Concussion in children: What are the effects?
Most sports-related head injuries, such as concussions — which temporarily interfere with the way the brain works — are mild and allow for complete recovery.
Head injuries take time to heal. After a concussion, children should rest from both physical and mental (cognitive) activities for a day or two. They should return to activities gradually as their symptoms allow.
Some children who return to school after a concussion may require classroom adjustments, including a lighter course load or a shortened school day. If activities such as reading or jogging cause symptoms, such as headache, children should take a break. Then, they may resume the activity for shorter periods, gradually working up to pre-concussion levels as symptoms improve. A gradual return to learning and physical activity is key.
If there's any suspicion of a concussion, it's best not to return to play until symptoms improve. In other words, "If in doubt, sit it out."
Common concussion symptoms can include:
- Difficulty with thinking skills, such as memory and attention
- Dizziness
- Fatigue
- Headaches
- Irritability
Children might develop complications or delay healing if they are reinjured before a concussion has healed. Another blow to the head while the initial concussion is healing can result in longer lasting or more-severe symptoms.
Researchers continue to study other potential long-term effects of concussions. Having a concussion puts children at higher risk of having another. The effects of repeat concussions over years can multiply.
Post-concussion syndrome is a complex disorder of concussion symptoms that last longer than the usual concussion recovery period. It's unclear why some people develop post-concussion syndrome and others don't, though some risk factors have been identified. Some research suggests that having repeat concussions might increase the risk of post-concussion syndrome.
In rare cases, what is initially thought to be a concussion turns out to be a more severe brain injury with bleeding in or around the brain. Such bleeding can increase pressure on the brain and can be life-threatening.
If your child develops any of the following signs or symptoms after a head injury, seek medical attention immediately.
- Behavior changes such as agitation, confusion or restlessness
- Convulsions or seizures
- Inability to recognize people or places
- Loss of consciousness
- One pupil that is larger than the other
- Slurred speech
- Unusual behavior
- Extreme drowsiness or inability to be woken from sleep
- Vomiting
- Crying that won't stop and inability to be consoled
To protect your child from head injuries, insist on appropriate and properly fitted protective equipment — such as a helmet — during sports and other activities. However, even the best protective equipment can't prevent all concussions.
Children can have a concussion without losing consciousness. Also, a blow to the body that jars the head can result in concussion. Make sure your child's coach knows if your child has had a concussion. Your child shouldn't return to play until he or she has been cleared by a medical professional. Formal return-to-sport plans are recommended.
Signs and symptoms of a concussion may include:
- Headache or a feeling of pressure in the head
- Nausea or vomiting
- Balance problems or dizziness
- Double or blurry vision
- Sensitivity to light or noise
- Feeling fatigued, sluggish, groggy or dazed
- Difficulty paying attention
- Memory problems
- Confusion
- Slowness in understanding and responding to others
- Sleeping problems
- Mood changes and irritability
- Changes in behavior
- Changes in personality
If you think your child has a concussion, seek medical attention. Your child's doctor will determine how serious the concussion is and when it's safe for your child to return to sports, school or other activities.