Should You Be Concerned About Your Child's Skull Bump and Headaches?

Cranial protrusion

Hello, my child is over one year old and bumped his head, resulting in a bump on the top of his head.
At that time, he did not cry, fuss, or vomit.
I consulted a doctor who advised to just observe him.
Now he is almost four years old and occasionally complains of headaches.
When I ask him about it, sometimes he says it hurts and sometimes he says it doesn't.
The bump from the injury has not gone away, and I am very concerned that there might be a hematoma inside.
Should I take him to see a doctor? Which specialty should I consult? He is still young, and I am unsure what the treatment options would be.
Thank you.

lin, 30~39 year old female. Ask Date: 2016/06/25

Dr. Zhang Junwei reply Neurosurgery

It could be a benign osteoma of the skull; you should consult a neurosurgery outpatient clinic!

Reply Date: 2016/06/25

More Info

When it comes to concerns about a child's skull bump and recurring headaches, it is essential to approach the situation with caution and a thorough understanding of the potential implications. In your case, the child experienced a bump on the head at a young age without immediate symptoms such as crying or vomiting, which is a positive sign. However, the subsequent development of headaches raises valid concerns that should not be overlooked.

Headaches in children can arise from various causes, including tension, migraines, or secondary headaches due to underlying conditions. Given that the child occasionally reports headaches, it is crucial to consider both the history of the head injury and the current symptoms. The fact that the bump has not resolved and the child sometimes complains of pain could indicate a need for further evaluation.

When to Seek Medical Attention
1. Persistent Symptoms: If the headaches are frequent or worsening, or if they are accompanied by other symptoms such as nausea, vomiting, changes in vision, or balance issues, it is essential to seek medical attention promptly. These could be signs of more serious conditions, such as intracranial pressure or bleeding.

2. Physical Examination: A healthcare professional should perform a thorough physical examination, including a neurological assessment. This will help determine if there are any concerning signs that warrant further investigation.

3. Imaging Studies: Depending on the findings from the physical examination, the doctor may recommend imaging studies such as a CT scan or MRI to evaluate the brain and skull. These tests can help identify any structural abnormalities, bleeding, or other issues that may be causing the headaches.

Which Specialist to Consult
In this case, it would be advisable to consult a pediatrician first. They can assess the child's overall health and symptoms and determine if a referral to a pediatric neurologist or a pediatric neurosurgeon is necessary. These specialists have the expertise to evaluate neurological symptoms and manage any potential complications related to head injuries.

Treatment Options
If the evaluation reveals no serious underlying conditions, treatment may focus on managing the headaches. This could include:
- Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, may be recommended for headache relief. However, it is crucial to follow the dosage guidelines appropriate for the child's age and weight.

- Lifestyle Modifications: Encouraging regular sleep patterns, hydration, and a balanced diet can help reduce the frequency of headaches. Additionally, identifying and managing stressors in the child's environment may also be beneficial.

- Monitoring: Keeping a headache diary can help track the frequency, duration, and triggers of the headaches, providing valuable information for the healthcare provider.

Conclusion
While the initial bump on the head may not have caused immediate concern, the development of headaches warrants further investigation. It is essential to consult a pediatrician to evaluate the child's symptoms and determine the appropriate course of action. Early intervention can help address any potential issues and provide peace of mind for both the child and the parents. Remember, it is always better to err on the side of caution when it comes to a child's health.

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