Head Injuries: Symptoms and Concerns After a Blow to the Head

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Last month, I was hit on the left side of my head with a hand axle, and I experienced dizziness for about two weeks.
Now, I'm starting to feel dizzy again, but it feels more like an overwhelming sensation when I look at things, not vertigo.
I often feel like I want to close my eyes.
What could be happening to me? Additionally, due to roughhousing with classmates, I frequently experience impacts to my neck.
I'm very concerned that this might affect my cognitive abilities and cause significant damage to my brain.
Could you please explain this in detail? Thank you.
Also, what symptoms would indicate intracranial bleeding?

Yi A, 10~19 year old female. Ask Date: 2001/02/06

Dr. Huang Yingzhe reply Neurology

Your symptoms are likely related to post-concussion syndrome, and you may have injured your inner ear balance system.
Your sensations could also be classified as a type of dizziness.
"Intelligence may decline and there could be significant loss of brain function"—but there's no need to worry! If your symptoms do not gradually improve, it would be advisable to consult a physician for medication.

Reply Date: 2001/02/06

More Info

Head injuries can be concerning and may lead to a variety of symptoms, some of which can be serious. When you experience a blow to the head, it is essential to monitor your symptoms closely, as they can indicate underlying issues that may require medical attention.

From your description, it seems you experienced a head injury about a month ago, which resulted in dizziness that lasted for about two weeks. Now, you are experiencing a sensation that makes you want to close your eyes when looking at things. This could be indicative of several conditions related to head trauma, including post-concussion syndrome, which can occur after a concussion or mild traumatic brain injury. Symptoms of post-concussion syndrome can include headaches, dizziness, difficulty concentrating, and visual disturbances, among others.
The fact that you are also experiencing neck impacts during playful interactions with classmates raises additional concerns. Repeated trauma to the neck and head can lead to cumulative effects, potentially increasing the risk of long-term complications. It is crucial to understand that while playful interactions may seem harmless, they can lead to injuries that might not be immediately apparent.

Regarding your concern about cognitive decline or damage to brain function, it is important to note that while a single mild head injury may not necessarily lead to significant cognitive impairment, repeated head injuries can have cumulative effects. This is particularly true in cases of concussions, where the brain is subjected to forces that can disrupt normal function. Symptoms of cognitive impairment can include memory issues, difficulty concentrating, and changes in mood or behavior. If you are experiencing these symptoms, it is advisable to seek a thorough evaluation from a healthcare professional.

As for your question about intracranial bleeding, this is a serious condition that can arise from head trauma. Symptoms of intracranial bleeding can include:
1. Severe headache: A sudden and intense headache that feels different from any previous headaches.

2. Confusion or altered consciousness: Difficulty staying awake, confusion, or a decrease in alertness.

3. Nausea and vomiting: Persistent nausea or vomiting that is not related to other causes.

4. Seizures: New onset of seizures can indicate significant brain injury.

5. Weakness or numbness: Weakness or numbness in any part of the body, particularly if it is on one side.

6. Vision changes: Blurred or double vision, or other visual disturbances.

If you experience any of these symptoms, it is crucial to seek immediate medical attention. Intracranial bleeding can be life-threatening and requires prompt diagnosis and treatment.

In summary, it is essential to take head injuries seriously, especially if you are experiencing ongoing symptoms such as dizziness or visual disturbances. Monitoring your symptoms and seeking medical advice when necessary can help prevent potential complications. If you have concerns about cognitive function or the effects of repeated head trauma, discussing these with a healthcare provider is vital for your long-term health and well-being.

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