Headache in front of head1/6/2024 ![]() Headaches occur in up to 90% of persons who have symptoms from mild head injuries. Additional evaluation depends upon the symptoms. For example, evaluation by an ENT specialist for dizzy spells, ophthalmologist for blurred or double vision, or neurologist for persistent headaches or memory problems. If memory problems continue, a battery of memory tests, called neuropsychological tests, can be obtained. Brain wave tests (EEG) are not helpful unless seizures are suspected. Rarely, a mild head injury can cause a blood clot on the brain (a subdural or epidural hematoma), which can be seen on the scan. Scans of the brain such as CT or MRI are usually normal, or show slight bruising of the brain. For most, memory and concentration problems are better within three months. Persistent or prolonged PCS (PPCS) is associated with increased risk when preexisting psychological conditions, expectations of disability and older age are present. It is not known with any certainty why PCS occurs and sometimes lasts long periods of time. One or more PCS complaints occur in about 50% (38-80%) of people with a mild closed head injury. Other symptoms can include ringing in the ears, hearing loss, blurred vision, light and noise sensitivity, decreased smell and taste, depression, personality change, post-traumatic stress disorder, decreased sex drive, and nausea and sometimes vomiting. The most common PCS complaints are headaches, dizziness, fatigue, irritability, anxiety, insomnia, loss of concentration and memory, and noise sensitivity. Post-concussion syndrome is a set of complaints that a person experiences for weeks, months, or sometimes years after a concussion. What is the post-concussion syndrome (PCS)? Information is available for high school players, parents and coaches at also under brain injury under Management of Concussion in Sports. This is especially important in athletes who should not return to play until they have recovered. ![]() This condition is called second impact syndrome. A repeat concussion that occurs before the brain recovers from the first-usually within hours, days, or weeks-can rarely result in brain swelling, permanent brain damage, and even death. Mild TBI results from bruises on the surface of the brain, damage to nerves and release of excitatory nerve transmitters. How might mild traumatic brain injury or concussion actually damage the brain? About 75% of these injuries are due to blast trauma due to improved explosive devises and rocket-propelled grenades. troops have suffered brain injuries, mostly concussions, representing about 20% of the 1.8 million who have served in Iraq and Afghanistan. In football alone, an estimated 10% of US college and 20% of US high school players suffer brain injuries each season. American football, ice hockey, soccer, boxing, and rugby are common sports-related causes. The causes are: a motor vehicle accident (45%), falls (30%), job-related accidents (10%), recreational accidents (10%), and assaults (5%). About 75% result in mild closed head injury. There are about 1.4 million cases of TBI each year in the United States. A concussion occurs when head injury causes a person to be dazed and confused or knock a person out or unconscious. Memory (amnesia) may exist for up to 24 hours. A mild injury means the person may be dazed, confused or lose consciousness for up to 30 minutes. A closed head injury results when there is no entry through the skull into brain tissue. Other causes include a jolt to or shaking of the head. Treatment depends on the headache type, patient and provider.Ī traumatic brain injury (TBI) results when an object or blow hits the head.Tension-type headache, occurs in nearly all for some time period.Prolonged post-concussion symptoms are more common in those who expect disability, have psychological difficulties and in older age.Concussion does not require loss of consciousness.TBI can be associated with significant disability.Mild traumatic brain injury (TBI) is common.
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