Head Injury from 60cm Fall: When to Seek Medical Attention? - Neurosurgery

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Struck on the top of the head by a heavy object from a height of 60 centimeters?


Hello, Dr.
Chang.
I experienced dizziness at the moment of impact and felt a pulling sensation in my neck.
Afterward, when I look up, I feel pressure and pain.
When I look down, I also feel a pulling sensation and pain as well.
It is now the second day.
Should I seek medical attention immediately?

Fang Jianwei, 20~29 year old female. Ask Date: 2016/12/16

Dr. Zhang Junwei reply Neurosurgery


No immediate action is needed; however, if symptoms persist for more than two to three days, it is advisable to seek medical attention.

Reply Date: 2016/12/16

More Info


When it comes to head injuries, especially those resulting from a fall, it is crucial to be vigilant about the symptoms and the potential for complications. Based on your description, it seems you experienced a fall from a height of approximately 60 cm, which can indeed lead to various injuries, including concussions or more severe brain injuries. The symptoms you mentioned—feeling faint, neck discomfort, and pain when moving your head—are concerning and warrant careful consideration.


When to Seek Medical Attention
1. Immediate Symptoms: If you experience any of the following symptoms after a head injury, you should seek medical attention immediately:
- Loss of consciousness, even briefly.

- Persistent headache that worsens over time.

- Nausea or vomiting.

- Confusion, disorientation, or difficulty concentrating.

- Seizures.

- Weakness or numbness in any part of the body.

- Clear fluid or blood leaking from the nose or ears.

2. Neck Pain: Since you mentioned a sensation of being "pulled" in your neck and pain when moving your head, this could indicate a potential neck injury, such as whiplash or even a more serious cervical spine injury. If the pain is severe or if you have difficulty moving your neck, it is advisable to seek medical attention.

3. Observation Period: Generally, after a head injury, a period of observation is recommended. This is typically around 24 to 48 hours, during which you should monitor for any worsening symptoms. If symptoms persist or worsen, it is essential to consult a healthcare professional.

4. Follow-Up: Since it has been a day since your injury, if you are still experiencing discomfort or any of the concerning symptoms mentioned above, it would be prudent to visit a healthcare provider. They may perform a physical examination and possibly imaging studies, such as a CT scan, to rule out any serious injuries.


Additional Considerations
- Concussion Risk: A fall from a height of 60 cm can lead to a concussion, which is a type of traumatic brain injury. Symptoms of a concussion can sometimes be delayed, so even if you feel okay initially, it is important to remain vigilant for any changes in your condition.

- Neck Injuries: The neck is particularly vulnerable during falls, and injuries can range from mild strains to more severe issues like herniated discs or fractures. If you have persistent pain or neurological symptoms (like tingling or weakness), it is crucial to get evaluated.

- Children and Vulnerable Populations: If the injured individual is a child or someone with pre-existing health conditions, they may be at higher risk for complications, and medical evaluation is even more critical.


Conclusion
In summary, given your symptoms and the nature of your injury, it is advisable to seek medical attention, especially if you experience any worsening of your condition or new symptoms. It is always better to err on the side of caution when it comes to head and neck injuries. A healthcare professional can provide a thorough assessment and determine the appropriate course of action, ensuring your safety and well-being.

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