Head Bumps: Risks and Long-Term Effects of Trauma

Head mass

When I was in elementary school, I was bumped by a classmate, and the next day I had a lump on the back of my head.
I didn't seek medical attention at that time, and it has been over ten years.
There were instances where I accidentally hit it and it bled, but the swelling would go down and return to its original size the next day.
My question is: does this count as a hematoma? Is there a possibility of any pathological changes? Thank you.

jane, 20~29 year old female. Ask Date: 2019/03/01

Dr. Peng Xianwen reply Surgery

There may be a blood clot, or it could have undergone fibrosis; it is better to examine the site for comparison.

Reply Date: 2019/03/01

More Info

When it comes to head trauma, particularly in childhood, it is essential to understand the potential risks and long-term effects associated with such injuries. Based on your description of being bumped by a classmate, experiencing swelling at the back of your head, and not seeking medical attention, there are several factors to consider regarding your current concerns.

Firstly, the swelling you experienced could have been due to a hematoma, which is a localized collection of blood outside of blood vessels, often resulting from trauma. In many cases, these hematomas can resolve on their own, especially if they are small and not associated with significant underlying injury. However, the fact that you experienced swelling that persisted and then returned to its original size suggests that there may have been some soft tissue injury or a minor contusion.

Regarding your concern about whether this could be a blood clot and the potential for disease development, it is important to note that while hematomas can occur, they typically do not lead to long-term complications if they resolve without further issues. However, if a hematoma is large or if there is a significant underlying injury to the skull or brain, it could lead to more serious complications, such as increased intracranial pressure or even brain injury.
Since you mentioned that this incident occurred over ten years ago and you have not experienced any significant ongoing symptoms, it is likely that your body has adequately healed from the initial trauma. However, it is still possible for some individuals to experience long-term effects from head injuries, including chronic headaches, dizziness, or cognitive changes, especially if there was a concussion involved.
If you are experiencing any new symptoms, such as persistent headaches, dizziness, or changes in cognitive function, it would be prudent to seek a medical evaluation. A healthcare professional can perform a thorough neurological examination and may recommend imaging studies, such as a CT scan or MRI, to assess for any structural changes in the brain or skull that could be contributing to your symptoms.

In summary, while the swelling you experienced could have been a hematoma, the lack of significant ongoing symptoms after such a long time suggests that it is unlikely to have caused any lasting damage. However, if you have any concerns about your health or if you experience new symptoms, it is always best to consult with a healthcare professional for a comprehensive evaluation. Early intervention can be crucial in managing any potential complications arising from past head trauma.

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