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Doctor insights on: Brain Concusion

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Buddy fell skiing. Mild concusion. No brain bleed, CT shows bruising. He's a little dizzy not himself. Ok to have alcohol? Want to say no.

Buddy fell skiing. Mild concusion. No brain bleed, CT shows bruising. He's a little dizzy not himself. Ok to have alcohol? Want to say no.

No alcohol: I would not advise alcohol until complete resolution of symptoms from the head injury. I am not sure what you mean by the ct showed bruising. If you mean bruising of the brain, then the injury is more substantial than a concussion and needs neurosurgical consultation and close follow-up. ...Read more

Dr. William Singer
771 doctors shared insights

Concussion (Definition)

An injury to the brain usually caused by trauma. Symptoms include loss of consciousness, altered ...Read more


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Does concussion cause damage to brain?

Does concussion cause damage to brain?

Yes: In the mildest cases there is temporary damage that causes loss of consciousness. There may not be detectable damage, but there is always damage to the brain. Damage for multiple concussions is cummulative. ...Read more

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Does the brain swell after a concussion?

Does the brain swell after a concussion?

Below: The best explanation is from a Mayo Clinic site: What is a traumatic brain injury? TBI is an injury to the brain caused by a blow or jolt to the head from blunt or penetrating trauma. The injury that occurs at the moment of impact is known as the primary injury. Primary injuries can involve a specific lobe of the brain or can involve the entire brain. Sometimes the skull may be fractured, but not always. During the impact of an accident, the brain crashes back and forth inside the skull causing bruising, bleeding, and tearing of nerve fibers (Fig. 1). Immediately after the accident the person may be confused, not remember what happened, have blurry vision and dizziness, or lose consciousness. At first the person may appear fine, but their condition can decline rapidly. After the initial impact occurs, the brain undergoes a delayed trauma – it swells – pushing itself against the skull and reducing the flow of oxygen-rich blood. This is called secondary injury, which is often more damaging than the primary injury. ...Read more

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What happens to your brain after having a concussion?

What happens to your brain after having a concussion?

Brain chemistry: After a concussion, the common symptoms include headache, difficulty with concentration, memory problems, increased irritability. It is known that there is a change in the brain metabolism. The neurons are thus much more sensitive to insults. This is why patients with a concussion are more susceptible to a head injury (the second impact syndrome). ...Read more

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What happens to the brain when someone gets a concussion?

What happens to the brain when someone gets a concussion?

Brain cells injured: Concussions, a form of mild traumatic brain injury (tbi), are usually caused by a blow to the head which causes the brain to move within the skull. The force of the brain moving suddenly, often bumping the skull, causes chemicals to leak out of the brain cells. It is important to rest to allow the brain to repair the damage to these delicate cells. www.cdc.gov/concussion/. ...Read more

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Where is the worst area of the brain to get a concussion?

Where is the worst area of the brain to get a concussion?

Back: Symptoms that take longer to recover likely represents a "worst injury". This is seen when the back of the brain is affected, possibly from a fall on the back of the head. The symptoms that are typically predictive of a prolonged recovery are balance issues, fogginess, neck pain, and difficulty concentrating. ...Read more

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Does the brain swell up from a mild or moderate concussion?

Does the brain swell up from a mild or moderate concussion?

Usually not: Mild to moderate concussion may cause some inflammation or irritation but is not known to cause swelling. If you have concerns, please see your physician for evaluation and further management. ...Read more

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What actually occurs inside the brain after you get a concussion?

What actually occurs inside the brain after you get a concussion?

Not clear: The actual changes in the brain after a concussion are not properly understood. After concussion, post-concussive syndrome (pcs) can be from mild to severe. It can include a range of symptoms including (but not limited to) headaches, dizziness, nausea, poor concentration, irritability, anxiety, noise or light sensitivity, depression, fatigue, sleep problems, memory problems. ...Read more

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Can concussions cause structural damage to the brain, if imaging is normal?

Can concussions cause structural damage to the brain, if imaging is normal?

Yes: See: http://www.sportsconcussion.co.za/Research/Pathophysiology/2013/The%20Molecular%20Pathophysiology%20of%20Concussive%20Brain%20Injury.pdf Chronic traumatic encephalopathy can likely come about with many micro traumas. Our improving imaging tests (eg tractography) show this problem to be more evident. CT and even conventional MRI are blunt instruments and could be negative. ...Read more

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The brain chemsrty changes after a concussion? How physcogical? Or chemically?

