Persistent Head Pain and Memory Issues After School Injury: What to Do?

Headache, feeling like the head is being crushed?

I was hit on the head by a classmate at school, and I've been feeling uncomfortable for over a month.
At first, I felt a soft spot at the back of my head, but that sensation went away.
However, recently my memory and comprehension have significantly declined, and the area where my head hurts feels flat.
The sides of my head are uneven in size.
Am I being overly suspicious? What should I do to help my head recover? This is really troubling me.
Can you help me? Thank you, doctor.

Jinwei Hsu, 10~19 year old female. Ask Date: 2016/10/31

Dr. Zhang Junwei reply Neurosurgery

Neurology outpatient examination.

Reply Date: 2016/10/31

More Info

I'm sorry to hear about your situation. It sounds quite distressing, and it's important to address both your physical and cognitive symptoms following the head injury you experienced at school. Based on your description, it seems you may be experiencing a combination of post-concussion symptoms and possibly some psychological effects related to the trauma of the incident.

Firstly, it’s crucial to understand that head injuries, even those that seem minor at first, can lead to a variety of symptoms. These can include persistent headaches, memory issues, and changes in cognitive function. The fact that you felt a soft area at the back of your head initially and now have concerns about the shape of your head could indicate that you are experiencing heightened anxiety about your injury. This is not uncommon after a head trauma, especially if the injury was caused by an act of violence.

Given that you have been experiencing these symptoms for over a month, it is advisable to seek a thorough evaluation from a healthcare professional, preferably a neurologist. They can conduct a detailed assessment, which may include imaging studies like an MRI or CT scan, to rule out any structural damage or complications that may have arisen from the injury.
In addition to physical assessments, it’s also important to consider the psychological impact of your injury. Many individuals who experience head trauma can develop symptoms of anxiety or post-traumatic stress, especially if the injury was associated with a violent event. If you find yourself frequently worrying about your condition or reliving the incident, it may be beneficial to speak with a mental health professional. They can provide support and coping strategies to help you manage these feelings.

For managing your headaches, over-the-counter pain relief medications such as ibuprofen or acetaminophen may provide some relief, but it’s essential to use them as directed and not rely on them excessively. Additionally, maintaining a regular sleep schedule, staying hydrated, and avoiding triggers such as bright lights or loud noises can help alleviate headache symptoms.

As for your cognitive concerns, engaging in activities that stimulate your brain, such as puzzles or reading, can be beneficial. However, it’s also important to balance this with rest, as your brain needs time to recover after an injury.
In summary, I recommend the following steps:
1. Consult a Neurologist: Schedule an appointment for a comprehensive evaluation of your symptoms.

2. Consider Mental Health Support: If you are experiencing anxiety or distress related to the injury, a mental health professional can help.

3. Manage Headaches: Use over-the-counter pain relief as needed and practice good self-care.

4. Monitor Cognitive Symptoms: Engage in light cognitive activities while ensuring you allow your brain adequate rest.

Remember, recovery from a head injury can take time, and it’s essential to be patient with yourself during this process. Seeking professional help is a crucial step in your recovery journey.

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