Brain concussion: treatment and outcomes

Abstract

Clinical manifestations and outcomes of the brain concussion were comparatively and dynamically analyzed in two groups of patients (totally 355 pts, aged from 16 to 35 yrs, no concomitant somatic and neurological diseases): those who were admitted to hospital in the acute period of head injury (201 pts) and patients treated at home (154 pts). Clinical data were controlled by CT and MRI studies. Followup lasted 1 year. It was revealed that in the acute period, regression of objective and subjective signs were noted in patients of both groups almost at the same time (45days after trauma). Catamnesis showed complete recovery in 89,0% pts treated in the acute stage in hospital and in 90,3% treated at home. In the longterm period only 11% pts of group I and 9,7% pts of group II showed the consequences non leading to disability like psychovegetative syndrome. Based on the obtained results it is possible to conclude that brain concussion without any severe complications in the acute period of head injury can be treated at home.

Keywords

• brain concussion
• the tactics of treatment
• the outcomes