The brain chemsrty changes after a concussion? How physcogical? Or chemically?

That's a big subject: Your question cannot possibly be answered in 400 characters, or 400 words, or 400 lines. For more information, you should read http://www.ncbi.nlm.nih.gov/books/NBK185339/. ...Read more

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If you don't give your brain a break, will it heal correctly after having a concussion?

If you don't give your brain a break, will it heal correctly after having a concussion?

Yes: Rest, both physical and cognitive, will help speed resolution of a concussion. Not having the rest may prolong the symptoms, but eventually most will recover spontaneously. Avoid strenuous activities, get sufficient sleep and eat a balanced diet during recovery. ...Read more

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I got a concussion back in late february. Is it possible to still have symptoms? The back of my brain feels weird still.

I got a concussion back in late february. Is it possible to still have symptoms? The back of my brain feels weird still.

Concussion treatment: The mainstay of concussion treatment i'd cognitive and physical rest followed by a gradual increase in activity. If symptoms return from increase activity continue rest. Recovery from concussion is variable person to person. Seek the advice of your doctor. ...Read more

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How long does it take for the brain to heal from a severe concussion bc i had brain surg in 1993-95 ans the concussion was 9/16/13.

How long does it take for the brain to heal from a severe concussion bc i had brain surg in 1993-95 ans the concussion was 9/16/13.

Up to a year: Patients with concussion can have symptoms of headaches, confusion, emotional lability, sleep disorder for 6 months to a year. History of previous brain surgery may prolong the recovery period from concussion. Check with your doctor to make sure there is no structural problems with the brain, such as edema, bleeding, contusion, that may affect your recovery. ...Read more

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Mild concussion at age 9 and a more serious concussion with loc at age 26 is the brain starting over or is their lasting effects from first one?

Mild concussion at age 9 and a more serious concussion with loc at age 26 is the brain starting over or is their lasting effects from first one?

We don' know yet: The science of concussions is constantly evolving. We can say that over the short term and maybe even the midterm, 18 to 24 months there is definitely a lower threshold of injury to cause concussive episodes. We don' t have the data about concussions sustained 17 years apart. Hopefully as we generate a more complete data base with follow up we will be able to answer that question more definitely. ...Read more

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2nd mild concussion in 3 months. What happens to the brain after a 2nd concussion and when they are so close together? scared I won't be the same!

2nd mild concussion in 3 months. What happens to the brain after a 2nd concussion and when they are so close together? scared I won't be the same!

Still symptomatic?: If you are still symptomatic I recommend rest, both physical and cognitive until symptoms subside. If you are no longer symptomatic do not worry. The brain has cerebral reserve which can accommodate. Remember concussions can be cumulative. Avoid the activities that have caused your head injuries ...Read more

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2nd mild concussion in 3 months. what happens to my brain after a second concussion? afraid I will have no brain left, they were so close together.

2nd mild concussion in 3 months. what happens to my brain after a second concussion? afraid I will have no brain left, they were so close together.

Cerebral reserve: Although concussions are cumulative,our brains have sufficient number of brain cells to handle whatever loss results from your concussions. You will not run out ...Read more

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Had a concussion 5weeks ago.How hard is to get a second concussion/hurt brain? I'm scared i'll hurt myself if i go out, do everyday activities, houswork

Concussion: I can't really give you answer. Concussions are additive; permanent brain injury occurs with repeated head trauma which is unlikely in performing routine daily activities. ...Read more

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I got a concussion at practice in the early evening, then3days later i got another concussion, finished the game-symptoms hit me hard.How bad for brain?

I got a concussion at practice in the early evening, then3days later i got another concussion, finished the game-symptoms hit me hard.How bad for brain?

Bad...: You need to be out of contact sports for at least a week. Follow up with your doctor or the team physician. Depending on how you are doing, you may need an additional week or longer. Read this, and/or refer it to your coach and doctor: http://www.Mayoclinic.Org/medical-professionals/clinical-updates/trauma/sports-related-concussions. ...Read more

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Doctors! what actually occurs inside the brain after a concussion?

Doctors! what actually occurs inside the brain after a concussion?

Distortion: The brain undergoes a distortion of the brain and brain stem. The brainstem is fixed in place but the brain can be distorted, putting a stretch on nerve fibers traveling through the brain stem. A kink can develop in the brain stem at the level of the area driving migraine headaches, nausea and vomiting. Fibers in the Reticular Activating Sysem are stretched, causing disturbance of alertness. ...Read more

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