Concussion Care: Signs & Symptoms to Watch

November 1, 2022

When you experience a blow to the head, knowing whether you've suffered a concussion isn't always clear cut.

Henry Ford Health SystemHead injuries have a range of physical, psychological and intellectual effects — and only a small number of people lose consciousness.

"It's critical for parents, coaches, players and trainers to recognize the potential signs and symptoms of a concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "The basic rule is that a concussion can affect any aspect of brain function."

Signs of Concussion

The Latin root of the word "concussion" means "to shake violently" — which makes sense. Concussions happen when there's a combination of movement and impact. So, any injury that involves a hit to the head — a fall, collision or hard hit by a heavy object — could cause one. So could a hit to the body that causes the head to move quickly.

"But every brain injury is different," Dr. Kutcher says. "Some symptoms show up right away while others develop gradually over days."

Here are common concussion symptoms to watch for — both immediately following a head injury and in the hours and days after:

Physical Concussion Symptoms

  • Changes in sleep patterns
  • Difficulty with balance
  • Dizziness or lightheadedness
  • Fatigue
  • Headache
  • Light sensitivity
  • Nausea
  • Numbness or tingling
  • Sensitivity to sound
  • Visual problems
  • Vomiting

Emotional Concussion Symptoms

  • Anxiety
  • Depression
  • Irritability
  • Mood swings

Cognitive Concussion Symptoms

  • Confusion
  • Difficulty concentrating
  • Feeling "slow" or "foggy"
  • Memory problems

Diagnosing Concussion: Getting It Right

One reason concussions are frequently misdiagnosed is because they're assessed on the field or courtside during game play or practice. Coaches, trainers and parents often make lightning fast decisions about whether symptoms, such as headache, nausea and light sensitivity, are signs of concussion.

"Unfortunately, it’s more complicated than completing a concussion checklist. Everyone — and every concussion — is different. So, observers shouldn’t be diagnosing a head injury on the spot, but rather making a triage decision for safety. They should leave the diagnosis to the medical professionals," Dr. Kutcher says. In fact, those in-the-moment assessments are wrong about half of the time.

People should focus instead on getting immediate, emergency care for anyone who displays the following signs and symptoms right after a hit:

  • Difficulty walking
  • Weakness on one or both sides
  • Not waking up
  • Repeated vomiting
  • Persistent confusion
  • Seizures
  • Unconsciousness

No matter how hard (or lightly) you think you've been hit, it's important to take head injury symptoms seriously. Even a seemingly minor blow could have a major impact. A complete evaluation by a medical professional will not only determine whether you have a concussion, it can also identify more serious, or even life-threatening, concerns.

"In every case, medical professionals are better equipped to assess the extent of the damage if you have a comprehensive baseline evaluation on file," Dr. Kutcher says. This thorough evaluation with a sports neurologist, including a complete family and neurological history, can act as a critical point of reference when trainers and medical professionals are trying to diagnose or manage a concussion.

Dr. Jeffrey Kutcher is a sports neurologist and the medical director of the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.

Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.

Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.

HEARTSafe School Video Contest to Assist in Promoting Cardiac Awareness Month

By Geoff Kimmerly
MHSAA.com senior editor

April 19, 2022

April is Michigan Student Athlete Cardiac Awareness Month, and the Kimberly Anne Gillary Foundation is partnering with the MHSAA to promote cardiac awareness – and providing an opportunity for students to join the effort and earn $5,000 for their school.

Michigan has lost at least 81 students to sudden cardiac arrest (SCA) and related causes since 1999, according to data compiled by the Kimberly Anne Gillary Foundation. Randy and Sue Gillary lost their daughter Kimberly to a cardiac arrest in a high school water polo game in April of 2000.

Cardiac Awareness MonthThe MI HEARTSafe School Video Contest will promote student-produced videos highlighting the importance of Michigan schools becoming a Mi HEARTSafe school. The winning entry will be chosen by Kimberly Gillary’s three sisters and will receive $5,000 for the winner’s school. Entries are due May 13; see the Kimberly Anne Gillary Foundation website for details.

Randy and Sue Gillary founded the Kimberly Anne Gillary Foundation, a 501 (c)(3) charitable foundation within days of losing Kimberly. The mission of the Foundation is to donate automated external defibrillators (AEDs) to Michigan high schools and to advocate cardiac screening and testing of Michigan high school student athletes.

A major drive of the foundation is for every Michigan school to become a MI-HEARTSafe School. This is a designation given by the Michigan Department of Health and Human Services (MDHSS) when a school has met the criteria to demonstrate it is prepared to respond to a cardiac emergency on school property. Schools receive a banner and other materials that can be displayed in the school to let those who attend and visit know that the school is a MI-HEARTSafe School.

“The goal of our Foundation is to try to prevent other parents from going through what we went through with the loss of our beloved Kimberly,” Randy Gillary said.  “We are proud to be partnering with the MHSAA in promoting cardiac awareness for Michigan’s student athletes. The MHSAA has been a leader in helping to change the culture in the state of Michigan to make our Michigan high schools more focused on being prepared to respond to a cardiac emergency on school property.

The Kimberly Anne Foundation has raised more than $1.68 million and has donated more than 825 AEDs to Michigan high schools.

“We believe that the vast majority of Michigan high schools now have at least one AED,” Randy Gillary said. “Most high schools did not have an AED when we lost Kimmy in 2000. Michigan high schools are now in a much better position to respond to the sudden cardiac arrest of a student athlete. AEDs donated by the Kimberly Anne Gillary Foundation to Michigan schools have been used to provide defibrillation shocks to save at least nine lives.”