post-concussion syndrome

Written by Chen Yu Fei
Neurosurgery
Updated on May 31, 2025
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For patients with concussions, especially those with mild concussions, they generally do not retain obvious sequelae. Most patients gradually alleviate or even eliminate the original symptoms after resting. However, some patients with more severe concussions still experience repeated headaches, dizziness, nausea, vomiting, and other discomfort during the recovery period. At this time, it is appropriate to treat patients by using some brain-enhancing and nerve-nourishing medications. Meanwhile, patients should be encouraged to actively participate in social activities and do some simple physical exercises, which can help stabilize and recover from the condition. Additionally, it is also suggested that concussion patients receive appropriate psychological counseling. (Specific medications should be taken under the guidance of a physician.)

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Written by Li Jin Quan
General Surgery
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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 Chen Yu Fei
Neurosurgery
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Concussions are classified into several types.

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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Written by Li Jin Quan
General Surgery
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What is a concussion?

Firstly, a concussion is a relatively mild condition where the brain sustains damage, usually accompanied by disturbances in consciousness, which are temporary, such as unconsciousness lasting no longer than half an hour. The second symptom is akin to amnesia, where the injured person is unable to recall the circumstances of the injury. At the time of the injury, symptoms such as a drop in blood pressure and pale complexion can occur; some patients may also experience dizziness, headache, nausea, loss of appetite, poor sleep, as well as a range of clinical manifestations including lack of concentration and memory decline.

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Written by Jiang Fang Shuai
Neurosurgery
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How to administer first aid for a concussion

After a concussion occurs, the injured should be quickly moved from a dangerous environment to a safe area. The injured person should lie flat and rest quietly without sitting up or standing. The head can be appropriately cooled, and it is important to keep the body warm. For patients who are unconscious, it is necessary to keep the airway clear and closely observe their consciousness and pupils. If there are airway secretions or vomiting, they should be cleaned up promptly. If the patient has already experienced respiratory or circulatory problems, immediate cardiopulmonary resuscitation should be performed. After the aforementioned emergency treatment, the next step is to transport the patient to a nearby well-equipped hospital for further diagnosis and treatment.

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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.)