Should I Worry About Past Head Injuries? A Neurology Perspective

I previously sustained an injury to the back of my head?

Hello, doctor.
When I was in middle school, I accidentally hit the back of my head while playing with my classmates.
I remember it hurt a lot at the moment, and I felt dizzy and had blurred vision for about 10 seconds.
I immediately asked who hit me, and my classmates told me that I had hit the wall myself.
As far as I recall, besides the dizziness and blurred vision, there were no other issues.
Now I am 26 years old, and recently I saw news about someone who hit their head and seemed fine at first but passed away a week later, which made me a bit scared.
I suddenly remembered that I had hit my head before.
Doctor, do I need to go to the hospital, or is it too long ago for there to be any problems now?

JJ, 20~29 year old female. Ask Date: 2020/08/30

Dr. Hong Weibin reply Neurology

If none of the following symptoms are present, further observation is recommended: head trauma accompanied by bleeding; not crying or being fussy after the fall, but gradually developing confusion, coma, or excessive drowsiness; experiencing recurrent vomiting, drowsiness, altered mental status, or severe crying within 48 hours after the fall; or showing signs of bleeding or clear fluid from the ears or nose, or unequal pupil size within 48 hours after the fall.

Reply Date: 2020/08/30

More Info

When it comes to past head injuries, particularly those that occurred during childhood or adolescence, it is natural to have concerns about potential long-term effects. The brain is a complex organ, and even seemingly minor injuries can sometimes lead to complications. However, it is important to understand the context and the nature of the injury to assess whether further medical evaluation is necessary.

From a neurological perspective, the immediate symptoms you experienced—such as headache and dizziness—are common following a head injury. These symptoms can be indicative of a concussion, which is a mild traumatic brain injury. In most cases, if the symptoms resolve quickly and there are no lingering effects, the risk of long-term complications is relatively low. However, it is crucial to monitor for any delayed symptoms that may arise weeks or even months after the injury.

The case you mentioned in the news, where an individual appeared fine after a head injury but later suffered severe consequences, highlights the importance of being vigilant about head trauma. While such cases are rare, they do underscore the need for caution. If you have not experienced any significant symptoms since the injury—such as persistent headaches, memory issues, mood changes, or difficulty concentrating—then it is likely that you are not at risk for complications stemming from that incident.

However, if you find yourself experiencing new or unusual symptoms, it would be prudent to seek medical advice. Symptoms to watch for include:
1. Persistent Headaches: If you experience frequent or severe headaches that differ from your usual patterns.

2. Cognitive Changes: Difficulty with memory, concentration, or decision-making that is new or worsening.

3. Mood Changes: Increased irritability, anxiety, or depression that seems linked to the injury.

4. Physical Symptoms: Dizziness, balance issues, or visual disturbances that were not present before.

In general, if you are feeling anxious about your past injury, it may provide peace of mind to consult with a healthcare professional. A neurologist can perform a thorough evaluation, which may include a neurological examination and possibly imaging studies if deemed necessary. They can help determine if there are any underlying issues that need to be addressed.

Additionally, it is worth noting that the brain has a remarkable ability to heal and compensate for injuries. Many individuals who experience head trauma go on to lead healthy lives without significant long-term effects. Engaging in healthy lifestyle choices—such as regular exercise, a balanced diet, adequate sleep, and stress management—can also support brain health and overall well-being.

In conclusion, while it is understandable to worry about past head injuries, especially in light of alarming news stories, it is essential to assess your current health and any symptoms you may be experiencing. If you feel uncertain or anxious, seeking a professional opinion can provide clarity and reassurance. Remember, your health and peace of mind are paramount, and it is always better to err on the side of caution when it comes to head injuries.

Similar Q&A

Overcoming Trauma: Coping with Persistent Anxiety After an Injury

Hello doctor, last year while working, I accidentally got hit on the head by a falling iron pipe. Since then, I often have flashbacks of that incident and frequently worry whether my skull is fractured or if there are any issues inside my brain. This has been ongoing for almost a...

Dr. Huang Zhijia reply Psychiatry
Hello: If the neurology department has confirmed that there are no issues of any size, and as stated, it is recommended to visit the psychiatry department for the next step in assessment and subsequent treatment. Dr. Huang Chih-Chia

Understanding Post-Concussion Symptoms: When to See a Neurologist

At around 14 years old, I experienced a significant blow to the back of my head while playing. Recently, I've noticed that I sometimes forget what I wanted to say or the names of my high school classmates (I am currently a freshman). Occasionally, my speech seems unusual, an...

Dr. Jiang Junyi reply Neurology
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or significant local hematomas is usually mild. If your symptoms have persisted for more than six months, they may be less related to the incident that occu...

Understanding Post-Traumatic Head Pain and Symptoms: A Neurology Perspective

Hello, I would like to ask a doctor a question regarding my brain. About five years ago, I accidentally hit the right side of my head at home. At that time, I only felt very dizzy, and it took many days for the dizziness to subside. Since I was no longer dizzy, I didn't pay ...

Dr. Ye Boshou reply Neurology
Hello: An injury from five years ago is less likely to show symptoms so slowly, but if the headache persists, it is still necessary to see a doctor for an examination.

Understanding Head Trauma: Long-Term Effects and Concerns

Hello, Doctor. Two years ago, I was struck on the head by a metal pipe while working. At that time, I was unsure if there was any issue, so I went to an orthopedic doctor for an X-ray, and the doctor said there was no fracture in the skull. After two months, I saw a neurologist w...

Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. According to medical principles, head trauma should be monitored for 3 months. If there is no further deterioration, the injury is considered stable. 2. If there is indeed intracranial hemorrhage, it will typically resolve and be absorbed within 1-2 months (similar to h...