Head Trauma: Long-Term Effects and Concerns

Head trauma

Hello, doctor.
Two years ago, I was struck on the head by a metal pipe while working.
At the time, I was unsure if there was any damage, so I went to an orthopedic doctor for an X-ray.
The doctor said there were no fractures in my skull.
After two months, I consulted a neurologist who ordered a CT scan, and the doctor said there didn't appear to be any significant issues in my brain.
However, I had been experiencing discomfort in my head prior to this incident, and I am uncertain if there are any other problems since the accident.
I would like to ask the doctor the following questions:
1.
I have always had concerns—if there were a fracture or a minor crack in the skull, would a person still be able to function normally after two years?
2.
I am also worried—if there were intracranial bleeding, could I have maintained my condition for two years?
3.
I have been experiencing poor sleep, shallow sleep, and persistent fogginess in my mind, often feeling forgetful.
Could this be related to the head injury, and what should I do about it?
4.
I had head discomfort even before the accident, and I had two upper molars extracted around that time.
After the extractions, I began to experience head discomfort.
Could tooth extraction lead to head discomfort?

A-Chang, 30~39 year old female. Ask Date: 2022/07/09

Dr. Zhang Junwei reply Neurosurgery

Basically, a minor impact from two years ago should not have any effects now.
If you experience any discomfort, please schedule an appointment with a neurologist.

Reply Date: 2022/07/09

More Info

Understanding head trauma and its long-term effects is crucial for anyone who has experienced a head injury. In your case, you sustained a head injury two years ago when a metal pipe struck your head. You underwent X-rays and a CT scan, which showed no significant issues at that time. However, you are still experiencing concerns and symptoms that may be related to the injury. Let's address your questions one by one.

1. Concerns about skull fractures: If there was a skull fracture, it is possible for a person to remain conscious and function normally, especially if the fracture is not severe. Many individuals with minor skull fractures can continue their daily activities without immediate symptoms. However, if a fracture were to cause complications, such as pressure on the brain or bleeding, symptoms could develop later. Given that you have been functioning for two years without major issues, it is unlikely that a significant fracture has gone unnoticed.

2. Concerns about intracranial bleeding: Intracranial bleeding, such as a hematoma, typically presents with symptoms relatively soon after the injury. While some types of bleeding can take time to manifest, most will show symptoms within days to weeks. If you had a significant bleed, it would likely have been detected during your CT scan or would have presented with noticeable symptoms long before now. Therefore, it is improbable that you have been living with undetected intracranial bleeding for two years.

3. Sleep disturbances and cognitive issues: Your ongoing sleep problems, feelings of mental fog, and occasional forgetfulness could indeed be related to your head injury. Post-concussion syndrome is a recognized condition that can occur after a head injury, leading to prolonged symptoms such as headaches, dizziness, sleep disturbances, and cognitive difficulties. Additionally, anxiety and stress related to the injury or other life factors can exacerbate these symptoms. It is advisable to consult a neurologist or a sleep specialist to explore these issues further. They may recommend cognitive behavioral therapy, medication, or lifestyle changes to help improve your sleep and cognitive function.

4. Dental procedures and head discomfort: Regarding your concerns about the dental extractions you had prior to the onset of your head discomfort, it is possible for dental issues to cause referred pain or discomfort in the head. The nerves in the jaw and teeth are closely connected to those in the head, and dental problems can sometimes manifest as headaches or facial pain. However, it is essential to differentiate between pain caused by dental issues and that resulting from head trauma. If you suspect that your dental work may be contributing to your discomfort, it would be wise to consult with a dentist or an oral surgeon for a thorough evaluation.

In summary, while your past head injury may be contributing to some of your current symptoms, it is essential to have a comprehensive evaluation to rule out any underlying issues. Consulting with a neurologist can provide you with a clearer understanding of your symptoms and appropriate treatment options. Additionally, addressing any dental concerns with a professional can help clarify whether they are related to your head discomfort. Remember, timely intervention can significantly improve your quality of life and overall well-being.

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