The stir is an alteration of the state of conscience, with visual disorders or of the balance, etc., as a result from a secondary affectation of the cerebral trunk to an impact.

The syndrome posconmocional consists of the appearance of migraine (especially after the physical exercise), disorders of the balance, fatigue, irritability and disorders of the memory and of the concentration. These symptoms can persist several weeks or even months.

The artery meníngea average passes for a bony rut of the skull and when there happens a cranial break that crosses it, the artery tears and haematoma appears called epidural. Since the hemorrhage is of arterial blood, a clot accumulates to high pressure that can provoke serious cerebral injuries.

On the other hand, the haematoma subdural is caused by break for impact or chronic wear for continued small traumatism, in the veins network aracnoideas that surround the brain.

Diagnosis / Treatment. The identification and classification of a stir can simplify his treatment:

• The classic signs of the haematoma epidural are the loss of the conscience during a variable time, followed by a recovery in which the patient recovers a finished lucidity. In turn, this phase follows of other one with beginning of a migraine (headache) more and more intense, decrease of the level of conscience, unilateral dilation of the pupil (in general, there dilates the pupil of the sick side) and weakness.

• The patients with haematoma subdural sharp tend to present an interval of lucidity more prolonged after the injury and at the moment of the revenue they are conscious with a lot of major frequency than in case of the haematoma epidural.

In the patients with closed cranial traumatism a finished neurological exploration must be realized, usually with axial scanner computarizada (TAC) or nuclear magnetic resonance (RMN).

Obviously, the patient must not compete again until they have eliminated all the symptoms and the problem has been solved completely.