Concussion and its treatment

Received light craniocerebral trauma( CCT) without compromising the integrity of the bones with the loss or confusion of the patient is called a concussion of the brain. The changes that arise at the cellular and molecular levels are reversible and usually do not lead to serious consequences.

What is the pathogenesis of trauma?

The traumatic factor affecting the head has a significant destructive effect due to the presence in it of a shock wave that propagates through the structures of the cranium. A wave applied from the site of the trauma agent and passing through the intracranial structures leads to small changes in the brain at the molecular, cellular and tissue levels. In the aftermath, compensation mechanisms are deployed aimed at redistribution of the microcirculatory bed and the subsequent occurrence of ischemic zones, as well as a decrease in the permeability of protective barriers.

In severe CWT due to stroke, there are consequences of concussion - areas of hypoxia of brain substance, increased edema and increased intracranial pressure, which leads to a shift in brain structures and development of complications. In case of concussion, the traumatic factor caused leads to small changes at the level of nerve cells and the brain tissue itself.

How is concussion manifested clinically?

Falling from the height, household trials, accidents - all this is one of many causes of head injuries, including a concussion. A powerful blow to the head leads to a different degree of damage to the brain tissue, which is why the disruption of the work of neurons manifests itself as a characteristic symptomatology.

Important! Treatment for concussion of the brain should be directed not at the manifestations of trauma, but on the disease itself.

For an easy degree of craniocerebral trauma, a disorder of consciousness is characteristic, which is manifested by its loss. In this case, the loss of consciousness usually does not last more than 5 minutes. In some cases, concussion is accompanied by confusion.

In addition to the condition described above, a severe headache is added to the patient's complaints, as well as nausea and vomiting that may occur in the first minutes after exposure to the traumatic agent, especially in preschool children. Dizziness, weakness also accompany the patient's condition. Do not be afraid of short-term failures in the patient's memory for current or previous events, since this is specific for concussion.

Often in the event of this symptomatic, patients are trying to find out how to treat a concussion at home , but this is strictly prohibited without the approval of the treating doctor, since behind the mask of mild degree of CCT may be concealed severe conditions.

Therapeutic tactics with concussion of the brain

Previously, neurologists have decided to share concussion at a stage of severity, and to carry out different therapy for mild, moderate-to-severe and severe. To date, this classification has been abandoned; therefore, as a treatment for a light concussion of the does not exist, and the therapy for mild TBT is unified.

All patients with suspected brain concussion are hospitalized for confirmation of the diagnosis, or its disproving and appropriate therapy. Only a neurologist knows how is diagnosed as a concussion is treated. Drug treatment for this condition is aimed at relief of symptoms:

• analgesics( Analgin, Pentalgin) - for the removal of severe headaches;
• sedatives on a herbal basis( valerian, motherwort, lemon balm, mint, etc.);
• sleeping pills( Donormil, barbiturates) are prescribed for insomnia in the first two days after the injury.

In addition to removing the symptoms of concussion, an important role is played by the prevention of further complications associated with concussion. In this case, the patient is assigned:

• nootropic drugs that improve microcirculation in the brain tissue;
• antioxidants( vitamin C, cytoflavin);
• multivitamin preparations;
• antihistamines.

Nutrition with a concussion should be complete, rich in proteins, but with the exception of the diet heavily digested fried and fatty foods. The duration of in-patient observation usually takes from 7 to 14 days, but it can vary depending on the concomitant diseases and the patient's condition, so even the attending physician is not always in a position to accurately predict how much concussion will be treated in a particular patient.

As a result of hospital discharge, the condition of the patient usually remains unimportant, so it is necessary to consult a rehabilitation doctor or neurologist about how will recover from after a concussion. Control over the state of health after suffering a concussion especially in children, requires a follow-up at a neurologist for the first 3 months. Finally, it should be said that even if the acquaintances recently suffered this condition and told what is being treated and what help is provided for concussion of the brain, it is strictly forbidden to follow the advice of people who do not have a higher medical education. A non-serious attitude towards one's health is fraught with the development of complications.