Head Injuries: Symptoms and Concerns After a Fall - Neurosurgery

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Head injuries can lead to a variety of symptoms and concerns, especially when there is a history of trauma, such as the incident you described two years ago. It's essential to understand the potential implications of head trauma, especially when symptoms like headaches and dizziness persist.

When you experienced the impact with the steel staircase, the immediate symptoms you described—seeing stars and the instinct to rub the area—are common reactions to a head injury. However, the fact that you did not seek medical attention at that time could mean that any underlying issues went unassessed. The development of a depression in the skull, as you mentioned, could be a sign of a previous fracture or other structural changes in the bone. While some skull depressions can be benign, they may also indicate more serious underlying issues, especially if accompanied by ongoing symptoms like headaches and dizziness.

The headaches you are experiencing can vary in type and intensity. The description of your headaches as sometimes resembling a migraine and other times feeling like pressure on the top of your head suggests that you might be experiencing different types of headaches. Tension-type headaches, which can feel like a tight band around the head, and migraines, which are often unilateral and pulsating, can both be triggered by stress, changes in sleep patterns, or even previous head trauma.
Dizziness and unsteadiness while walking can also be concerning. These symptoms may indicate vestibular dysfunction, which can occur after a head injury. The vestibular system, responsible for balance, can be affected by trauma, leading to feelings of dizziness or instability.
Regarding the lump on your scalp, if it has been present for 20 years and is not painful, it is likely a benign condition, such as a lipoma or a sebaceous cyst. However, any changes in size, shape, or associated symptoms should be evaluated by a healthcare professional.
Given your history of head trauma and the ongoing symptoms, it is crucial to consult a neurologist or a specialist in head injuries. They may recommend imaging studies, such as a CT scan or MRI, to assess the condition of your skull and brain. These tests can help rule out any serious complications, such as intracranial bleeding or structural abnormalities.

In summary, while some symptoms may seem unrelated or benign, the combination of a past head injury, a skull depression, and ongoing headaches and dizziness warrants a thorough medical evaluation. Early intervention can help prevent potential complications and improve your quality of life. Please prioritize seeking medical attention to address these concerns comprehensively.