Concussions

A concussion is traumatic brain injury that affects how your brain functions and results when direct or indirect forces are applied to the head, as in the case of a sports injury, fall, or motor vehicle accident.

This disturbance of brain function is typically associated with normal structural neuroimaging findings (i.e., CT scan, MRI) and can result in a combination of physical, cognitive, emotional and/or sleep-related symptoms. The duration of symptoms is highly variable and may last from several minutes to days, weeks, months, or even longer in some cases. The clinical effects of a concussion can vary widely from individual to individual and it is important to be evaluated as soon as possible to initiate treatment if needed.

An estimated 75%-90% of the 1.7 million traumatic brain injury related deaths, hospitalizations, and emergency department visits that occur each year are concussions or other forms of mild traumatic brain injury (mTBI). Approximately 1.6 – 3.8 million sports and recreation-related concussions occur in the United States each year. Most of these are concussions that are not treated in a hospital or emergency department; folks simply go home. Individuals with a history of concussion are at an increased risk of sustaining a subsequent concussion. When examining all severities of brain injuries, with one brain injury you are at a 3 times greater risk of a second brain injury. With two brain injuries, you have an 8 times greater risk of a third. Research shows that recovery time may be longer for children and adolescents as their brains are more vulnerable to injury and are still developing. With proper diagnosis and management, most patients with a concussion recover fully.

Signs and symptoms of concussion generally fall into four categories: physical, cognitive, emotional, and sleep.

Physical

Headache
Nausea
Vomiting
Balance problems
Dizziness
Visual problems
Fatigue
Sensitivity to light
Sensitivity to noise
Numbness/Tingling
Dazed/Stunned

Cognitive

Feeling “foggy”
Problems thinking
Feeling slowed down
Problems concentrating
Memory problems
Confusion
Answers questions slowly
Repeats questions

Emotional

Irritability
Sadness
More emotional
Nervousness

Sleep

Drowsiness
Sleeping less
Sleeping more
Falling asleep