Dizziness: Is It a Sign of Concussion? - Neurology

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Dizziness


Hello: A month ago, I fell at home and hit my temple against a protruding tile.
At that time, I didn't feel any pain, but recently I've been experiencing dizziness.
The side of my head where I hit my temple has also been experiencing tinnitus.
In the evenings, the dizziness becomes more pronounced.
Does this mean I have a concussion?

Xiao Bai Xiong, 20~29 year old female. Ask Date: 2006/03/22

Dr. Ye Boshou reply Neurology


If there is no memory impairment, symptoms such as fainting, vomiting, etc., do not constitute a concussion.

Reply Date: 2006/03/22

More Info


Dizziness can indeed be a concerning symptom, especially following a head injury. In your case, the history of falling and hitting your temple on a hard surface raises the possibility of a concussion, which is a type of traumatic brain injury. Concussions can occur even if there is no immediate pain or loss of consciousness at the time of the injury. Symptoms of a concussion can develop hours or even days after the initial impact, which aligns with your experience of dizziness and tinnitus (ear ringing) that has emerged recently.

A concussion typically results from a blow to the head, causing the brain to move rapidly within the skull. This movement can lead to various symptoms, including dizziness, confusion, headaches, balance issues, and changes in vision or hearing. The fact that you are experiencing dizziness, especially worsening in the evening, and tinnitus suggests that your brain may still be reacting to the trauma.

It's important to note that dizziness can have multiple causes, and while it can be a sign of a concussion, it can also indicate other issues, such as vestibular dysfunction, dehydration, or even anxiety. Given that you have experienced a fall and subsequent symptoms, it is crucial to seek medical evaluation. A healthcare professional can perform a thorough assessment, which may include a neurological examination and possibly imaging studies like a CT scan or MRI to rule out any serious complications, such as bleeding or swelling in the brain.

In the context of concussion management, it is essential to rest both physically and cognitively. This means avoiding activities that require intense concentration or physical exertion until you have been evaluated by a healthcare provider. They may recommend a gradual return to normal activities based on your symptoms and recovery progress.

If you experience any worsening symptoms, such as severe headaches, repeated vomiting, confusion, or difficulty waking up, you should seek immediate medical attention. These could be signs of a more serious condition that requires urgent care.

In summary, while your symptoms could indicate a concussion, only a healthcare professional can provide a definitive diagnosis. It is advisable to schedule an appointment to discuss your symptoms and the incident that led to them. Early intervention can help manage symptoms effectively and prevent potential complications.

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