How Serious is a Concussion?

A concussion is a traumatic brain injury that affects your brain function.

Effects are usually temporary but can include headaches and problems with concentration, memory, balance, and coordination.

Concussions are usually caused by a blow to the head. Violently shaking the head and upper body also can cause concussions.

Some concussions cause you to lose consciousness, but most do not. It's possible to have a concussion and not realize it.

Concussions are particularly common if you play a contact sport, such as football. Most people usually recover fully after a concussion.


The signs and symptoms of a concussion can be subtle and may not show up immediately. Symptoms can last for days, weeks or even longer.

Common symptoms after a concussive traumatic brain injury are headache, loss of memory (amnesia) and confusion. The amnesia usually involves forgetting the event that caused the concussion.

Signs and symptoms of a concussion may include:

* Headache or a feeling of pressure in the head
* Temporary loss of consciousness
* Confusion or feeling as if in a fog
* Amnesia surrounding the traumatic event
* Dizziness or "seeing stars"
* Ringing in the ears
* Nausea
* Vomiting
* Slurred speech
* Delayed response to questions
* Appearing dazed
* Fatigue

You may have some symptoms of concussions immediately. Others may be delayed for hours or days after injury, such as:

* Concentration and memory complaints
* Irritability and other personality changes
* Sensitivity to light and noise
* Sleep disturbances
* Psychological adjustment problems and depression
* Disorders of taste and smell


Never return to play or participate in vigorous activity while signs or symptoms of a concussion are present.

An athlete with a suspected concussion should not return to play until he or she has been medically evaluated by a health care professional trained in evaluating and managing concussions.

Adults, adolescent athletes and proferssinal athletes with a concussion should not return to play on the same day as the injury.

Types of concussion injuries

Your brain has the consistency of gelatin. It's cushioned from everyday jolts and bumps by cerebrospinal fluid inside your skull.

A violent blow to your head and neck or upper body can cause your brain to slide back and forth forcefully against the inner walls of your skull.

Sudden acceleration or deceleration of the head, caused by events such as a car crash or being violently shaken, also can cause brain injury.

These injuries affect brain function, usually for a brief period, resulting in signs and symptoms of concussion.

This type of brain injury may lead to bleeding in or around your brain, causing symptoms such as prolonged drowsiness and confusion. These symptoms may develop immediately or later.

Such bleeding in your brain can be fatal. That's why anyone who experiences a brain injury needs monitoring in the hours afterward and emergency care if symptoms worsen.

Risk factors

Activities and factors that may increase your risk of a concussion include:

* Falling, especially in young children and older adults
* Participating in a high-risk sport, such as football, hockey, soccer, rugby, boxing or other contact sport
* Participating in high-risk sports without proper safety equipment and supervision
* Being involved in a motor vehicle collision
* Being involved in a pedestrian or bicycle accident
* Being a soldier involved in combat
* Being a victim of physical abuse
* Having had a previous concussion

Potential complications of concussion include:

1. Post-traumatic headaches. Some people experience headaches within a week to a few months after a brain injury.
2. Post-traumatic vertigo. Some people experience a sense of spinning or dizziness for days, week or months after a brain injury.
3. Post-concussion syndrome. Some people have symptoms such as headaches, dizziness and thinking difficulties a few days after a concussion. Symptoms may continue for weeks or months.
4. Cumulative effects of multiple brain injuries. It's possible that some people who have had one or more traumatic brain injuries over the course of their lives are at greater risk of developing lasting, possibly progressive, an impairment that limits function. This is an area of active research.

Rarely, experiencing a second concussion before signs and symptoms of a first concussion have resolved may result in rapid and usually fatal brain swelling.

A concussion changes the levels of brain chemicals. It usually takes about a week for these levels to stabilize again, but recovery time varies.

It's important for athletes never to return to sports while they're still experiencing signs and symptoms of concussion.

Some tips that may help you to prevent or minimize your risk of head injury include:

Wearing protective gear during sports and other recreational activities. Make sure the equipment fits properly, is well-maintained and worn correctly. Follow the rules of the game and practice good sportsmanship.

When bicycling, motorcycling, snowboarding or engaging in any recreational activity that may result in head injury, wear protective headgear.

Buckling your seat belt. Wearing a seat belt may prevent serious injury, including head injury, during a traffic accident.

Educating others about concussions.

Educating coaches, athletes, parents, and others about concussions can help spread awareness. Coaches and parents can also help encourage good sportsmanship.