Head Injuries: Signs of Intracranial Bleeding

Head injury

Yesterday, I hit my head and woke up at home.
My friend told me that I rode my bike back, but I don't remember that part.
Now my neck is sore, and there is a soft spot on my head when I press it.
Could this be intracranial bleeding?

Niming, 10~19 year old female. Ask Date: 2020/12/26

Dr. Zhang Junwei reply Neurosurgery

It sounds like a concussion rather than an intracranial hemorrhage.
I recommend a consultation with a neurosurgery outpatient clinic for evaluation.

Reply Date: 2020/12/26

More Info

When it comes to head injuries, particularly those that may lead to intracranial bleeding, it's crucial to understand the signs and symptoms that warrant immediate medical attention. Based on your description, you experienced a head impact and are now experiencing memory loss, neck pain, and a soft spot on your head. These symptoms can be concerning and may indicate a more serious condition, such as a concussion or intracranial bleeding.

Intracranial bleeding can occur after a head injury, especially if there is a significant impact. The types of intracranial bleeding include epidural hematoma, subdural hematoma, and intracerebral hemorrhage. Each type has different causes and implications, but they all can lead to increased pressure in the skull, which can be life-threatening if not addressed promptly.

Memory loss, especially if it is sudden and involves a significant gap (like not remembering riding your bike home), can be a sign of a concussion. Concussions are a type of traumatic brain injury that can occur even with a seemingly minor impact. Symptoms of a concussion can include confusion, memory loss, headache, dizziness, and sometimes nausea. The soft spot you mentioned could indicate a contusion or swelling in the area of impact, which may also be a sign of a more serious injury.

Given your symptoms, it is advisable to seek medical attention as soon as possible. A healthcare professional will likely perform a neurological examination and may order imaging studies, such as a CT scan or MRI, to assess for any bleeding or swelling in the brain. It is important to monitor for any worsening symptoms, such as increasing headache, persistent vomiting, seizures, or changes in consciousness, as these could indicate a worsening condition.

In terms of observation, if you are experiencing any of the symptoms mentioned above, it is better to err on the side of caution and seek immediate medical evaluation rather than waiting. The timeline for recovery from a concussion or any intracranial bleeding can vary widely depending on the severity of the injury and the individual's overall health.

In summary, while not all head injuries lead to intracranial bleeding, the combination of memory loss, neck pain, and a soft spot on your head is concerning. It is essential to seek medical attention promptly to rule out any serious complications and to receive appropriate care. Remember, when it comes to head injuries, it is always better to be safe and get evaluated by a healthcare professional.

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