Head Swelling and Depression After Injury: When to Seek Help

Cranial mass and depression

Hello, two months ago I slipped in the bathroom and hit the left side of my head.
There is still a lump and a dent, but I only experienced severe pain and dizziness for the first few weeks after the injury.
I currently have no discomfort.
I would like to know if the swelling and dent in my head indicate that I have not fully recovered, and whether I need to go to a major hospital for further examination.
How long might it take for my skull to return to its original state? Thank you.

Joan, 50~59 year old female. Ask Date: 2024/03/04

Dr. Zhang Junwei reply Neurosurgery

If the depression persists without recovery, it is recommended to visit the neurosurgery outpatient clinic for an examination.

Reply Date: 2024/03/04

More Info

Hello! Thank you for reaching out with your concerns regarding the head injury you sustained two months ago. It's understandable to feel anxious about the lingering effects of a head injury, especially when there are visible signs like swelling and a dent in the skull.

Firstly, it's important to recognize that head injuries can have a range of outcomes, and the healing process can vary significantly from person to person. The fact that you experienced pain and dizziness shortly after the injury is not uncommon, as these symptoms can occur due to trauma to the head. However, the absence of ongoing discomfort is a positive sign, indicating that your body may be healing.

Regarding the swelling and indentation you mentioned, it's crucial to understand that these symptoms can persist for some time after an injury. The body often takes weeks to months to fully heal, and the soft tissues around the skull may take longer to resolve any swelling. The indentation could be a result of the impact, and while it may not return to its original shape immediately, many people find that their skulls gradually return to a more normal appearance over time.

However, there are a few key indicators that suggest it would be wise to seek further medical evaluation:
1. Persistent Symptoms: If you experience any new symptoms such as severe headaches, changes in vision, persistent dizziness, or any neurological symptoms (like weakness, numbness, or difficulty speaking), it is essential to seek medical attention promptly.

2. Changes in the Swelling: If the swelling increases, becomes painful, or if you notice any signs of infection (such as redness, warmth, or discharge), you should consult a healthcare professional.

3. Mental Health Concerns: You mentioned feelings of depression, which can sometimes arise after a traumatic injury. It's important to address these feelings, as they can impact your recovery. If you find that your mood is affecting your daily life, seeking help from a mental health professional can be beneficial.

In terms of recovery time, while many people see improvement within a few weeks, complete healing can take longer. The timeline for recovery can depend on various factors, including the severity of the injury, your overall health, and how well you follow any recommended care plans.

Given your situation, I recommend scheduling an appointment with a neurologist or a healthcare provider specializing in head injuries. They can perform a thorough examination, possibly including imaging studies like a CT scan or MRI, to assess the current state of your head injury and provide guidance on your recovery.

In conclusion, while it’s encouraging that you are no longer experiencing pain or dizziness, the presence of swelling and a dent warrants further evaluation to ensure that everything is healing properly. Don't hesitate to seek help; your health and well-being are paramount. Take care, and I wish you a smooth recovery!

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