the Effects of Occipital Impact: What to Expect After a Fall - Neurology

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Occipital impact?


While playing basketball, I tripped and fell, landing on my buttocks, back, and the back of my head.
It hurt a lot at the moment and immediately swelled up.
I heard a loud sound when my head hit the ground.
I applied ice afterward, and by the next day, the swelling had gone down.
Is it normal for the head to feel swollen after a head injury? Currently, I do not have any symptoms of headache, dizziness, or vomiting.

Jiang, 20~29 year old female. Ask Date: 2021/01/16

Dr. Jiang Junyi reply Neurology


Hello, based on your description, generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious localized hematomas, head trauma is mostly mild.
However, the following situations should prompt consideration of delayed bleeding, and you should seek emergency care: (1) Deterioration of vision, seeing double (diplopia), or unequal pupil size.
(2) Clear fluid or blood leaking from the ears or nose.
(3) Confusion or abnormal behavior.
(4) Numbness or inability to move limbs.
(5) Localized involuntary movements or seizures.
Wishing you good health and peace.
Dr.
Jiang Junyi, Department of Neurosurgery, Taoyuan Hospital, cares about you.

Reply Date: 2021/01/16

More Info


When experiencing an occipital impact, such as the one you described from falling while playing sports, it is essential to understand the potential effects and what to expect afterward. The occipital region is located at the back of the head and is responsible for processing visual information, among other functions. An impact to this area can lead to various symptoms, depending on the severity of the injury.

In your case, you mentioned that you felt immediate pain and swelling at the site of impact, which is a common response to trauma. The swelling, or hematoma, occurs as blood vessels may break and leak fluid into the surrounding tissues, leading to localized swelling. Ice application is a standard first-aid measure that helps reduce swelling and alleviate pain by constricting blood vessels and numbing the area.

You also noted that the swelling subsided by the next day, which is a positive sign. However, it is crucial to monitor for any delayed symptoms that may arise after a head injury. While you currently do not have headaches, dizziness, or nausea—common signs of a concussion or more severe brain injury—it is essential to remain vigilant for these symptoms in the days following the incident.

Here are some key points to consider regarding your situation:
1. Concussion Symptoms: Even if you feel fine now, symptoms of a concussion can sometimes develop hours or even days after the injury. Common symptoms include headaches, dizziness, confusion, balance issues, sensitivity to light or noise, and nausea. If any of these symptoms arise, it is crucial to seek medical attention.

2. Monitoring for Changes: Keep an eye on your condition. If you experience any changes in your mental status, such as increased confusion, difficulty concentrating, or unusual behavior, these could indicate a more serious injury.

3. Rest and Recovery: It is advisable to rest after a head injury. Avoid strenuous activities, particularly those that could lead to another fall or impact. Gradually return to your normal activities as you feel better, but listen to your body and do not rush the recovery process.

4. When to Seek Medical Attention: If you develop any concerning symptoms such as persistent headaches, vomiting, seizures, or if you experience weakness or numbness in your limbs, you should seek medical attention immediately. Additionally, if you have any concerns about your symptoms or recovery, consulting a healthcare professional is always a good idea.

5. Follow-Up Care: Depending on the severity of your injury and any symptoms you may develop, your healthcare provider may recommend follow-up appointments to monitor your recovery and ensure there are no lasting effects from the impact.

In summary, while your initial symptoms seem to be resolving, it is essential to remain cautious and monitor for any delayed symptoms. If you have any doubts or if symptoms develop, do not hesitate to reach out to a healthcare professional for further evaluation and guidance. Remember, head injuries can be complex, and it is always better to err on the side of caution.

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