Post-Car Accident: Concussion Symptoms and Recovery Options

Car accident resulting in a forehead impact?

Hello, I was involved in a car accident on February 19, where I collided and rotated 90 degrees, causing me to be thrown approximately the height of a car before landing.
My helmet flew off just before I hit the ground, landing on my left side of the face, resulting in a fractured left nasal wing and broken teeth.
There were no obvious external injuries or bruises on my forehead or other parts of my head, but I sustained a fracture in my right femur.

Currently, regarding my head condition, my family mentioned that during the emergency room visit, the doctor assessed via a CT scan and found no significant internal bleeding or skull fractures.
However, I have no recollection of the incident itself or the 30 minutes leading up to it, nor do I remember how I got to the emergency room.
For two weeks post-accident, I remained in a state of confusion, unable to recall many events.
My family described that I was conscious and able to communicate with the nursing staff when I was urgently transported to the hospital.
During my hospitalization, I appeared to communicate normally, albeit somewhat coldly.
I have a vague memory of being aware of my surroundings on the fifth day after the incident.

In the week following the accident, I occasionally exhibited abnormal and disorganized behavior.
It wasn't until two weeks after the incident that I regained a degree of autonomous awareness and control over my actions.
Now, seven weeks post-accident, I experience a tight sensation in my head along with tension headaches.
My perception of visual stimuli feels different, and I often feel strange and disoriented.
I experience mental fog, a vacant stare, difficulty concentrating, and noticeable changes in my personality, becoming more withdrawn and less lively than before.
While I can still think, it requires significantly more effort than it used to; for example, I struggle to answer simple questions like what day of the week it is.
My mental capacity feels diminished, and I have a heavy sensation in my head.
I do not experience vomiting, but my appetite has decreased, and I find myself more anxious and emotionally unstable.
The neurosurgery department diagnosed me with a concussion and prescribed medications to improve cerebral circulation and muscle relaxation, with a follow-up appointment scheduled for next week.
I would like to know if I need to arrange for more detailed examinations or if there is a possibility of bleeding at the pain site, head contusions, cerebral edema, or increased intracranial pressure.
Can I consult with traditional Chinese medicine, a neurologist, or what more proactive treatments can be pursued at this stage to help me regain a normal life?

Jay, 20~29 year old female. Ask Date: 2016/04/04

Dr. Zhang Junwei reply Neurosurgery

Basically, a CT scan is detailed enough; if there are still doubts, an MRI can be performed!

Reply Date: 2016/04/04

More Info

Hello, I’m sorry to hear about your accident and the challenges you’re facing with your recovery. Based on your description, it seems you are experiencing a range of symptoms consistent with a concussion, which is a type of traumatic brain injury (TBI). This can occur even in the absence of visible external injuries or fractures, as you have experienced.

Understanding Concussion Symptoms
Concussions can lead to a variety of symptoms, including confusion, memory loss, headaches, dizziness, and changes in mood or personality. The fact that you do not remember the events surrounding the accident and have difficulty recalling information is indicative of cognitive impairment, which is common in concussion cases. The symptoms you describe, such as feeling mentally foggy, having difficulty concentrating, and experiencing emotional instability, are also typical of post-concussion syndrome.

Recovery Options
1. Medical Evaluation: It’s crucial to follow up with your healthcare provider, especially since you are experiencing persistent symptoms. While the initial CT scan did not show any significant issues, it may be beneficial to consider further evaluations such as an MRI, which can provide more detailed images of the brain and help rule out conditions like brain swelling or bleeding that might not have been evident on the CT scan.

2. Neurological Assessment: Consulting a neurologist can be very helpful. They can assess your symptoms more thoroughly and may recommend additional tests or treatments tailored to your specific condition. They might also evaluate for other potential issues that could be contributing to your symptoms.

3. Medication Management: You mentioned that you have been prescribed medication to improve cerebral circulation and muscle relaxation. It’s essential to discuss the effectiveness of these medications with your doctor and explore other options if your symptoms persist.

4. Cognitive Rehabilitation: Engaging in cognitive rehabilitation therapy can help improve your cognitive functions. This type of therapy focuses on enhancing memory, attention, and problem-solving skills through structured activities and exercises.

5. Physical Therapy: If you are experiencing physical symptoms, such as headaches or neck pain, physical therapy may help. A physical therapist can work with you to develop a program that addresses these issues and helps improve your overall function.

6. Lifestyle Modifications: Implementing lifestyle changes can also aid in recovery. This includes ensuring adequate rest, maintaining a balanced diet, staying hydrated, and gradually reintroducing physical activity as tolerated. Avoiding activities that require intense concentration or physical exertion until cleared by your doctor is also advisable.

7. Alternative Therapies: You asked about the possibility of seeing a traditional Chinese medicine practitioner. While some individuals find relief through acupuncture or herbal remedies, it’s essential to discuss these options with your primary care physician to ensure they do not interfere with your current treatment plan.

8. Mental Health Support: Given the emotional changes you’re experiencing, it may be beneficial to seek support from a mental health professional. They can provide coping strategies and therapeutic interventions to help you manage anxiety and mood changes.

Conclusion
Recovery from a concussion can be a gradual process, and it’s important to be patient with yourself. Regular follow-ups with your healthcare providers, adherence to treatment plans, and engaging in supportive therapies can significantly enhance your recovery. If your symptoms worsen or new symptoms arise, do not hesitate to seek immediate medical attention. Your health and well-being are paramount, and with the right support and treatment, many individuals are able to return to their normal lives after a concussion.

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