Precursors of concussion

Written by Gao Yi Shen
Neurosurgery
Updated on March 01, 2025
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Concussions generally do not have precursors, as they occur immediately after the brain is injured and certain clinical symptoms manifest. There is no concept of a precursor with concussions. The clinical symptoms of a concussion primarily appear after a trauma and include headaches, dizziness, nausea, vomiting, retrograde amnesia, and brief periods of unconsciousness. These symptoms must all be present to classify as related to a concussion. If symptoms are present and a head CT scan shows no significant bleeding, a concussion can generally be diagnosed. Therefore, there is no such thing as precursors, only related clinical manifestations.

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Written by Gao Yi Shen
Neurosurgery
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Precursors of concussion

Concussions generally do not have precursors, as they occur immediately after the brain is injured and certain clinical symptoms manifest. There is no concept of a precursor with concussions. The clinical symptoms of a concussion primarily appear after a trauma and include headaches, dizziness, nausea, vomiting, retrograde amnesia, and brief periods of unconsciousness. These symptoms must all be present to classify as related to a concussion. If symptoms are present and a head CT scan shows no significant bleeding, a concussion can generally be diagnosed. Therefore, there is no such thing as precursors, only related clinical manifestations.

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Written by Li Jin Quan
General Surgery
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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.

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Written by Li Jin Quan
General Surgery
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How is a concussion diagnosed?

Concussion diagnosis usually includes, first, a history of head trauma; second, after a head CT scan, no significant substantive changes are observed, but the patient has experienced a transient loss of consciousness, typically not exceeding half an hour. Third, there is approximated amnesia where the patient cannot recall the incident. Some may show symptoms such as decreased blood pressure and pale complexion, while others can experience dizziness, headache, nausea, loss of appetite, insomnia, memory deterioration, and lack of concentration among a series of clinical presentations. Diagnosis of concussion can be confirmed through medical history, supplementary examinations, and clinical symptoms.

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Written by Li Jin Quan
General Surgery
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How to treat a concussion

The management of concussion patients includes general management and symptomatic drug treatment. General management should include psychological communication with patients who may feel fear and anxiety. Keeping the patient's mood relaxed is beneficial to the recovery of the disease. Secondly, in the early stages of concussion, it is important to observe changes in the patient's general condition to prevent the possibility of delayed intracranial hemorrhage. Thirdly, the patient's diet should be light, easy to digest, and nutritionally reasonable. Additionally, there is symptomatic drug treatment. Some patients may experience severe headaches and insomnia. We can administer some analgesic and hypnotic medications orally. Treatment can also include oral medications that promote the recovery of nerve cells.

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Written by Jiang Fang Shuai
Neurosurgery
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How long does it take to recover from a concussion?

In clinical practice, we often see mild cases of concussion. After suffering from trauma, patients only show mild symptoms such as headache and dizziness, or may experience nausea. Some patients may not have any symptoms at all, and their recovery tends to be quick, often within two to three days, or even up to about 2 to 3 weeks to fully return to normal. However, for severe cases of concussion, symptoms such as headaches, dizziness, nausea, and vomiting are more pronounced, and some patients may exhibit certain mental, psychological, and behavioral disorders. In these cases, hospitalization is usually required, and the recovery period can be quite lengthy, lasting for over a month, or even up to three months.