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During World War I many soldiers with puzzling symptoms after being close to a detonation but without any evidence of a head wound. The illness was called shell shock, and a psychological explanation was eventually favoured. [73] By 1934 the current concept of PCS had replaced ideas of hysteria as the cause of post-concussion symptoms. [18]
A concussion, also known as a mild traumatic brain injury (mTBI), is a head injury that temporarily affects brain functioning. [8] Symptoms may include headache, dizziness, difficulty with thinking and concentration, sleep disturbances, mood changes, a brief period of memory loss, brief loss of consciousness; problems with balance; nausea; blurred vision; and mood changes.
It may be more reliable for determining severity of concussion than GCS because the latter may not be sensitive enough; individuals with s concussion often quickly regain a GCS score of 15. [3] Longer periods of amnesia or loss of consciousness immediately after the injury may indicate longer recovery times from residual symptoms from ...
But the recovery time can vary. Up to about 1/3 of people experience persisting symptoms after concussion (PHAC) or persistent post concussion symptoms (PPAC), defined as symptoms that last more than 4 weeks. [5] [6] [7] After an injury, concussion symptoms can begin immediately or be and delayed by 1-2 days at most. [8]
Second-impact syndrome (SIS) occurs when the brain swells rapidly, and catastrophically, after a person has a second concussion before symptoms from an earlier one have subsided. This second blow may occur minutes, days, or weeks after an initial concussion, [1] and even the mildest grade of concussion can lead to second impact syndrome. [2]
Acute concussion symptoms (those that occur shortly after an injury) should not be confused with CTE. Differentiating between prolonged post-concussion syndrome (PCS, where symptoms begin shortly after a concussion and last for weeks, months, and sometimes even years) and CTE symptoms can be difficult.
A hip fracture is a break that occurs in the upper part of the femur (thigh bone), at the femoral neck or (rarely) the femoral head. [2] Symptoms may include pain around the hip, particularly with movement, and shortening of the leg. [2] Usually the person cannot walk. [3] A hip fracture is usually a femoral neck fracture.
Closed-head injury is a type of traumatic brain injury in which the skull and dura mater remain intact. Closed-head injuries are the leading cause of death in children under 4 years old and the most common cause of physical disability and cognitive impairment in young people.
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