Danger of concussion! What the neurologist advises

Laurin Lehner

 · 05.11.2023

Danger of concussion! What the neurologist advisesPhoto: Red Bull
Part of our sport: falls on the head. "If you realise something is wrong, I advise you to see a doctor," says expert Lorenzl.
Concussions are part and parcel of mountain biking. Unfortunately! We explain what to do if you fall on your head. Chief physician Prof Dr Stefan Lorenzl in an interview on the possible consequences of a traumatic brain injury.

Definition of concussion or traumatic brain injury. This is what Wikipedia says:

As Craniocerebral trauma (from ancient Greek τραῦμα traumaGerman 'Wunde'; abbreviation SHT) or Craniocerebral injury (also Brain injury) refers to any injury to the brain due to an external cause (impact). However, the term does not refer to any associated skull fractures or head wounds. Hospital observation is often recommended due to the possibility of brain haemorrhage or other complications from a traumatic brain injury, even in the case of a mild traumatic brain injury, which is often referred to as a "concussion". (Source: Wikipedia)

What our expert says about concussions when mountain biking

Prof Dr Stefan Lorenzl, Head of the Neurology Department at Agatharied Hospital, says: "See a doctor immediately if you lose consciousness at the latest!"Photo: privatProf Dr Stefan Lorenzl, Head of the Neurology Department at Agatharied Hospital, says: "See a doctor immediately if you lose consciousness at the latest!"


BIKE: How does a concussion manifest itself after a fall?

Dr Lorenzl: We speak of a contusion of the skull or, in worse cases, a traumatic brain injury. In the milder variant, you often feel a headache, are exhausted, unable to work and tired - this can last up to five days. This is usually completely reversible. And you don't necessarily have to see a doctor, but you should definitely take it easy.

What if I carry on driving anyway?

Suppose you were unconscious, come round and continue driving. This can lead to swelling of the brain due to the exertion or other shocks. This can be fatal.

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When do we speak of trauma?

Usually after losing consciousness. Then you should definitely not continue down the trail, but call an ambulance. This is because you may have suffered a brain haemorrhage. Alarm bells should also ring if you experience balance problems, nausea, speech disorders or other symptoms of loss of consciousness.

"It doesn't have to have been a direct fall onto the head for a head contusion to occur," says expert Lorenzl.Photo: Red Bull"It doesn't have to have been a direct fall onto the head for a head contusion to occur," says expert Lorenzl.

How can I make an initial diagnosis with my Bike-Buddy?

Check whether the mate reacts strangely, is different, seems dazed. Don't put too much stock in what they say. Meaning: Many people say after a fall: "Everything's okay, I'm fine." But that's often not true. Ask what day it is, how the day went, things like that. Incidentally, it doesn't have to be a direct fall on the head to cause a contusion.

When do I need to see a doctor?

It's important to listen to yourself and check yourself. If you realise that something is wrong, I would advise you to see a doctor. However, you can basically treat a mild contusion yourself.

How do I do this?

With just under a week's rest. No sport, and of course avoid vibrations. Stimuli such as smartphones, reading or television in moderation. But everyone usually feels this for themselves. My tip: take it easy. However, if the symptoms do not disappear after five days, you should definitely see a doctor.

We keep hearing about long-term damage. How does this happen?

Many symptoms often only appear years later. This has been shown in studies of boxers and football players. The result: short-term memory disorders, depression, increased aggression or dementia. With many repetitive traumatic brain injuries, such consequences are not uncommon; in fact, they are likely.


More articles on the subject of bicycle accidents:

Born in South Baden, Laurin Lehner is, by his own admission, a lousy racer. Maybe that's why he is fascinated by creative, playful biking. What counts for him is not how fast you get from A to B, but what happens in between. Lehner writes reports, interviews scene celebrities and tests products and bikes - preferably those with a lot of suspension travel.

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