Concussion and Hearing Loss: Neurological Damage After an Accident - Otolaryngology

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Concussion, hearing impairment, nerve damage?


Six months ago, I was riding my motorcycle when a car ran a red light and collided with me, causing me to be thrown upwards and hit the car's hood.
I rolled several dozen meters and experienced a concussion, tinnitus, headache, dizziness, and nausea.
I sustained multiple contusions and lacerations, and my left calf became swollen, leading to cellulitis that required surgery.
I have severe pain in my lower back and weakness in my left leg.
Later, it was found that the fifth and twelfth vertebrae in my spine were compressing nerves.
I am scheduled for surgery in the coming days.
At the time of the accident, my hearing felt strange, but a CT scan of my brain showed no significant issues.
I believe my hearing may have been damaged, as I continue to experience a persistent feeling of discomfort and tinnitus.

Ai Dada, 30~39 year old female. Ask Date: 2021/01/18

Dr. Zheng Jueyi reply Otolaryngology


Hello, if you are hospitalized for surgery, it is recommended to consult with the ENT specialist at the hospital for an evaluation.
They can arrange for a hearing test or related examinations to confirm if there are any hearing-related issues.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/01/18

More Info


Concussions and their aftermath can lead to a variety of neurological issues, including hearing loss and tinnitus (ringing in the ears). Your experience following the motorcycle accident, where you sustained a concussion and have been dealing with persistent ear discomfort and tinnitus, is not uncommon.
When a concussion occurs, it can cause temporary or even long-lasting changes in brain function. The brain is a complex organ, and even minor injuries can disrupt its normal operations. In your case, the impact from the accident likely affected not only your cognitive functions but also your auditory processing capabilities. This can manifest as difficulty in hearing or understanding sounds, as well as experiencing tinnitus.

Tinnitus can be particularly distressing. It is often described as a ringing, buzzing, or hissing sound in the ears, and can be exacerbated by stress, fatigue, or other factors. In your situation, the persistent nature of your tinnitus suggests that it may be related to the concussion or other neurological damage. While some individuals find that their tinnitus improves over time, others may experience it as a chronic condition.

Regarding your hearing issues, it is essential to understand that the auditory system is closely linked to various brain regions, particularly those involved in processing sound and language. Damage to these areas can lead to difficulties in hearing and understanding speech, which you have described. This may not necessarily be classified as hearing loss in the traditional sense, but rather as an auditory processing disorder, where the brain struggles to interpret the sounds it receives.

Given that your CT scan did not reveal any significant abnormalities, it is possible that the issues you are experiencing are functional rather than structural. This means that while there may not be visible damage on imaging studies, the concussion could have led to temporary disruptions in how your brain processes auditory information.

As for your concerns about recovery, many individuals do experience improvements over time, especially with appropriate rehabilitation. Engaging in therapies that focus on cognitive rehabilitation, auditory processing, and even physical therapy for your other injuries can be beneficial. It is crucial to follow up with specialists, such as neurologists or audiologists, who can provide tailored assessments and interventions based on your specific symptoms.

In addition to medical treatment, consider lifestyle modifications that may help alleviate some of your symptoms. Stress management techniques, such as mindfulness or relaxation exercises, can be beneficial for managing tinnitus. Ensuring you get adequate rest and avoiding loud environments can also help protect your hearing and overall well-being.

Lastly, it is essential to maintain open communication with your healthcare providers about your symptoms and any changes you experience. Keeping a journal of your symptoms, including when they occur and any potential triggers, can provide valuable information for your medical team and help guide your treatment plan.

In summary, your experiences following the concussion are significant and warrant careful evaluation and management. While the road to recovery may be challenging, many individuals find that with time and appropriate interventions, they can regain much of their previous function and improve their quality of life.

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