Can Neck Injuries Cause Concussions? the Connection - Neurosurgery

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Can a neck injury cause a concussion?


A few days ago, someone next to me swung their arm forcefully and accidentally struck the area just below the back of my head on my neck.
At that moment, I felt a lot of pain, but when I woke up the next day, I felt groggy and not very alert, almost like I had a concussion.
However, I can't understand how an impact to the neck could cause a concussion.

p Mei, 20~29 year old female. Ask Date: 2005/10/15

Dr. Qiu Yushu reply Neurosurgery


Hello: A neck injury can potentially affect the head.
If symptoms persist, please visit an outpatient clinic for an examination.
Wishing you good health!

Reply Date: 2005/10/15

More Info


Neck injuries can indeed lead to concussions, although the mechanisms behind this connection may not be immediately apparent. 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 sudden impact or movement. While concussions are commonly associated with direct blows to the head, injuries to the neck can also result in similar symptoms due to the way the body responds to trauma.

When you experienced a forceful impact to the neck, it likely caused a rapid movement of the head, which can lead to a whiplash effect. This sudden acceleration and deceleration can cause the brain to move violently within the skull, potentially resulting in a concussion. Symptoms of a concussion can include confusion, dizziness, headaches, nausea, and a feeling of being "foggy" or not fully alert, which aligns with what you described after waking up the next day.

In your case, the pain you felt immediately after the impact was a signal that your neck sustained some form of injury. The subsequent feelings of dizziness and confusion upon waking could indicate that the impact affected your brain, leading to a concussion. It’s important to note that concussions can sometimes present with delayed symptoms, meaning that you may not feel the full effects until hours or even days after the injury.

If you suspect that you have a concussion, it is crucial to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include neurological assessments and imaging studies, to determine the extent of your injury. They can also provide guidance on how to manage your symptoms and when it is safe to return to normal activities.

In addition to the immediate symptoms, it’s essential to monitor for any worsening of your condition. If you experience severe headaches, repeated vomiting, seizures, or loss of consciousness, you should seek emergency medical care immediately. These could be signs of a more severe brain injury.

In summary, neck injuries can indeed lead to concussions due to the mechanics of how the brain can be affected by sudden movements. If you are experiencing symptoms consistent with a concussion following your neck injury, it is advisable to consult a healthcare provider for a comprehensive evaluation and appropriate management. Early intervention can help mitigate potential long-term effects and facilitate a safer recovery.

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