Dizziness and transient amnesia?
At the beginning of the month, I fell off my bike and sustained abrasions.
Since my head hit the ground, I experienced brief dizziness and a few seconds of blankness.
I consulted a doctor and underwent a CT scan, which showed no bleeding.
I was assessed with a mild concussion and advised to monitor for symptoms over the next three months.
However, at the end of the month, I accidentally slipped and fell again.
At that moment, I felt a sensation of my head shaking up and down.
I felt a bit better and tried to stand up and walk to the side, but while walking, I felt like I was losing my balance.
Shortly after, I experienced dizziness and blurred vision, and when my family came to assist me, I realized I had fallen to the ground again.
I can't recall how I fell at that moment.
Could this be related to the residual effects of the concussion? How should I manage or monitor this situation?
Dàdà, 20~29 year old female. Ask Date: 2017/05/31
Dr. Jiang Junyi reply Neurology
Hello, based on your description, generally speaking, head trauma without loss of consciousness, use of anticoagulants, or obvious local hematomas tends to be mild, and the sequelae of a concussion are usually not significant.
As for the occurrence of fainting, it is important to continue monitoring and follow-up.
Common causes of fainting include: 1.
Neurogenic reflexes causing decreased peripheral vascular tone, leading to blood pooling in peripheral tissues and insufficient blood flow to the brain.
2.
Orthostatic hypotension caused by changes in posture, such as when suddenly standing up or getting out of bed.
Conditions like autonomic dysregulation and the use of cardiovascular medications can contribute to this.
3.
Issues related to the blood itself, such as low blood pressure or hypoglycemia.
4.
Seizures can sometimes cause sudden falls that resemble fainting, potentially accompanied by limb jerking and prolonged confusion.
It is recommended that you consult a neurologist or neurosurgeon for evaluation and treatment.
Wishing you good health and peace.
Reply Date: 2017/05/31
More Info
Post-concussion symptoms, including dizziness and memory loss, can be quite concerning, especially after experiencing multiple falls and head injuries. It sounds like you have had a challenging time with your recent accidents, and it’s important to understand the implications of these events on your health.
When you sustain a concussion, which is a type of traumatic brain injury (TBI), it can lead to a variety of symptoms that may not appear immediately. Common symptoms include headaches, dizziness, confusion, and memory issues. The symptoms can vary widely among individuals and can persist for days, weeks, or even longer after the initial injury. In your case, the dizziness and memory loss you are experiencing could indeed be related to the concussion you sustained earlier this month.
The fact that you experienced a brief period of "blanking out" or loss of memory during your fall is particularly noteworthy. This could indicate that your brain was affected by the impact, leading to temporary disruptions in cognitive function. Dizziness, especially when accompanied by a feeling of losing balance, is a common symptom following a concussion. It can result from disturbances in the vestibular system, which helps control balance and spatial orientation.
Given that you have experienced two incidents in a short period, it is crucial to monitor your symptoms closely. The recommendation to observe for three months is standard, but if you notice any worsening of symptoms or new symptoms developing, such as persistent headaches, increased confusion, difficulty concentrating, or changes in mood, you should seek medical attention promptly.
In terms of management, here are some steps you can take:
1. Rest and Recovery: Allow your brain time to heal. This means getting plenty of rest and avoiding activities that could exacerbate your symptoms, such as strenuous physical activities, screen time, or anything that requires intense concentration.
2. Hydration and Nutrition: Ensure you are well-hydrated and eating a balanced diet. Proper nutrition can support brain health and recovery.
3. Gradual Return to Activities: Once your symptoms begin to improve, gradually reintroduce activities. Start with light tasks and slowly increase intensity as tolerated.
4. Physical Therapy: If dizziness persists, consider consulting a physical therapist who specializes in vestibular rehabilitation. They can provide exercises to help improve balance and reduce dizziness.
5. Cognitive Rest: Limit activities that require heavy cognitive load, such as reading, studying, or playing video games, until you feel better.
6. Follow-Up Care: Regular follow-ups with your healthcare provider are essential. They may recommend neuropsychological testing or imaging studies if symptoms persist or worsen.
7. Emergency Signs: Be aware of red flags that require immediate medical attention, such as worsening headaches, repeated vomiting, seizures, or difficulty waking up.
In conclusion, your symptoms of dizziness and memory loss following your recent falls are likely related to the concussions you experienced. It is essential to take these symptoms seriously and follow a structured approach to recovery. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation. Your health and safety should always come first, so do not hesitate to seek help if you feel your condition is not improving or if you have any concerns.
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