Head Injury from Wall Impact: What to Watch For and Potential Risks

Head struck against the wall?

Hello doctor, I was playing with my sister and accidentally hit my head against the wall when I tilted my head back.
It was quite loud, and my sister heard it too.
Initially, I felt the pain from the impact, but after about fifteen minutes, the pain subsided, and I don't have any dizziness, nausea, or blurred vision.
Should I be concerned about any potential long-term effects?

Hanhan, 10~19 year old female. Ask Date: 2016/07/19

Dr. Zhang Junwei reply Neurosurgery

It shouldn't be.

Reply Date: 2016/07/19

More Info

When it comes to head injuries, especially those resulting from impacts like hitting a wall, it's crucial to be vigilant about potential symptoms and risks. Your situation, where you experienced immediate pain that subsided after about fifteen minutes, is not uncommon. However, it’s important to understand that head injuries can sometimes lead to complications that may not be immediately apparent.

Firstly, the fact that you did not experience dizziness, nausea, or blurred vision is a positive sign. These symptoms can often indicate more serious issues, such as a concussion or intracranial bleeding. However, just because you are currently symptom-free does not mean you should disregard the possibility of delayed symptoms, which can occur hours or even days after the injury.

Here are some key points to consider regarding head injuries:
1. Observation Period: After a head injury, it is advisable to monitor yourself for at least 24 to 48 hours. During this time, you should be alert for any new symptoms that may arise. Common symptoms to watch for include:
- Persistent or worsening headache
- Nausea or vomiting
- Dizziness or balance issues
- Confusion or difficulty concentrating
- Changes in vision (blurriness, double vision)
- Sensitivity to light or noise
- Unusual behavior or mood changes
2. When to Seek Medical Attention: If you experience any of the above symptoms, especially if they worsen, it is important to seek medical attention immediately. Additionally, if you lose consciousness, even briefly, or if someone notices you acting unusually, you should go to the emergency room.

3. Potential Risks: One of the risks associated with head injuries is the possibility of a concussion, which is a type of traumatic brain injury. Symptoms of a concussion can sometimes be subtle and may not appear until days after the injury. Another risk is intracranial bleeding, which can occur due to a tear in blood vessels in the brain. This can lead to serious complications if not treated promptly.

4. Follow-Up Care: If you have any concerns or if symptoms develop later, it is advisable to consult a healthcare professional, preferably a neurologist or a specialist in head injuries. They may recommend imaging studies, such as a CT scan or MRI, to rule out any serious injuries.

5. Rest and Recovery: Regardless of whether you experience symptoms, it is generally recommended to rest after a head injury. Avoid activities that could risk another injury, such as sports or heavy physical exertion, until you are cleared by a healthcare professional.

In summary, while your initial experience following the impact seems to be mild, it is essential to remain vigilant for any delayed symptoms. If you notice any changes or if you have ongoing concerns, do not hesitate to seek medical advice. Your health and safety are paramount, and it’s always better to err on the side of caution when it comes to head injuries.

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