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But an additional impact can cause a more serious injury to the brain, which can result in permanent brain damage if not addressed. Some people do experience visible signs that signal a possible concussion. An altered mental status is often a sign that a concussion has occurred. Confusion, slowed reaction time or difficulties with memory are examples of these mental changes that may signal a concussion. Physical changes may also signal a concussion. Headaches are common. Blurred vision or difficulty with balance are other possible physical symptoms. Unusual emotional changes can be brought on by a concussion. The person may be very nervous, agitated and even irritable. Some people experience a feeling of sadness or depression after a concussion. A change in sleep patterns can also signal a concussion.
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