Signs and symptoms of head and spine injuries may appear immediately or may appear later. • Change in level of consciousness: drowsiness, confusion loss of consciousness, loss of consciousness. • Severe pain or pressure in the head, neck or back. • Tingling or loss of sensation in the piles arms and legs. • Loss of motor function of any part bodies. • Unusual bumps on the head or ridge. • Discharge of blood or cerebrospinal fluid from ears or nose. • Severe bleeding in the head, neck or backs. • Convulsions. • Labored breathing. • Visual impairment. • Nausea, vomiting. • Persistent headache. • Difference in the size of the right and left pupils. • Loss of balance. • Bruises in the head area, especially around eyes and ears.