The American philosopher and naturalist Henry David Thoreau roamed far and wide over the hills and mountains of his native Massachusetts and neighboring New Hampshire. In his masterwork, "Walden," ...View Article
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Posted on 08-24-2014
Head traumas and concussions during an auto accident are a very real risk.... even if no direct impact to the head occurred. There are many physical and cognitive changes that can occur when someone is suffering from a concussion (also known as a mild traumatic brain injury). If you have been involved in an auto accident, make sure you are assessed immediately to rule out any possibility of post-concussive syndrome. Symptoms may be immediately evident, such as an immediate headache, dizziness, balance problems, or vertigo and nausea. Other symptoms may take days or even up to 2 weeks to become evident. The following is a list of the three levels of head trauma and post-concussive syndrome.
Grade 1 / First Degree Concussion
• No actual loss of consciousness.
• Blurring of consciousness lasting less than 10-20 seconds. Minimal or no signs are present.
• The only neurologic deficit is a brief period of post-traumatic amnesia lasting less than 30 minutes.
• EEG, CT or MRI are usually not necessary after a mild concussion. If post-concussion syndrome occurs these studies should be done.
Grade 2 / Second Degree Concussion:
• Blurring or loss of consciousness lasting 20 seconds to 1-2 minutes. Minimal to moderate symptoms and signs are present.
• Will rarely occur without a loss of consciousness. Typically there will be a protracted period of post-traumatic amnesia lasting over 30 minutes and less than 24 hours.
• Generally overnight admission for observation and CT scan if necessary.
Grade 3 / Third Degree Concussion:
• Loss of consciousness lasting more than five minutes.
There will be loss of consciousness with a sustained period of post-traumatic amnesia lasting longer than 24 hours. 
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