Concussions are classified into several types.

Written by Chen Yu Fei
Neurosurgery
Updated on January 28, 2025
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Concussions are usually categorized into several levels based on the severity of their clinical symptoms. Generally, the higher the level, the more pronounced the symptoms in patients. They can generally be divided into five levels. Patients with a level one concussion may experience mild consciousness disturbances, but these are short-lived and generally do not leave noticeable residual effects. Patients with a level two concussion might experience slight headaches and dizziness, accompanied by vertigo. Patients with a level three concussion show evident retrograde amnesia. Patients with a level four concussion experience mild disturbances in consciousness, manifesting as states of drowsiness, stupor, or coma. Patients with a level five concussion present with clear clinical symptoms, characterized by recurrent headaches, dizziness, nausea, and vomiting.

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How to alleviate a mild concussion

Mild concussion usually leads to retrograde amnesia and transient consciousness disturbances in patients after the injury. Patients may also experience headaches, dizziness, loss of appetite, decline in memory, and lack of concentration. To alleviate mild concussion, it is important to first ensure that the patient gets adequate rest, avoids staying up late, and maintains a quiet environment. Secondly, it is essential to pay attention to the patient's nutritional needs, adopting a light and easily digestible diet. Thirdly, symptomatic medical treatment should be considered, especially if the patient suffers severely from headaches, nausea, loss of appetite, or insomnia. In such cases, analgesic and hypnotic medications can be used to relieve symptoms.

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Written by Gao Yi Shen
Neurosurgery
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How long should one rest for a concussion?

Concussions generally require about one to two weeks of rest, depending mainly on the specific symptoms of the patient. If the symptoms are relatively mild and the injury was not particularly severe, then about a week of rest is usually sufficient for returning to normal work and study. In some cases, if the concussion was relatively severe at the time of injury and subsequent complications or sequelae occur, then the rest period may need to be appropriately extended, possibly to about a month, depending on the patient's specific symptoms. In the vast majority of cases, resting for two weeks is generally sufficient for returning to normal work and study without involving any special issues. As long as medical advice is followed and treatment is correctly administered, many concussions can heal completely.

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How to alleviate vomiting from a concussion

Patients with concussions typically present with transient disturbances in consciousness and recent memory loss following an injury. Some patients may also exhibit a range of clinical symptoms such as headaches, dizziness, nausea, vomiting, and loss of appetite. To alleviate vomiting in concussion patients, it is essential to maintain ample rest and a reasonable diet that is light and easy to digest. Avoid consuming highly stimulating foods and alcohol. Additionally, eat smaller meals more frequently. If vomiting is severe, symptomatic treatment can be administered. Currently, metoclopramide can be used for intramuscular injections as a standard treatment.

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Written by Li Pei
Neurosurgery
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Symptoms of concussion

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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What to do if you feel dizzy from a concussion?

Patients with concussion often exhibit signs of transient consciousness disorders and recent memory loss after injury. Some patients may experience varying degrees of headache, dizziness, nausea, vomiting, blindness, and other clinical symptoms. If a patient with concussion experiences dizziness, the first step is to rule out the possibility of intracranial organic lesions through examination of the head and body. Then, the patient should rest in bed in a quiet environment with dim lighting. Additionally, symptomatic treatment with medications, including some that expand cerebral blood vessels, can be administered.