Head Injury Symptoms: Skull Fractures and Fever - Neurosurgery

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Skull fracture, fever, and body aches?


Hello doctor, two weeks ago I was struck on the head with a wooden stick, and I had several stitches on the back of my head.
The CT scan showed a skull fracture.
I rested at home for a few days, but today after working half a day, I returned home feeling very dizzy and a bit nauseous, and my joints are sore.
Could this be related to my head injury?

Xiao Ming, 20~29 year old female. Ask Date: 2016/11/11

Dr. Zhang Junwei reply Neurosurgery


Headaches and dizziness are related to head trauma, while body aches are not.

Reply Date: 2016/11/11

More Info


Head injuries can lead to a variety of symptoms, and your recent experience with a skull fracture certainly raises concerns that should not be overlooked. Given your history of trauma from a wooden stick to the back of your head, followed by a diagnosis of a skull fracture, it is crucial to understand the potential implications of your symptoms, including dizziness, nausea, and joint pain.

Firstly, dizziness and nausea are common symptoms following a head injury, particularly if there is a concussion or other brain injury involved. A concussion can occur even without a loss of consciousness and may present with symptoms such as confusion, headache, dizziness, and nausea. These symptoms can arise from the brain's response to the trauma, as it may be struggling to maintain normal function after the injury. The presence of a skull fracture can also complicate matters, as it may increase the risk of complications such as bleeding or swelling in the brain, which can exacerbate these symptoms.

The joint pain you are experiencing, however, is less likely to be directly related to your head injury. While it is possible that the stress and strain of dealing with a head injury could lead to muscle tension or discomfort in other parts of your body, joint pain typically has different underlying causes. It could be due to overexertion, stress, or even an unrelated condition such as a viral infection or arthritis. If the joint pain persists or worsens, it would be wise to consult a healthcare professional to explore other potential causes.

In terms of the skull fracture itself, it is important to monitor for any signs of complications. Symptoms such as persistent headache, worsening dizziness, clear fluid leaking from the nose or ears, or changes in consciousness should prompt immediate medical evaluation. These could indicate more serious issues such as cerebrospinal fluid leakage or intracranial pressure changes.

Given your current symptoms of dizziness and nausea, it is advisable to seek further medical evaluation. A healthcare provider may recommend imaging studies, such as a CT scan, to assess for any changes since your initial diagnosis. They may also perform a neurological examination to evaluate your cognitive function and balance, which can be affected by head injuries.

In conclusion, while your dizziness and nausea are likely related to your head injury, the joint pain may not be directly connected. It is essential to remain vigilant about your symptoms and seek medical attention if they persist or worsen. Head injuries can have lasting effects, and timely intervention can help prevent complications and promote recovery. Always prioritize your health and well-being, and do not hesitate to reach out to a healthcare professional for guidance.

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