Recovery from Concussion may take longer than expected. This article describes the symptoms of ongoing problems and what can be done to help.
Shock or mild head injury (MTBI), is the most common and least serious type of skull-brain trauma. Headline a temporary loss of mental function. It can be obtained by the acceleration or deceleration forces, or by a direct hit. Title is not usually associated with the pervasive violations.
SYMPTOMS
The symptoms of a Concussion can also be a period of unconsciousness less than 30 minutes, vomiting, confusion, and visual disturbances. Amnesia, the mark of signs Concussion, retrograde amnesia (loss of memory that were the first injury) or anterograde amnesia (loss of memory formed after injury). In Concussion, amnesia is much more anterograde (including post-traumatic amnesia or PTA). This type of amnesia is the inability to create and store new memories, as the process of saving something from the RAM on a computer to its hard drive. Amnesia may not become known until the next day or next week. A well-known example in sport Concussion is the Quarterback, was all the complex mental tasks to lead a football team after a Concussion, but has no memory the day after the game was that after Concussion.
Patients with a Concussion may act confused, for example, repeatedly asking the same questions, or forget where they are. Patients can focus on the neurological deficits, signs that a certain part of the brain is not functioning properly.
Concussions since no damage to the structure of the brain, the condition of patients with less Concussions often is better or remains the same. But brain damage is a process, not an event, which is set in motion various pathological processes. The Concussions the result in permanent long-term deficits, which can often worsen during the first day. A deterioration in the level of awareness may mean that the patient has a different problem, like a bad type of head injuries. Similarly, persistent vomiting, headache worsening, ringing in the ears (tinnitus), drowsiness, unequal pupil size, and the increasing disorientation are all signs of an increase in intracranial pressure (ICP). More likely in the typical Concussion, the process of axonal injury and is progressing. In the first 72 hours, a stretched or damaged axons can be further damaged or killed by ionic fluctuations.
The most critical mistake Concussion suffering is not the return of additional medical treatment and evaluation for the period from 24 to 72 hours after the concussive event, if the symptoms are getting worse. Athletes, especially intercollegiate or professional athletes usually have followed closely by team trainers during this period. But those injured in accidents can be sent home without any medical supervision of compliance with that person, unless the situation even worse. If the person has had a Concussion yesterday, and did not clear the memory of time between the Concussion and today, they are likely to suffer from post-traumatic amnesia, and the likelihood is greater that in the long term or permanent problems.
Another thing: Most of the research done on Concussions strong and suitable for male athletes in their late teens or early 20s. More than 40 persons, especially women over 40 are much more likely that the long-term problems of these young athletes. Cervelli older do not have the regenerative capacity of young and old brains available much more likely to suffer more forces to disable the same type of accidents. In general, women are not worse than that of men.
Degrees of Concussion
Title will be divided into five categories
The more lenient 1st class I, only confusion.
2nd Grade II includes anterograde amnesia that lasts less than five minutes and confusion.
As a 3rd grade III covers the symptoms above and retrograde amnesia and loss of consciousness for less than five minutes.
4th Grade IV includes all the symptoms above, as well as loss of consciousness, it takes 5 to 10 minutes.
5th Grade V is the same as grade IV, with loss of consciousness for more than ten minutes.
American Academy of Neurology (AAN) guidelines clarify that damage to the brain can occur with or Grade 2 or Grade 3 Concussion. Thus, it is clear that subtle brain injury can have lasting consequences if the symptoms of acute Concussion continue for more than 15 minutes.
Each class has several recommendations for patients, play sports activities:
* In Class I, the patient can return to contact sport in 20 minutes.
* A patient with a second grade I Concussion to play contact sports in 2 weeks after the asymptomatic for a week.
* In Class II, the patient can return to contact sports in 1 week is asymptomatic.
* A second grade II may return to play contact sports 1 months after the asymptomatic for a week.
* In Class III, the patient can return to contact sports in 1 month.
* For a patient with a second time Grade III Concussion, the season is over.
However, if the patient has repeatedly Concussions after contact sports, x 3 Class I, Class II x 2, and in particular the grade III x 2, then it should be recommended that the season is over and a thorough medical evaluation should be considered mandatory.
The symptoms of most Concussions are dissolved in 48 to 72 hours, but there may be problems.
Post-Concussion Syndrome
In the post-Concussion Syndrome (PCS), the symptoms do not resolve for weeks, months or even years, and patients can have headaches, light and sound sensitivity, memory and attention problems, dizziness, difficulty with the line movements, depression and anxiety. Symptoms usually peak from 4 to 6 weeks after Concussion, but can go longer, lasting about a year or longer. Children experience a more severe symptoms of Post-Concussion Syndrome than adults. Physiotherapy, more rest is the best relaxation techniques, and the symptoms usually disappear by themselves.
30 Haziran 2008 Pazartesi
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