concussion symptoms

Written by Gao Yi Shen
Neurosurgery
Updated on March 25, 2025
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The symptoms of a concussion must be judged according to the situation. Different types of individuals may exhibit various clinical symptoms, and not all symptoms described in textbooks will necessarily appear. Many will experience dizziness, headache, vomiting, nausea, and other related clinical symptoms; some may experience transient epileptic seizures, limb numbness and weakness, or speech impairments; some individuals might also experience retrograde amnesia, meaning they forget the events that occurred at the time of the injury; and some may enter a state of coma, lasting more than five minutes but less than half an hour. Therefore, these are all symptoms of a concussion, but not everyone will experience them, and some may also have additional symptoms, which should be assessed based on the situation at the time.

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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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Symptoms of Concussion

Concussion is generally characterized by a clear history of head trauma, with transient consciousness disorders following the injury, usually lasting less than 30 minutes. It is often seen in falls from heights, car accidents, or injuries caused by accidental hits from others. After regaining consciousness, patients with concussions may experience headaches, dizziness, nausea, and vomiting. Some patients may have difficulty recalling the incident clearly, which is clinically referred to as retrograde amnesia. When these symptoms appear, a concussion is likely, and the patient should be immediately hospitalized for treatment; a head CT or MRI should be performed to help rule out the possibility of other intracranial organic diseases.

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Is a concussion serious?

Concussion is usually a mild condition where the brain has been injured. Clinically, it manifests as temporary disturbances in consciousness, typically not exceeding half an hour. Another symptom is recent memory loss, as the individual cannot recall the events during the injury. There may also be a decrease in blood pressure or pallor at the time of the injury. Following the injury, symptoms such as dizziness, headache, loss of appetite, nausea, memory decline, lack of concentration, or tinnitus can occur. Generally, with 1-2 weeks of treatment, most people can recover from a concussion, so it is not considered a very serious condition.

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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.

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Is a concussion considered a minor injury?

Patients with concussion exhibit a brief disturbance in consciousness due to injury, which does not last more than half an hour. They also experience recent memory loss, meaning patients cannot recall the circumstances of the injury. Additionally, some patients may experience a range of clinical symptoms including headache, dizziness, nausea, insomnia, loss of appetite, lack of concentration, and decreased memory. The vast majority of concussion patients can recover with one to two weeks of rest. Furthermore, head CT scans of concussion patients do not show any organic changes. Therefore, concussions are generally not considered minor injuries.