Post-Accident Symptoms: Cramps, Pain, and Dizziness Explained

After the car accident, I experienced spasms, tingling, and cramps in my limbs, along with dizziness?

Hello Doctor: I was in a car accident on January 6, where I was lying face down on the ground and my lower body was pinned under a motorcycle.
(Before the emergency room, I couldn't clearly see the writing on the report.) I was taken to the emergency room, and as soon as I sat down in the wheelchair, I started feeling dizzy and had a strong urge to vomit.
The only visible injuries on my limbs were cuts and bruises (with significant trauma on the left side).
The next day, when I got out of bed, I suddenly felt unsteady and dizzy.
During follow-up visits for rehabilitation, I experienced continuous spasms, cramps, and pain in my left limbs, and I had dizziness for about half a month.
When sitting and thinking or talking to the doctor, I would suddenly feel dizzy (mostly on the right side).
I have trouble concentrating and frequently forget things (I need to write down everything word by word and ask the other person to speak slowly).
My right ear has a buzzing sound (like a machine), and later, fluid started to come out.
My ten fingers hurt when I grasp heavy objects, and I feel sharp pain in the palm and fingers 2 and 3 of my right hand when using the mouse.
Activities like writing, using a spoon, combing my hair, and twisting small bottle caps cause pain in the thumb and outer side of my right hand.
(Nerve conduction studies of my limbs were normal.) After hanging out the laundry (repetitive motion), I feel sharp pain in my fingertips, and washing dishes also causes fingertip pain in my right hand.
Movements involving my left and right pinky fingers (clenching and releasing, pouring water) are painful.
While lying in bed, I feel pain in my left knee, ankle, and left abdomen.
I have only undergone nerve conduction studies for my hands and they were normal, but I still experience sharp pain when moving my fingers.
Which department should I consult, and what tests should I undergo?

Ms. Wu, 40~49 year old female. Ask Date: 2023/01/22

Dr. Jiang Junyi reply Neurology

Dear Ms.
Wu,
You mentioned that you have a "humming" sound in your right ear (similar to a machine), followed by fluid discharge.
Your symptoms may suggest ear leakage, potentially caused by a skull base fracture, particularly involving the petrous part of the temporal bone.
Additionally, cervical nerve root compression should also be considered.
I recommend that you consult a neurosurgeon to discuss further examination and treatment.
Thank you for your inquiry, and feel free to reach out for further discussion.
Wishing you good health, safety, and happiness.
Dr.
Jiang Junyi, Taoyuan Medical Center

Reply Date: 2023/01/22

More Info

Based on your description of symptoms following a car accident, it appears that you are experiencing a complex array of issues, including dizziness, cramps, pain, and cognitive difficulties. These symptoms can be interconnected and may stem from a variety of causes related to the trauma you experienced.

Firstly, the dizziness and feeling of instability you mentioned could be attributed to several factors. One potential cause is vestibular dysfunction, which can occur after head trauma. The vestibular system, located in the inner ear, is crucial for balance and spatial orientation. If this system was affected during the accident, it could lead to the dizziness and balance issues you are experiencing. Additionally, post-concussion syndrome is another possibility, where symptoms such as dizziness, headaches, and cognitive difficulties persist for weeks or even months after a concussion.

The cramps and pain in your limbs, particularly the left side, could be indicative of nerve compression or irritation. Given that you mentioned having visible bruising and injuries on your left side, it is possible that there may be some underlying nerve damage or compression due to swelling or inflammation in the area. The symptoms of pain and tingling in your fingers, especially when performing repetitive tasks, could suggest a condition like carpal tunnel syndrome or other forms of peripheral neuropathy.
Your cognitive symptoms, such as difficulty concentrating and forgetfulness, can also be linked to the trauma. Cognitive dysfunction following a head injury is not uncommon and can manifest as problems with memory, attention, and processing speed. This is often referred to as "brain fog" and can be exacerbated by pain and discomfort.

Given the complexity of your symptoms, it would be advisable to consult with a neurologist. A neurologist specializes in disorders of the nervous system and can provide a comprehensive evaluation of your symptoms. They may recommend further imaging studies, such as an MRI or CT scan, to assess for any structural changes in the brain or spinal cord that could be contributing to your symptoms. Additionally, they may suggest vestibular testing to evaluate your balance system and determine if there is any dysfunction present.

In terms of treatment, a multidisciplinary approach may be beneficial. This could include physical therapy to address any musculoskeletal issues and improve strength and coordination, as well as vestibular rehabilitation if balance issues are significant. Occupational therapy may also help with cognitive rehabilitation strategies to improve focus and memory.

In summary, your symptoms following the car accident are concerning and warrant a thorough evaluation by a neurologist. They will be able to provide a more accurate diagnosis and recommend appropriate tests and treatments to help manage your symptoms effectively. It is essential to address these issues promptly to prevent further complications and to facilitate your recovery.

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