Cerbral Concussion

  • A cerebral concussion after a head injury presents as a temporary loss of neurologic function with no apparent structural damage.
  • generally involves a period of unconsciousness lasting a few seconds to a few minutes.
  • brain jarring may be so slight as to cause only dizziness and spots before the eyes
  • brain jarring may also be of the severity to cause complete loss of consciousness for a time.

 

  • If the frontal lobe of the brain is affected the patient may exhibit bizarre irrational behavior.
  • If the temporal  lobe of the brain is affected the patient  may become temporarily disoriented or have temporary amnesia.

Treatment:

hospital observation for the following:

  • headache
  • dizziness
  • lethargy
  • irritability
  • anxiety

Presence of the following symptoms indicate postconcussion syndrome

Discharged with family observation for the following which may indicate secondary brain injury due to intracranial bleeding or inflammation:

  • Difficulty awakening
  • Difficulty speaking
  • Confusion
  • Severe headache
  • Vomiting
  • Weakness of one side of the body

Concussion was once thought to be a minor head injury with significant sequelae. However it is now known that residual effects occur such as:

  • including headaches
  • lethargy
  • personality and behavioral changes
  • attention deficits
  • difficulty with memory
  • disruption in work habits

Postconcussion Syndrome (PCS)$ may persist for more than 6 months.

Bare, Brenda, Day, Rene, A, Paul, Pauline, Smeltzer, Suzanne, C, and Williams, Bev. 2007. Textbook of Medical-Surgical Nursing. 1st Candaian ed. Lippincott Williams & Wilkins, Philadelphia. p. 1923-1924.

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