Is it a concussion?
I had an accident two days ago while giving someone a ride on my motorcycle.
I fell on my left side and hit my head, but fortunately, I was wearing a helmet, so I didn't have any external injuries to my head.
At the time, I felt a bit dizzy and had some pain, but it wasn't severe, so I didn't mention the dizziness to the doctor when I was taken to the hospital.
They only treated minor external injuries on my arms and legs.
However, over the past two days, I've been feeling consistently dizzy and have been experiencing nausea, with a decreased appetite.
After eating, I often feel like I need to vomit.
Additionally, reading long texts causes my head to hurt for a while, making it difficult to concentrate.
A classmate suggested that I get an EEG to check for a possible concussion, but I feel that my discomfort isn't very severe, yet it persists.
I'm also worried that it might just be psychological, so I'm hesitant about whether I should go to the hospital for an examination.
Is there a real possibility that I have a concussion in this situation? Should I get an EEG? Thank you!
Lanlan, 10~19 year old female. Ask Date: 2005/05/31
Dr. Ye Boshou reply Neurology
There should be no major issues, but if it persists, an EEG (electroencephalogram) can be performed.
Reply Date: 2005/05/31
More Info
Based on your description, it is indeed possible that you may be experiencing symptoms consistent with a concussion, especially given the mechanism of injury you described. A concussion is a type of traumatic brain injury (TBI) that occurs when the brain is jolted or shaken inside the skull, often due to a blow to the head or a violent shaking of the head and body. Even if you were wearing a helmet and did not sustain any visible external injuries, the forces involved in a motorcycle accident can still lead to a concussion.
The symptoms you are experiencing—persistent dizziness, nausea, vomiting, difficulty concentrating, and headaches—are all common signs of a concussion. It is important to note that symptoms can sometimes take hours or even days to manifest after the initial injury, which aligns with your experience of feeling unwell two days post-accident.
In terms of your specific symptoms:
1. Dizziness and Nausea: These are often associated with vestibular disturbances that can occur after a concussion. The brain's ability to process balance and spatial orientation can be affected, leading to feelings of dizziness.
2. Difficulty Concentrating: This is known as "cognitive fog" and is a common symptom of concussions. It can make tasks that require focus, such as reading or studying, particularly challenging.
3. Headaches: Post-concussion headaches can vary in intensity and may feel different from your typical headaches. They can be tension-type headaches or migraines triggered by the injury.
Given these symptoms, it is advisable to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include a neurological examination to assess your cognitive function, balance, and coordination. While an EEG (electroencephalogram) can be used to measure electrical activity in the brain, it is not typically the first-line test for diagnosing a concussion. Instead, a healthcare provider may use clinical assessments and possibly imaging studies, such as a CT scan or MRI, to rule out more serious injuries like bleeding or swelling in the brain.
In the meantime, it is crucial to rest both physically and cognitively. This means avoiding activities that require intense concentration, such as studying or using screens, and refraining from physical exertion until you have been evaluated by a healthcare professional.
If your symptoms worsen or if you experience any new symptoms such as increased confusion, severe headache, repeated vomiting, or seizures, you should seek emergency medical care immediately.
In summary, based on your symptoms and the context of your accident, it is prudent to consult a healthcare provider to assess for a concussion and receive appropriate care. Early intervention can help manage symptoms and facilitate recovery, allowing you to return to your normal activities safely.
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