Head Injury from Hitting a Wall: When to Seek Medical Attention - Neurology

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Bumped the top of the head against a wall corner with force?


Hello, doctor.
Yesterday, while wearing a hat, I didn't notice that the ceiling ahead was lower and walked straight into it, resulting in a strong impact on the right angle of the ceiling's concrete and steel reinforcement.
It was really painful at the moment, and I started feeling a bit dizzy, which has persisted until today.
This afternoon, I've also begun to feel slight numbness in the left side of my arms and legs.
Do I need to get a CT scan or an EEG? Thank you for your response.

Lin, 20~29 year old female. Ask Date: 2022/03/18

Dr. Cai Zongzhang reply Neurology


Hello, Lin: If you experience persistent numbness in the left side of your limbs, please visit a neurology or orthopedic outpatient clinic for evaluation.

Reply Date: 2022/03/18

More Info


When it comes to head injuries, especially those resulting from a significant impact like hitting a wall or a low ceiling, it is crucial to be vigilant about the symptoms that may arise afterward. Your experience of hitting your head and subsequently feeling pain, dizziness, and experiencing numbness in your limbs raises important concerns that warrant careful consideration.

First and foremost, it is essential to understand that head injuries can lead to a variety of complications, including concussions, intracranial hemorrhages, and other neurological issues. The symptoms you described—pain, dizziness, and numbness—are particularly concerning and suggest that you may be experiencing more than just a mild injury.
According to medical guidelines, there are specific symptoms that should prompt immediate medical attention. These include:
1. Loss of Consciousness: If you lose consciousness, even briefly, it is critical to seek emergency care.

2. Severe Headache: A headache that worsens over time or is accompanied by other symptoms can indicate a more serious issue.

3. Dizziness or Balance Issues: Persistent dizziness, especially if it affects your ability to walk or maintain balance, is a red flag.

4. Numbness or Weakness: The numbness you mentioned in your left side is particularly concerning. This could indicate neurological involvement, which requires immediate evaluation.

5. Nausea or Vomiting: If you experience nausea or vomiting, it could be a sign of increased intracranial pressure.

6. Changes in Vision or Speech: Any changes in your ability to see or speak clearly should be taken seriously.

7. Seizures: If you experience any seizures, you should seek emergency medical care immediately.

Given your symptoms of dizziness and the numbness in your left side, it is advisable to seek medical attention as soon as possible. A healthcare professional may recommend imaging studies such as a CT scan or MRI to rule out any serious injuries like a concussion or intracranial bleeding. These tests are essential in assessing the extent of the injury and determining the appropriate course of treatment.

In addition to imaging, a thorough neurological examination will help assess your reflexes, coordination, and overall brain function. This evaluation is crucial, especially since you are experiencing symptoms that could indicate a potential neurological issue.

While it is common for people to experience mild symptoms after a head injury, the presence of dizziness and numbness suggests that your injury may require more than just observation. It is always better to err on the side of caution when it comes to head injuries. Early intervention can significantly improve outcomes and prevent complications.

In summary, based on your symptoms and the nature of your injury, I strongly recommend that you seek medical attention promptly. A healthcare provider can perform the necessary evaluations and ensure that you receive the appropriate care. Remember, your health and safety are the top priority, and it is always better to be safe than sorry when it comes to head injuries.

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