Head Injury from Stair Climbing: Neurological Symptoms - Neurology

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While working, I bumped my head while climbing stairs?


I bumped my head while climbing stairs at work on February 27.
At the time, I didn't feel much, but starting the next day, February 28, I began to experience weakness in my limbs and a sense of imbalance.
However, I haven't had any headaches, dizziness, vomiting, seizures, loss of consciousness, or excessive sleepiness.
Due to work commitments, I haven't been able to visit a hospital for a check-up.
I feel something is off, but I also think I might be fine, so I came to consult you, doctor.

Mr. Pan, 20~29 year old female. Ask Date: 2024/03/03

Dr. Jiang Junyi reply Neurology


Dear Mr.
Pan,
You mentioned that "you hit your head while climbing stairs and didn't feel much at the time, but starting from the next day, February 28, you began to experience weakness in your limbs and a sense of imbalance." Based on your description, the likelihood of sustaining a brain injury or traumatic hemorrhage is very low.
However, I am unsure if your cervical spine has been examined.
Sometimes, external forces can exacerbate cervical spine compression.

I recommend supplementing with B vitamins and staying hydrated, along with ensuring adequate rest to enhance your body's healing capacity.
If your symptoms persist, I suggest consulting with a rehabilitation specialist or a neurologist for further evaluation and treatment.
Thank you for your inquiry, and feel free to discuss further.
Wishing you good health, peace, and happiness.
Sincerely,
Dr.
Jiang Junyi

Reply Date: 2024/03/03

More Info


Experiencing a head injury, even if it seems minor at first, can lead to a range of neurological symptoms that may not manifest immediately. In your case, you mentioned that after bumping your head while climbing stairs, you began to feel a sense of weakness in your limbs and a slight imbalance, but you did not experience headaches, dizziness, nausea, seizures, loss of consciousness, or excessive sleepiness. While it’s reassuring that you do not have some of the more severe symptoms associated with head injuries, it is still important to take your situation seriously.

Head injuries can lead to various complications, including concussions, intracranial hemorrhages, or other forms of traumatic brain injury (TBI). Symptoms of TBI can sometimes be delayed, appearing hours or even days after the initial injury. The absence of immediate severe symptoms does not rule out the possibility of underlying issues. The symptoms you are experiencing, such as limb weakness and balance problems, could be indicative of a few different conditions.

1. Concussion: Even if you did not experience immediate symptoms, a concussion can still occur. Symptoms can include confusion, difficulty concentrating, and physical symptoms like weakness or balance issues. It’s crucial to monitor for any changes in your condition.

2. Post-Concussion Syndrome: This condition can occur after a concussion and may present with a variety of symptoms, including cognitive difficulties, emotional changes, and physical symptoms like dizziness and balance issues.
3. Cervical Spine Issues: Given that you bumped your head while climbing stairs, it’s also possible that there could be an issue with your cervical spine (neck). Whiplash or other neck injuries can lead to neurological symptoms, including weakness and balance problems.

4. Neurological Assessment: The symptoms you describe warrant a thorough neurological evaluation. A healthcare professional can perform a physical examination and may recommend imaging studies, such as a CT scan or MRI, to rule out any serious injuries like bleeding or structural damage.

5. Follow-Up: If you continue to feel weak or unsteady, it is essential to seek medical attention, even if you feel that your symptoms are mild. A healthcare provider can help determine the cause of your symptoms and recommend appropriate treatment or rehabilitation.

In summary, while it’s good that you are not experiencing severe symptoms, the feelings of weakness and balance issues should not be ignored. It is advisable to consult with a healthcare professional who can provide a comprehensive evaluation and ensure that any potential complications from your head injury are addressed. Early intervention can be crucial in preventing further complications and ensuring a full recovery.

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