All head injuries are divided into open and closed.
Openly called injury, in which the damaged soft tissue
head (skin, subcutaneous tissue, fascia) and the bones of the skull. closed
trauma - somewhat less dangerous, but still unpleasant. They are in their
turn, are divided into brain concussion, contusion and its compression.
Among all brain concussion injury occupies the first frequency
a place. Moreover, monitoring of trauma, in women it occurs
more. While it may be that they simply seek professional
help more often than men.
It may occur as a result of blows, bruises and sharp movements:
acceleration or deceleration, for example, in the fall. The causes tremors
usually traffic accidents, household, sport
and industrial injuries, and injuries resulting from
What is happening in
by shaking our brain, doctors still find it difficult
a clear answer. After all, if the injured brain to explore
computed tomography, practically no
Organic violations can not be identified. Most likely, in
result of concussion, there are certain problems with the nervous work
marrow cells. This may worsen their nutrition, appear light
offset layers of brain tissue and the relationship between some disorders
From heavy shock may break
blood vessels, seriously injured certain parts of the brain.
The main danger with traumatic brain injuries - intracranial
bleeding as blood leaked able to squeeze and impregnate
brain structures, disrupting their employers and vitality. Besides,
injury can lead to other severe complications - cerebral edema.
Especially hard to occur brain injury complicated with shock, and injury,
affecting the brain stem, which regulates breathing and blood pressure.
How do you recognize?
injury resulting person often loses consciousness. It may take
from a few seconds to several minutes. Time spent in the
condition can be one of the indicators of the severity of concussions.
The extreme degree of unconsciousness - coma.
People often do not realize where he was, what happened, and hardly know
the people around him. Another important attribute that can be
to judge the severity of the brain damage is the loss of memory: Do remember
man the time of injury, and if not, how big chunk of time
before the injury fell from his memory. The more memory failure, the more serious
When the victim comes to life, it can and vomiting
tear. Often it turns pale, he turned and headache, noise in
ears, it is difficult to focus the mind, breathing becomes frequent and
pulse jumps. In the first hours after concussion the victim
dilated or constricted pupils - traumatic brain injury of any degree
gravity leads to disruption of the nerve pathways responsible for the work
eye. Surely in a movie you have not seen, as in the human inspection,
unconscious, the physician directs the beam of a flashlight in his eyes
affected. This is done to determine the reaction of the pupils. In mild
concussion pupils react to light, but the slack, and in severe
no reaction at all. The extension of only one of the pupils
and the lack of reaction in the second symptom is a formidable and can
talk about the heavy damage to one hemisphere of the brain.
What to do?
suspected concussion is necessary to have affected the first
help. First you need to ensure complete peace man, put him
on the bed in a quiet darkened room. His head lifted slightly better.
It is very useful to apply cold compresses to the head. Many drink at
concussion is not recommended. If the victim thirsty,
cook it sweet tea. Alcohol is strictly contraindicated in him!
Of course, be sure to call your doctor, because it is possible that
brain injury more serious than it seems at first glance. If
the patient is in shock, to watch closely the arrival of Emergency
his breathing and pressure. In an emergency, start doing
rescue breathing and chest compressions.
The diagnosis of concussion
concussion need to go to the doctor-traumatologist. He will examine and
will interview the patient, check reflexes appoint skull radiography and
with suspected brain damage more difficult to send
consult a neurologist. There's a patient waiting for a full-scale test:
Electroencephalography (EEG), echoencephalography, computer or
Magnetic resonance imaging of the brain, the cerebral vascular Doppler
brain, lumbar puncture. To avoid problems with
spine may require magnetic resonance imaging
Patients with a concussion should
comply with bed rest for at least a few days. This is not
read, listen to loud music and watching TV. must
follow all instructions of the doctor carefully to take their assigned
medication. When you shake the general condition is usually affected
normal during the first, at least - two weeks after the injury.
remember that a person who has had even a slight concussion,
may develop post-traumatic neurosis, or other more serious
Complications, such as epilepsy. Therefore, some time after
recovery sure to visit a neurologist and undergo
electroencephalography. Treatment for more severe traumatic brain injury
depending on their severity. In some complicated cases can
need help neurosurgeons.