Traumatic brain injury

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Symptoms

By Mayo Clinic staff

Your brain controls your movements, behaviors, thoughts and sensations, so a traumatic brain injury can have wide-ranging physical and psychological effects. The immediate physical effects include bruising and swelling. When injured brain tissue swells up, it creates a second, delayed problem — pressure. As the injured tissue expands, it pushes against the skull with increasing force and causes additional damage.

Mild traumatic brain injuries
The signs and symptoms of a mild traumatic brain injury (concussion) may include:

  • A brief period of unconsciousness
  • Amnesia for events immediately before and after the injury
  • Headache
  • Confusion
  • Dizziness or loss of balance
  • Sensory problems, such as blurred vision, ringing in the ears or a bad taste in the mouth
  • Mood changes
  • Memory or concentration problems

Moderate to severe traumatic brain injuries
If the injury is moderate to severe, the list of signs and symptoms grows to include:

  • Persistent headache
  • Repeated vomiting or nausea
  • Convulsions or seizures
  • Inability to awaken from sleep
  • Dilation of one or both pupils of the eyes
  • Slurred speech
  • Weakness or numbness in the extremities
  • Loss of coordination
  • Profound confusion
  • Agitation, combativeness

Children's symptoms
Children with brain injuries may lack the communication skills to report headaches, sensory problems, confusion and similar symptoms. Instead, they may:

  • Refuse to eat
  • Appear listless and cranky
  • Experience altered sleep patterns and school performance
  • Lose interest in favorite toys or activities

When to see a doctor
To stay on the safe side, you should always get checked by a doctor if you have suffered a blow to the head. You should seek emergency medical care if signs and symptoms include:

  • Convulsions
  • Weakness or numbness in the extremities
  • Repeated vomiting
  • Slurred speech

DS00552

Sept. 19, 2008

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