Assessing Long-Term Effects of a Baseball Head Injury in Teens

Hit on the head by a falling baseball?

I am 18 years old now, but about 6 to 8 years ago, when I was in elementary school, I was hit on the head (slightly towards the back right side) by a hard baseball that was thrown high into the air while playing on the playground.
At that moment, I only experienced dizziness and blurred vision for a few seconds.
I felt fine afterward and did not see a doctor.
I can't recall any discomfort in the days following the incident, but I still remember what happened that day, so I assumed there was no significant issue.

My main question is, over the past few years, I have been active and have not experienced any nausea, vomiting, or weakness; my overall bodily functions seem normal.
I even participated in a sports team afterward.
So, I would like to ask the doctor if I can be certain that there are no problems, and if there is anything else I should be aware of?

Mr. Luo, 10~19 year old female. Ask Date: 2019/03/26

Dr. Jiang Junyi reply Neurology

Hello, based on your description, generally speaking, if there was no loss of consciousness at the time of the head injury, no use of anticoagulants, or significant local hematoma, the head injury is mostly minor.
Common symptoms of brain injury from head trauma typically occur within a week.
If it has been over a year since your head injury, there is usually no need for concern.
I recommend discussing this with a rehabilitation specialist or a neurologist/neurosurgeon.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.

Reply Date: 2019/03/26

More Info

When assessing the long-term effects of a head injury, particularly in adolescents, it is crucial to consider several factors, including the nature of the injury, the symptoms experienced at the time, and any subsequent health issues. In your case, you experienced a head injury approximately 6-8 years ago when a baseball struck your head. At the time, you reported symptoms such as dizziness and temporary blurred vision, but these resolved quickly, and you did not seek medical attention.
From a medical perspective, head injuries can range from mild concussions to more severe traumatic brain injuries (TBIs). A concussion is a type of mild TBI that can occur when the brain is jolted or shaken inside the skull. Symptoms of a concussion can include confusion, dizziness, headaches, nausea, and balance issues. It is important to note that symptoms may not always present immediately after the injury and can sometimes develop over time.

Given that you did not experience any prolonged symptoms following the incident and have since engaged in physical activities, including participating in a sports team, it is a positive sign that you may not have sustained any significant long-term damage. However, it is essential to remain vigilant about any potential late-emerging symptoms, as some effects of head injuries can manifest years later.
Here are some considerations and recommendations for you:
1. Monitor Symptoms: Continue to be aware of any changes in your health. If you experience new symptoms such as headaches, dizziness, difficulty concentrating, or mood changes, it is advisable to consult a healthcare professional.

2. Cognitive Function: Pay attention to your cognitive abilities, including memory, attention, and processing speed. If you notice any difficulties in these areas, it may warrant further evaluation.

3. Physical Activity: Since you are actively participating in sports, ensure that you are following proper safety protocols, such as wearing appropriate protective gear. This is especially important in contact sports where the risk of head injuries can be higher.

4. Regular Check-Ups: Consider scheduling regular check-ups with a healthcare provider, especially if you have any concerns about your past injury. They can perform assessments to ensure that your neurological health is intact.

5. Education on Concussions: Educate yourself about the signs and symptoms of concussions and the importance of reporting them if they occur in the future. Understanding the risks associated with head injuries can help you make informed decisions about your health and safety.

6. Long-Term Effects: While it is reassuring that you have not experienced significant issues since the injury, it is essential to acknowledge that some individuals may develop conditions such as post-concussion syndrome, which can include persistent headaches, dizziness, and cognitive difficulties.
In conclusion, while your current state appears stable and you have not experienced significant issues since your head injury, it is always wise to remain cautious and informed. If you have any concerns or experience new symptoms, do not hesitate to seek medical advice. Your health and well-being should always be a priority, especially when it comes to past head injuries.

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