Which Specialist to Consult for My Baby's Head Injury? - Pediatrics

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Which specialty should I see?


My daughter is over nine months old.
Yesterday morning, she fell from the bed onto the floor (which has a soft mat), landing on her head and then rolling forward.
I would like to know which specialist I should see to check her brain.
I suspect her neck may also be injured.
Currently, I am observing that she has no vomiting or excessive sleepiness.

QQ, 20~29 year old female. Ask Date: 2016/09/06

Dr. Lin Yishou reply Pediatrics


Hello, parents.
Generally, any pediatrician can help.
If you are very concerned, you may consider seeing a pediatric neurologist.
Thank you for your message.

Reply Date: 2016/09/06

More Info


When it comes to head injuries in infants, it is crucial to approach the situation with caution and awareness. Given that your daughter is nine months old and recently experienced a fall from a bed onto a padded floor, it is understandable that you are concerned about her well-being. The first step in addressing your question is to determine which medical specialist would be most appropriate for evaluating her condition.

In this case, the best course of action would be to consult a pediatrician first. Pediatricians specialize in the health and development of children, and they are well-equipped to assess head injuries in infants. They can perform a thorough physical examination and evaluate any potential neurological symptoms. If the pediatrician deems it necessary, they may refer you to a pediatric neurologist or a pediatric neurosurgeon for further evaluation, especially if there are signs of more serious injury.

In terms of assessing the brain after a head injury, the pediatrician may recommend imaging studies such as a CT scan or MRI if there are concerning symptoms. However, since your daughter is currently not exhibiting any alarming signs such as vomiting or excessive sleepiness, the pediatrician may suggest a period of observation at home. It is important to monitor her closely for any changes in behavior or physical condition.

Here are some key points to consider when observing your daughter after her fall:
1. Watch for Symptoms: Keep an eye out for any signs of a concussion or more severe brain injury. This includes:
- Persistent vomiting
- Increased drowsiness or difficulty waking her up
- Unusual irritability or fussiness
- Difficulty with balance or coordination
- Changes in her ability to recognize familiar people or surroundings
- Seizures
2. Neck Injury Consideration: Since you mentioned concerns about her neck, it is also important to observe for any signs of neck pain or stiffness. If she seems to be in pain when moving her head or if you notice any unusual positioning, this should be reported to the pediatrician.

3. Follow-Up Care: If any concerning symptoms develop, or if you feel uneasy about her condition, do not hesitate to seek medical attention. It is always better to err on the side of caution, especially with young children.

4. Developmental Monitoring: Given her age, it is also important to monitor her developmental milestones. If you notice any delays or regressions in her development following the injury, this should be discussed with her pediatrician.

In summary, start by consulting a pediatrician who can evaluate your daughter’s condition and determine if further imaging or specialist referral is necessary. Keep a close watch on her symptoms and behavior in the days following the incident, and do not hesitate to seek immediate medical attention if you notice any concerning changes. Your vigilance and care are crucial in ensuring her health and safety after this incident.

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