Recovery After a Car Accident: Brain Injury and Medication Concerns - Neurosurgery

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Hello, doctor! I have questions regarding brain injuries caused by car accidents?


Hello, Doctor! I sustained a right-sided head injury (with swelling on the right side of my face) due to a car accident, along with mild subarachnoid hemorrhage on the left side and a concussion.
After spending five days in the intensive care unit, I was transferred to a regular ward for one day before being discharged to rest at home.
The doctor prescribed me Diphenidol and Lactam.
After about four days post-discharge, I felt my symptoms had improved and stopped taking the medication.
I would like to know if this will affect my recovery.
It has been nearly a month since my injury, but I still occasionally experience mild pain on the right and left sides of my head, and my right cheek remains swollen with bruising (the redness in my right eye has gradually disappeared).
Is this condition due to not completing my medication? Thank you for taking the time to respond.

Yin ge, 30~39 year old female. Ask Date: 2023/11/17

Dr. Zhang Junwei reply Neurosurgery


1.
Not taking medication will not affect recovery.
2.
The most important aspect of a concussion is rest; it will naturally recover over time.

Reply Date: 2023/11/17

More Info


After a car accident resulting in head trauma, it's understandable to have concerns about recovery, especially regarding medication and ongoing symptoms. In your case, you experienced a right-sided head injury, mild subarachnoid hemorrhage on the left side, and a concussion. Following your hospitalization, you were prescribed Diphenidol and Lactam, which are typically used to manage symptoms related to dizziness and nausea, as well as to prevent complications from head injuries.

Firstly, it’s important to clarify that not completing a prescribed medication regimen does not inherently hinder recovery from a concussion or mild brain injury. The key to recovery from such injuries is primarily rest and allowing the brain to heal. Concussions can lead to a variety of symptoms, including headaches, dizziness, and cognitive difficulties, which may persist for weeks or even months. The fact that you felt your symptoms were mild enough to discontinue the medication after four days is not unusual, as many patients experience fluctuations in their symptoms.

Regarding your ongoing symptoms, such as mild headaches and facial swelling, these can be common after head injuries. The headaches may be a result of the concussion itself, as post-concussion syndrome can lead to persistent headaches and other symptoms. The swelling and bruising on your face are likely due to the trauma from the accident and should gradually resolve over time. It’s essential to monitor these symptoms; if they worsen or new symptoms arise, you should seek medical attention.

In terms of medication, while it’s always advisable to follow your doctor’s instructions regarding prescriptions, the absence of medication does not typically lead to a significant setback in recovery, especially if symptoms are manageable. However, if you are experiencing persistent pain or discomfort, it may be beneficial to consult your healthcare provider. They can assess your condition and determine if further treatment or a different medication regimen is necessary.

For ongoing recovery, consider the following recommendations:
1. Rest: Ensure you are getting adequate rest. Sleep is crucial for brain recovery, and overexertion can exacerbate symptoms.

2. Hydration and Nutrition: Stay well-hydrated and maintain a balanced diet rich in vitamins and minerals to support healing.

3. Gradual Return to Activities: Slowly reintroduce normal activities as tolerated. Avoid activities that could risk another head injury, such as contact sports.

4. Follow-Up Care: Regular follow-ups with your healthcare provider are essential to monitor your recovery and address any concerns.

5. Physical and Cognitive Rehabilitation: If symptoms persist, consider engaging in physical therapy or cognitive rehabilitation to help manage and improve your symptoms.

6. Pain Management: If headaches continue, discuss pain management options with your doctor. They may recommend over-the-counter pain relievers or other therapies.

In conclusion, while not completing your medication may not directly impact your recovery, it is crucial to remain vigilant about your symptoms and maintain open communication with your healthcare provider. Recovery from brain injuries can be unpredictable, and each individual's experience is unique. Prioritize self-care and follow your doctor's recommendations to facilitate the best possible recovery.

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