Head Injury Concerns: Symptoms and Risks After a Fall - Neurology

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Hit the back of the head on the right side?


Hello Doctor, I am the lady who bumped into the rolling iron door last time.
Yesterday, I discovered that I might have hit the back of my head, but at that moment, my head retracted a bit, causing my neck to be somewhat immobile, and I have been experiencing significant pain.
There is pain extending from the right side of my neck to the back of my head and below my ear, as well as some discomfort in the right eye socket, ear, and the base of my tongue, but there are no external injuries.
When I touch the outer side of my head, it does not hurt, and the pain persists even when I am not moving.
Everything else feels normal.
I would like to ask the doctor if this situation could lead to brain bleeding or intracranial hemorrhage, or if it is not that serious.
Regarding the neck issue mentioned previously, will resting at home help it heal? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2023/12/03

Dr. Jiang Junyi reply Neurology


Hello: You mentioned "cerebral hemorrhage, intracranial hemorrhage" if the symptoms persist or worsen.
It is recommended to undergo imaging studies, such as a CT scan of the brain.
It is advisable to visit a neurology outpatient clinic for further evaluation and follow-up.
Thank you for your inquiry, and feel free to discuss further.
Wishing you good health and peace.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2023/12/03

More Info


Head injuries can be concerning, especially when they are accompanied by symptoms such as pain, discomfort, and restricted movement. Your description suggests that you have experienced a significant impact to the back of your head, which has resulted in pain radiating to various areas, including your neck, ear, and even your eye. It is essential to understand the potential implications of such injuries and the appropriate steps to take for recovery.

When you sustain a head injury, particularly from a fall or a collision, there are several potential outcomes. The most serious concerns include intracranial hemorrhage (bleeding within the skull), concussions, and other forms of traumatic brain injury (TBI). Symptoms of these conditions can vary widely but often include headaches, dizziness, confusion, nausea, and changes in consciousness. In your case, the pain you are experiencing, especially if it is persistent and accompanied by other symptoms, warrants careful evaluation.

The pain you describe in your neck and head, particularly if it is not localized to a specific area and is present even at rest, could indicate muscle strain or tension due to the impact. The neck pain may also be a result of whiplash or a similar injury, which can occur when the head is suddenly jolted. This type of injury can lead to muscle spasms and discomfort that may take time to resolve. Resting is crucial, but it is also important to monitor your symptoms closely.

While it is possible that your symptoms may improve with rest, it is essential to be vigilant for any signs of more severe complications. If you experience any of the following symptoms, you should seek immediate medical attention:
1. Severe or worsening headache: If your headache intensifies or does not improve with rest, it could indicate a more serious issue.

2. Nausea or vomiting: These symptoms can be associated with increased intracranial pressure.

3. Confusion or difficulty concentrating: Any changes in your mental status should be taken seriously.

4. Weakness or numbness: If you notice any weakness or numbness in your limbs or face, this could indicate a neurological issue.

5. Vision changes: Blurred or double vision can be a sign of a serious injury.

Given your symptoms, it would be prudent to follow up with a healthcare provider, preferably a neurologist or an emergency medicine physician, who can perform a thorough examination and potentially order imaging studies, such as a CT scan or MRI, to rule out any serious injuries like fractures or bleeding.

In the meantime, ensure you are resting adequately and avoiding activities that could exacerbate your symptoms, such as heavy lifting or strenuous exercise. Applying ice to the affected area may help reduce swelling and alleviate pain. Over-the-counter pain relievers, if you are comfortable taking them, can also assist in managing discomfort.

In summary, while many head injuries can resolve with appropriate care and rest, it is crucial to remain vigilant for any concerning symptoms. If you have any doubts or if your symptoms worsen, do not hesitate to seek medical attention. Your health and safety should always come first, and a healthcare professional can provide the best guidance tailored to your specific situation.

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