Could a Past Head Injury Be Causing My Memory and Focus Issues? - Neurosurgery

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Previous head trauma, sequelae?


Hello, doctor.
When I was in the third year of junior high, I fell from a height of about 200 centimeters and landed directly on my head without any support from my hands.
I did not sustain any external injuries, so I did not see a doctor.
However, since that incident, my memory has worsened, I have difficulty concentrating on tasks, my cognitive abilities are not as good as they used to be, and I often forget things.
Could this possibly be related to the head impact from that fall?

Xiao Hao, 20~29 year old female. Ask Date: 2016/04/27

Dr. Lai Zhaokang reply Neurosurgery


It's not certain; since this has been an issue for over a decade, it's still advisable to seek medical attention.
Consider consulting a neurologist or a neurosurgeon.

Reply Date: 2016/04/27

More Info


It’s understandable to be concerned about the potential long-term effects of a head injury, especially one that occurred during childhood. Based on your description, it seems you experienced a significant fall from a height of about 200 cm, which could indeed have implications for your cognitive functions, including memory and focus.
Head injuries, particularly those that result in a concussion or more severe traumatic brain injury (TBI), can lead to a variety of cognitive issues. These may include difficulties with memory, attention, and executive functions, which encompass planning, problem-solving, and the ability to focus on tasks. However, it’s important to note that not all head injuries result in lasting effects, and many individuals recover fully without any long-term complications.

In your case, since you did not seek medical attention immediately after the incident and did not experience any visible external injuries, it’s possible that you did not sustain a serious injury. However, even mild traumatic brain injuries can sometimes lead to symptoms that manifest later, including cognitive difficulties. The brain is a complex organ, and its recovery can vary significantly from person to person.
Your current symptoms of memory loss, difficulty concentrating, and reduced cognitive function could be influenced by several factors beyond the head injury. Stress, anxiety, and depression can all contribute to cognitive difficulties. For example, if you have been feeling anxious or stressed about your memory issues, this could exacerbate the problem, creating a cycle of worry that further impairs your cognitive function.
Additionally, lifestyle factors such as sleep quality, nutrition, and physical activity can also play a significant role in cognitive health. Poor sleep, for instance, can severely affect memory and concentration. If you are experiencing sleep disturbances, it may be worthwhile to address these issues as part of a comprehensive approach to improving your cognitive function.

Given your concerns and the persistence of your symptoms, I would recommend consulting with a healthcare professional, preferably a neurologist or a psychologist specializing in cognitive function. They can conduct a thorough assessment, which may include cognitive testing and possibly imaging studies, to determine if there are any underlying issues related to your past head injury or other factors contributing to your current cognitive difficulties.

In summary, while it is possible that your past head injury could be contributing to your memory and focus issues, it is essential to consider the broader context of your overall health and well-being. A professional evaluation will provide you with a clearer understanding of your situation and help you identify appropriate strategies for improvement. Remember, you are not alone in this, and seeking help is a positive step toward addressing your concerns.

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