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Concussion - Treatment

Treatment:

An initial neurological evaluation by a health care worker determines appropriate treatment for an uncomplicated concussion.

If a blow to the head during athletics leads to a bad headache, a feeling of being confused (dazed), or unconsciousness, a trained person must determine when the person can return to playing sports.

If a child or young adult has lost consciousness, that person should not play sports for a period of 3 months. There is an increased rate of brain injury and occasionally death in persons who have had a previous concussion that resulted in unconsciousness.

Concussion complicated by bleeding or brain damage must be treated in a hospital.

Expectations (prognosis):

Full recovery is expected from an uncomplicated concussion, although prolonged dizziness, memory loss, decreased mental functioning, irritability, headaches, and other symptoms may occur.

Complications:

  • Bleeding in the brain (intracerebral hemorrhage)
  • Brain injury that results in physical, emotional, or intellectual changes or deficits

Calling your health care provider:

Call your health care provider if anyone has a head injury that produces unconsciousness, or a head injury without unconsciousness that produces symptoms that cause concern.

Call 911 or go the emergency room if emergency signs develop.

  • Reviewed last on: 1/16/2009
  • Jacob L. Heller, MD, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Ropper AH, Gorson KC. Clinical practice: concussion. N Engl J Med. 2007;356:166-172.

Kirsch TD, Lipinski CJ. Head injury. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. Columbus, OH: McGraw-Hill; 2006:chap 255.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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