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Concussion (mild TBI)

Commotio cerebri · Otřes mozku (lehké poranění mozku)

What it is

A jolt makes the brain's networks misfire without visible damage on scans.

Symptoms & signs

  • Headache
  • fogginess
  • dizziness
  • light sensitivity
  • slowed thinking
  • sleep change
  • irritability

🚩 Get help if…

  • call 112 / 911 now Getting drowsier, cannot be woken, or knocked out
  • call 112 / 911 now Repeated vomiting or a seizure
  • call 112 / 911 now Worsening headache, one-sided weakness or unequal pupils
  • see a doctor soon Symptoms still there after 2 weeks

Where it strikes

Medical treatment

  • 48 h relative rest, then graded return
  • paracetamol
  • vestibular and ocular therapy
  • no return to sport until symptom-free

Natural & lifestyle

  • Sleep
  • hydration
  • gradual sub-symptom aerobic exercise
  • omega-3
  • screen limits early on

Emerging & experimental

  • Blood biomarkers (GFAP/UCH-L1)
  • hyperbaric oxygen trials
  • neck-strengthening prevention

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Creatine — animal data and small trials in children early / small studies
  • Low-level light therapy — early studies early / small studies
  • 'Cocoon' rest in a dark room — slower recovery than early gentle activity in a trial not confirmed in trials

ICD codes