Head Trauma: Symptoms and Risks of Brain Injury

Q: Head Trauma: Symptoms and Risks of Brain Injury

Hello： Head injuries require caution, as there is a possibility of delayed intracranial hemorrhage. <br>You may seek assistance from a neurologist for evaluation and follow-up in the outpatient clinic 1-2 times. <br>Wishing you a speedy recovery.

Head trauma

Doctor, may I ask: I bumped the right side of my head against a wall five days ago.
I only have slight headaches and neck and shoulder pain, with no other discomfort.
Is this a normal condition after a head injury, or is there a possibility of a slow brain bleed or intracranial hemorrhage?

Miss Lin, 20~29 year old female. Ask Date: 2019/10/16

Dr. Hong Weibin reply Neurology

Hello: Head injuries require caution, as there is a possibility of delayed intracranial hemorrhage.
You may seek assistance from a neurologist for evaluation and follow-up in the outpatient clinic 1-2 times.
Wishing you a speedy recovery.

Reply Date: 2019/10/16

More Info

Head trauma can lead to a variety of symptoms and potential complications, and understanding these can help you determine the appropriate course of action. Based on your description of hitting your head against a wall and experiencing mild headaches and neck pain five days later, it's important to consider several factors regarding your condition.

Firstly, mild headaches and neck pain can be common after a head injury, especially if there was no loss of consciousness or severe symptoms immediately following the incident. However, it is crucial to monitor your symptoms closely. While it is possible that your symptoms are part of a normal recovery process, there is still a risk of more serious conditions, such as intracranial hemorrhage (bleeding within the skull) or a concussion.

Intracranial hemorrhage can occur even if there are no visible external injuries. Symptoms of this condition may not appear immediately and can develop over hours or days. Common signs to watch for include:
1. Worsening Headache: If your headache intensifies or becomes severe, it could indicate increased pressure in the skull.

2. Nausea or Vomiting: These symptoms can accompany increased intracranial pressure.

3. Confusion or Altered Consciousness: If you experience confusion, difficulty concentrating, or changes in alertness, this could be a sign of a more serious issue.

4. Weakness or Numbness: If you notice weakness or numbness in any part of your body, it is essential to seek medical attention immediately.

5. Seizures: The occurrence of seizures after a head injury is a medical emergency.

Given that you are experiencing ongoing headaches and neck pain, it is advisable to consult a healthcare professional, preferably a neurologist or a neurosurgeon. They may recommend imaging studies, such as a CT scan, to rule out any serious complications like a skull fracture or bleeding.

In terms of treatment, if your symptoms are mild and there are no signs of serious injury, your doctor may recommend rest, hydration, and over-the-counter pain relief medications like acetaminophen or ibuprofen. However, avoid taking aspirin, as it can increase the risk of bleeding.

In summary, while mild symptoms following a head injury can be normal, it is essential to remain vigilant for any worsening or new symptoms. If you have any concerns or if your symptoms change, do not hesitate to seek medical attention. Early intervention is key in managing head injuries effectively and preventing potential complications.

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