Do I need a CT scan after concussion?

Brain scans are usually not helpful for a concussion.
A CT scan takes pictures to create images of the brain. The scan can show if there's a fracture or bleeding. An MRI creates clear images of brain tissue. But these scans cannot show if you have a concussion.
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When Should CT scan be done after head injury?

According to the rule, CT is needed if the patient meets one or more of the following seven criteria: GCS score lower than 15 two hours after injury. Suspected open or depressed skull fracture.
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Why get a CT for a concussion?

It can detect bleeding or swelling in the brain as well as skull fractures. It uses a combination of x-rays and a computer to generate images of the brain structures. CT scans do expose patients to radiation. A CT scan may be indicated when it is likely a concussion requires immediate surgical intervention (surgery).
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When is a CT scan needed?

CT scans can detect bone and joint problems, like complex bone fractures and tumors. If you have a condition like cancer, heart disease, emphysema, or liver masses, CT scans can spot it or help doctors see any changes. They show internal injuries and bleeding, such as those caused by a car accident.
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Which is better for head injury CT scan or MRI?

MRI will be used increasingly to study early head injury because of its ability to measure cerebral blood flow, cerebral blood volume and the location and extent of cerebral edema. If the CT does not demonstrate pathology adequate to account for the clinical state, MRI is warranted.
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Can CT Scans



What are the symptoms of a slow brain bleed?

As more blood fills your brain or the narrow space between your brain and skull, other signs and symptoms may appear, such as: Lethargy. Seizures.
...
Seek immediate medical attention after a blow to the head if you:
  • Lose consciousness.
  • Have a persistent headache.
  • Experience vomiting, weakness, blurred vision, unsteadiness.
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When should I get an MRI after a concussion?

An MRI may be more appropriate if imaging is needed 48 hours or longer after an injury to evaluate persistent or worsening symptoms or where there is a concern for underlying pre-existing conditions (eg. headache or seizure disorder, arteriovenous malformation, Chiari malformation, etc.)
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What is the protocol for a concussion?

If a concussion is suspected, it's important to contact a trained healthcare provider immediately. It's recommended that individuals with a concussion have a 1-2 day period of rest followed by progressive increases in activity. This return to activity should always be monitored by a trained healthcare provider.
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What is the 2 point rule concussion?

You rate your current symptoms out of 10 (0 being no symptoms at all and 10 being the worst symptoms you can imagine). Then, you are allowed to continue your specific activity (going for a run, watching TV, typing on a computer) until your symptoms increase by 2 points, then you must stop.
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What should you not do after a concussion?

4 things to avoid after a concussion
  1. Excessive physical activity. An increased heart rate may worsen your symptoms, dragging out your recovery.
  2. Strenuous mental activities. Reading, computer work, playing video games, texting and watching TV can overstimulate your brain, says Dr. ...
  3. Driving too soon. ...
  4. Pain relievers.
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How long does a mild concussion last?

Concussions can range from mild to severe, however even mild concussions require a recovery period. On average, it takes approximately 7-10 days to recover from a concussion. However, this can vary from individual to individual and you may continue to experience concussion symptoms for longer than 7-10 days.
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Can a CT scan miss a brain bleed?

CT scans often miss soft tissue injuries and other abnormalities. An MRI may or may not detect these. Some TBIs can take time to develop. A microscopic brain bleed or nerve fiber damage might not occur for hours or even days, long after you've visited the emergency room.
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Is imaging needed to diagnose concussion?

Thus, a concussion is a clinical diagnosis meaning that there is no current imaging or blood test to diagnose a concussion. Even the most sensitive MRI and CT scanners that are currently available are not able to pick up on the small changes that occur in the brain in concussions.
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Can a CT scan show brain damage?

X-rays, MRIs, and CT scans can detect fractures, hemorrhages, swelling, and certain kinds of tissue damage, but they do not always detect traumatic brain injury.
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How long after hitting your head can you have a brain bleed?

Brain cells begin dying within four minutes as they lose their vital oxygen supply.
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Can a concussion get worse?

Even though your concussion may be mild, its effects can be serious. If you ignore the symptoms, your condition could get worse. That's why you need to see our team at Neurology Consultants of Arizona as soon as possible if you think you have a concussion.
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Can a small brain bleed heal itself?

Diagnosis & treatment

Many hemorrhages do not need treatment and go away on their own. If a patient is exhibiting symptoms or has just had a brain injury, a medical professional may order a computerized tomography (CT) scan or a magnetic resonance imaging (MRI) scan to check for brain hemorrhages.
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How does a doctor diagnose a concussion?

Your doctor may order imaging tests — such as MRI or CT scans — to make sure there's no bruising or bleeding in your brain. To confirm a concussion diagnosis, your doctor will use the data from your: Exam and interview. ImPACT or other cognitive tests.
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How do you rule out a brain bleed?

Diagnosis is usually made based on the results of:
  1. An evaluation of your physical symptoms.
  2. Computed tomography (CT) scan, magnetic resonance imaging (MRI) or magnetic resonance angiogram (MRA) of your brain. These imaging tests determine the location, extent and sometimes the cause of the bleed.
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How can I tell if a head injury is mild or severe?

There are three grades:
  • Grade 1: Mild, with symptoms that last less than 15 minutes and involve no loss of consciousness.
  • Grade 2: Moderate, with symptoms that last longer than 15 minutes and involve no loss of consciousness.
  • Grade 3: Severe, in which the person loses consciousness, sometimes for just a few seconds.
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How long after a head injury Are you in the clear?

Approximately 80 percent of concussions resolve over seven to 14 days, with an average of 10 days. People with concussions should never return to sports or other physical activity sooner than one week from sustaining the injury.
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Can a concussion go away by itself?

Most concussions resolve on their own without any lasting effects. However, some concussions can accompany a more serious injury that requires treatment. Seek emergency treatment if you notice any of the following after a concussion: sudden, intense headaches.
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How is a Grade 1 concussion treated?

The best way to treat a Grade 1 concussion is by simply resting and not rushing back into the activity which caused it. However, it is recommended for people who suffer from multiple Grade 1 concussions to receive additional medical evaluation.
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What are the 4 categories of concussion symptoms?

The signs and symptoms of concussion reported within 1 to 7 days post injury (see Table 3-3) typically fall into four categories—physical (somatic), cognitive, emotional (affective), and sleep—and patients will experience one or more symptoms from one or more categories.
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What makes a concussion worse?

Ignoring your symptoms and trying to “tough it out” often makes symptoms worse. Rest is very important after a concussion because it helps the brain to heal.
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