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What to Know About Concussions

How much do you know about concussions? Learn more about the symptoms and treatment.

Doctor holding up fingers to girl with head injury

Keith Loud, MD, MSc, Pediatrics

  • What is a concussion? A concussion is a mild traumatic brain injury caused by a significant force to or around the head, leading to temporary changes in brain function.
  • Common symptoms: Include headache, dizziness, feeling "off" or not right, nausea, vision changes, difficulty concentrating, mood changes, fatigue, sensitivity to light/noise, and balance problems.
  • Behavioral changes: Children may show irritability, confusion, slowed responses, or changes in personality after a concussion.
  • Second impact syndrome: A rare but severe condition occurring when a second concussion happens before the first has fully healed, causing massive brain dysregulation and potentially life-threatening consequences.
  • Management recommendations: If concussion is suspected, stop the child from doing risky activities but don't isolate them excessively; seek evaluation from healthcare providers and follow a gradual return-to-play protocol.
  • Diagnosis: Made through history, physical examination, and sometimes specialized tests like vision and balance assessments; imaging is generally not needed unless more serious injury is suspected.
  • Young children: May not verbalize symptoms; caregivers should watch for unusual behavior, difficulty waking, seizures, or persistent crying after a head injury.
     

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