Headaches After Head Injury: When to Seek Medical Help

Headache

Hello Doctor: Since early February, my brother hit me on the left side of my head with my notebook, which is about 3.5 centimeters thick.
Since that incident, I have frequently experienced headaches, and each time the pain is in a different location.
I have been wanting to go to the hospital for an EEG.
I would appreciate your diagnosis.

Xiangcao, 10~19 year old female. Ask Date: 2001/03/06

Dr. Huang Yingzhe reply Neurology

As you mentioned, the headache started after a blow to the head, and the characteristics of the headache vary.
It sounds like it may be related to post-concussional syndrome.
It should not be serious, and symptomatic treatment should suffice! However, you may also consider consulting a neurologist for further evaluation.

Reply Date: 2001/03/06

More Info

Experiencing headaches after a head injury can be concerning, especially when the pain is persistent or varies in location. In your case, the incident involving a blunt force to the head from a notebook has led to ongoing headaches, which warrants careful consideration and potentially further medical evaluation.

Firstly, it’s important to understand that headaches following a head injury can arise from various causes. These may include:
1. Post-Traumatic Headaches: These are common after head injuries and can manifest as tension-type headaches or migraines. They may develop immediately after the injury or can appear days, weeks, or even months later.

2. Cervicogenic Headaches: If the injury also affected your neck, it could lead to headaches originating from cervical spine issues. This type of headache is often associated with neck pain and stiffness.

3. Intracranial Injuries: Although less common, serious conditions such as concussions, contusions, or even intracranial hemorrhages (bleeding within the skull) can occur after a head injury. Symptoms may include severe headaches, nausea, vomiting, dizziness, or changes in consciousness.

4. Psychological Factors: Emotional stress or anxiety following an injury can also contribute to the development of headaches.

Given your ongoing symptoms, it is advisable to seek medical attention. Here are some steps you should consider:
- Consult a Healthcare Professional: Schedule an appointment with a neurologist or a primary care physician who can evaluate your symptoms. They may perform a physical examination and take a detailed history of your headaches, including their frequency, duration, and any associated symptoms.

- Diagnostic Imaging: Depending on your symptoms, your doctor may recommend imaging studies such as a CT scan or MRI to rule out any serious intracranial issues. These tests can help identify any bleeding, swelling, or structural abnormalities in the brain.

- Neurological Evaluation: A neurologist may also conduct tests to assess your neurological function, including reflexes, coordination, and cognitive function. This can help determine if there are any underlying issues that need to be addressed.

- Consider a Headache Diary: Keeping a record of your headaches, including their frequency, duration, intensity, and any potential triggers, can provide valuable information for your healthcare provider.

- Treatment Options: Depending on the diagnosis, treatment may include medications for pain relief, physical therapy, or other interventions aimed at addressing the underlying cause of your headaches.

In summary, while headaches after a head injury can be common, persistent or worsening symptoms should not be ignored. Seeking medical evaluation is crucial to ensure that any serious conditions are ruled out and to receive appropriate treatment. Your health and well-being are paramount, and timely intervention can lead to better outcomes.

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