is a concussion serious?

Concussion is the mildest form of traumatic brain injury. It occurs as a transient inhibition of brain function following head trauma, characterized by a brief period of confusion post-injury, usually not exceeding half an hour. Patients may also experience retrograde amnesia, unable to recall the incident of injury. Neurological examinations and head CT scans typically show no significant abnormalities, and results from lumbar puncture and cerebrospinal fluid tests are normal. Most patients generally recover slowly after resting in bed for 1-2 weeks post-injury, without the need for special treatment. If symptoms such as headache or dizziness are prominent, some analgesics and sedatives or neurotrophic medications can be used for treatment, leading to gradual recovery. (Medication should be used under the guidance of a doctor.)

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Written by Li Jin Quan
General Surgery
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Is a concussion scary?

Firstly, a concussion is the mildest form of brain injury, mainly characterized by transient consciousness disturbances, generally not lasting more than half an hour. The second characteristic is recent memory loss, with an inability to recall the circumstances of the injury. At the time of the injury, one may also experience pale complexion, blood pressure drop, and pupil constriction. After the injury, some patients may suffer from dizziness, headache, nausea, loss of appetite, tinnitus, lack of concentration, and memory decline, among other clinical symptoms. Patients with a concussion generally recover after 1-2 weeks of systematic treatment, and the majority of concussions are recoverable, so they are not as fearsome as believed.