Post-Trauma Head Injuries: Symptoms and Recovery After a Car Accident - Surgery

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Head trauma from a car accident?


The patient sustained a trauma to the right posterior aspect of the head from a car accident.
A CT scan did not reveal any intracranial hemorrhage; however, due to significant external bleeding, the emergency sutures later led to the need for a debridement surgery to remove the fascia.
Now that the debridement has been completed and the stitches have just been removed, the scalp still feels swollen and firm.
Upon rising from the pillow, there is a peculiar sensation in that area, accompanied by a tight, swollen feeling.
The patient is also experiencing dizziness, which has not improved and it has been nearly a month since the accident.
What could be the cause of these symptoms?

E, 20~29 year old female. Ask Date: 2019/01/31

Dr. Li Zhonghuai reply Surgery


Hello! A car accident has caused a laceration, and after the wound heals, it may remain swollen and hard for some time, sometimes even up to a year.
Head injuries may cause intermittent dizziness and headaches within six months, but these symptoms will gradually improve after that.
If you experience severe dizziness or pain, please seek emergency medical attention promptly.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2019/01/31

More Info


After a car accident, head injuries can manifest in various ways, and understanding the symptoms and recovery process is crucial for effective management. In your case, it appears that your father has experienced a significant head injury, which has led to a series of concerning symptoms, including memory loss and confusion. These symptoms can be indicative of a concussion or post-concussion syndrome, even if initial imaging studies like a CT scan did not reveal any acute intracranial bleeding.


Symptoms to Monitor
1. Cognitive Changes: The repetitive questioning and inability to recall the accident are signs of cognitive impairment, which can occur after a concussion. This is often temporary, but it can be distressing for both the patient and their family.

2. Physical Symptoms: The swelling and tightness you describe in the scalp area, along with persistent dizziness, are also common after head trauma. The body’s response to injury can include inflammation, which may take time to resolve.

3. Emotional and Behavioral Changes: Head injuries can also lead to mood swings, irritability, or changes in personality. Monitoring these changes is essential for understanding the full impact of the injury.


Recovery Process
1. Rest and Rehabilitation: Rest is critical after a head injury. This includes both physical and cognitive rest. Encourage your father to avoid activities that require intense concentration, such as reading or screen time, until he feels better.

2. Follow-Up Care: Regular follow-ups with a healthcare provider are essential. If symptoms persist or worsen, further evaluation may be necessary. This could include additional imaging studies or referrals to specialists, such as a neurologist or a neuropsychologist.

3. Pain Management: If your father experiences headaches or discomfort, over-the-counter pain relief may be appropriate, but it’s essential to consult with a physician before administering any medication.

4. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support recovery. Foods rich in omega-3 fatty acids, antioxidants, and vitamins can be beneficial for brain health.

5. Physical Therapy: If dizziness persists, vestibular rehabilitation therapy may be recommended. This type of therapy helps patients regain balance and reduce dizziness through specific exercises.


When to Seek Immediate Care
You should seek immediate medical attention if your father experiences any of the following:
- Worsening headache or a new headache that feels different from previous ones.

- Persistent vomiting or nausea.

- Increased confusion or agitation.

- Seizures.

- Weakness or numbness in any part of the body.


Conclusion
In summary, while the initial CT scan did not show any acute issues, the ongoing symptoms your father is experiencing warrant close monitoring and possibly further evaluation. Recovery from head injuries can be a gradual process, and patience is key. Encourage him to rest, follow up with healthcare providers, and engage in light activities as tolerated. If symptoms persist or worsen, do not hesitate to seek further medical advice.

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