Concussion in Toddlers & Babies: Symptoms & Treatment

Medically reviewed by Dr. Lizabeth Jordan, a clinical neuropsychologist in the Pritzker Department of Psychiatry and Behavioral Health and Dr. Sigrid Wolf, an attending physician in the Division of Orthopaedic Surgery and Sports Medicine   

Toddlers often hit their heads. In many ways, they are quite resilient and quick to bounce back from minor bumps and bruises; however, some head injuries are more serious than others. Our pediatric experts explain the signs and symptoms to watch for, what to do if you suspect your child has one and how to ensure a safe recovery.

What is a concussion?

A concussion is one type of serious head injury. A concussion (also known as a mild traumatic brain injury or TBI) is a more serious head injury because it involves injury to the brain and how the brain functions.

Compared to all other age groups, children under the age of 4 years old have the highest incident rates of traumatic brain injury. The leading cause of head injuries for babies and toddlers are falls at home, followed by car crashes. Babies and toddlers often fall because they stumble, trip, and bump into things. They can also fall when they are dropped, or a person carrying them falls.

Signs and Symptoms of Concussions 

Babies and toddlers will likely be unable to explain or tell you about their concussion symptoms. So after a little one has a big fall, it is important that caregivers keep a close eye on their child and be able to recognize signs and symptoms of concussion. These are serious, obvious symptoms and should prompt you to take your child to the emergency room:

• Seizures
• Difficulty waking from sleep
• Altered behavior
• Passing out

After a child has a head injury, it may not be immediately obvious that something is wrong. Most children who have a concussion do not “pass out” or lose consciousness. It is common for infants and toddlers to immediately cry after a sudden or startling event, like a fall. Signs that the child has a head injury may not become clear until a few hours or days later.

Unlike older children, babies and toddlers may not be able to tell you when they are having a headache, dizziness, light/sound sensitivity, or other concussion symptoms. Caregivers need to keep a close eye out for physical, emotional, behavior, and sleep changes that may be signs of a concussion. If you notice any of the signs below, seek immediate medical attention.

If you have any concerns that your child may have had a concussion or head injury, bring your child to an Emergency Department or Urgent Care for an evaluation. Call your child’s pediatrician and ask for immediate recommendations.

Common Causes of Concussion in Young Children

Not all falls result in concussions; however, a child is more likely to have a concussion or other serious head injury when they: 

• Fall from more than three feet
• Fall on a hard surface
• Fall with a fast speed.

These falls tend to be more serious because the force of the fall is more likely to move or injure the child’s brain. If you suspect your child has a concussion, they should receive immediate medical attention.

Preventing Concussions and Head Injuries in Children

• Properly install car seats. When in a car, your child should be restrained in an approved car seat or booster seat that is correctly installed and appropriate for your child’s age and size. Car seats, booster seats, and seat belts help prevent injuries in the case of a motor vehicle crash. You can call “311” to arrange a free appointment with a Certified Child Passenger Safety Technician. These car seat inspections are available through the Chicago Police Department, Chicago Fire Department, and several other local organizations. Lurie Children’s Buckle Up Program also offers inspections and classes.
• Baby-proof everything. Ensure that anything in your daily environment is safe for children. Block stairs and access to high counters/surfaces your child may try to climb. Keep walking areas and hallways clear from clutter and use non-slip mats in places like the kitchen and bathroom. Ensure that bookshelves, chairs, and other furniture your child may reach for or hold onto are blocked or secure so that the furniture does not fall if your child grabs it. 
• Avoid risky situations: Walk slowly whenever holding your child. Give yourself time and space to move the child to different places. Avoid trying to multi-task or rush through activities while holding a child. Familiarizing yourself with spaces beforehand helps ease risks, especially in public settings. 
• Always supervise play: Never leave a baby or toddler unattended. An adult should closely supervise play—especially on playgrounds, tricycles, scooters, and sports equipment. Keep in mind too that toddlers should only participate in age-appropriate sports. For example, young children should play with soft, large balls. Find more playground safety tips here.
• Insist on helmets and protective gear: Have a rule that your child always needs to wear a helmet when using tricycles, bikes and scooters, rollerblading, skateboarding, sledding, snowboarding, or skiing. Safety gear has been shown to help protect against severe head trauma.

Rest and Recovery from a Concussion

• Rest at home: Your child should stay at home for the first 2-3 days after their injury. Keep your child away from preschool, playgrounds, and other busy school/play environments. Avoid taking your child on errands. For the first 2-3 days, your child should rest and sleep as much as they need to feel better. This will help their brain and body to recover.
• Create a calm place at home: Put away light-up and noisy toys while your child is resting for a few days. Similarly, limit your child’s access to tv, tablet games, and bright electronics if they seem to bother them.
• Encourage your child to stay hydrated: Give your child frequent drinks, such as water, milk, or Pedialyte.
• Prevent a second injury: While your child is recovering from a concussion, it is important that they do not have a second additional head injury.
  • Your child should avoid rough-play and the possibility of additional injuries/falls. They should have NO play with balls, running, wrestling, climbing, playground equipment, scooters, bikes, or trampolines.
  • Slowly re-introduce your child to their regular play and learning activities after a few days of rest. Plan to take breaks or stop the activity if your child becomes fussy, upset, or shows any sign of headache or pain. If you are unsure if your child is having trouble tolerating their regular activities, stop the activity and give your child time to rest. “When in doubt, sit them out.”
• Monitor your child: Most children will recover within 2-4 weeks and go back to their normal activities without the return of symptoms. Your child’s doctor can help decide when it is safe for them to return to their normal activities. If your child continues to have difficulties beyond one month, ask your doctor if you should meet with a concussion specialist.

Learn More

To learn more about concussions in older children, including information about sports-related concussions, visit our Concussion Program webpage. 

To learn more about parenting strategies and behavioral health interventions for babies and toddlers, aged 0-4 years old, visit the Lurie Little Ones webpage.

Search our blog Search

---