Post-Car Accident: Concussion Symptoms and Recovery - Neurology

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After a car accident~~~~~~~~~~


On the evening of September 8th, I was involved in a car accident where I hit my head (with no visible external injuries).
At Taichung Taiping Chengqing Hospital, I was diagnosed with a concussion and was given medication for nausea and vomiting to take home for observation.
After returning to Keelung, I visited your clinic in the Family Medicine department for a check-up, including a brain CT scan and a chest X-ray.
The doctor said everything looked fine and prescribed me some medication.
However, I still feel pain on both sides of my neck when I touch it, and at night, I occasionally experience tingling in my legs, making it difficult to fall asleep.
Once I do sleep, I tend to stay asleep for long periods, but when I wake up, I often feel dizzy, with a heavy sensation in the back of my head.
Additionally, I have intermittent feelings of mild headaches and swelling in specific areas: above the occipital bone, above the left hemisphere, and slightly above the right hemisphere, where I feel sudden, mild pain, but not severe.

The most troubling symptom is that my vision seems distorted and unrealistic.
I usually have a good appetite, but now I hardly feel hungry.
Sometimes, when people talk to me, I struggle to respond or forget what they said, and I find myself needing to think before doing anything.
Occasionally, I completely forget things I have done.

I would like to ask if my symptoms warrant further examination.
Will the tingling in my limbs and the intermittent dizziness and pain improve over time? Additionally, can I ride my motorcycle to work? I’m worried because I have two sons to take care of, and I’m feeling quite anxious about my current condition.
Thank you for your help!

sinyi, 20~29 year old female. Ask Date: 2007/09/17

Dr. Ye Boshou reply Neurology


Hello: What does it mean when the eyes feel strange? Could it be double vision? If dizziness and numbness persist, it is recommended to see a neurologist for an evaluation, and further tests will be arranged if necessary.

Reply Date: 2007/09/17

More Info


After a car accident, experiencing symptoms such as headaches, dizziness, neck pain, and cognitive difficulties can be indicative of a concussion or other forms of traumatic brain injury (TBI). Your symptoms, including the feeling of heaviness in the back of your head, localized headaches, and cognitive issues like forgetfulness and difficulty concentrating, are common after a concussion.

Understanding Concussion Symptoms
A concussion is a type of mild traumatic brain injury that occurs when the brain is jolted or shaken inside the skull, often due to a blow to the head. Symptoms can vary widely and may not appear immediately. Common symptoms include:
1. Physical Symptoms: Headaches, dizziness, nausea, and balance problems. You mentioned experiencing headaches and a sensation of heaviness, which are typical.


2. Cognitive Symptoms: Difficulty concentrating, memory issues, and confusion. Your experience of forgetting tasks and having trouble processing conversations aligns with these cognitive symptoms.

3. Emotional Symptoms: Mood swings, irritability, and anxiety can also occur. While you didn't mention these specifically, they can be part of the overall picture.

4. Sleep Disturbances: Difficulty falling asleep or staying asleep, as well as changes in sleep patterns, are common. Your report of having trouble sleeping and feeling excessively tired during the day fits this symptom category.


Recovery and Management
Recovery from a concussion can vary from person to person. Most individuals recover fully within a few weeks, but some may experience prolonged symptoms, known as post-concussion syndrome. Here are some recommendations for managing your symptoms:
1. Rest: It's crucial to allow your brain time to heal. This includes both physical and cognitive rest. Avoid activities that require intense concentration or physical exertion, such as riding a motorcycle or engaging in sports.

2. Gradual Return to Activities: Once your symptoms begin to improve, you can gradually reintroduce activities. However, this should be done cautiously and under the guidance of a healthcare professional.

3. Follow-Up Care: Given your ongoing symptoms, it would be wise to follow up with a healthcare provider. They may recommend additional imaging studies, such as an MRI or CT scan, to rule out any more serious injuries.
4. Physical Therapy: If neck pain persists, physical therapy may help alleviate discomfort and improve mobility.

5. Cognitive Therapy: If cognitive symptoms are significant, cognitive rehabilitation therapy may be beneficial. This therapy focuses on improving memory, attention, and problem-solving skills.

6. Medication: Over-the-counter pain relievers may help with headaches, but consult your doctor before taking any medication, especially if you are experiencing nausea or other gastrointestinal symptoms.


When to Seek Immediate Help
If you experience worsening symptoms, such as severe headaches, repeated vomiting, seizures, or loss of consciousness, you should seek emergency medical attention immediately. These could be signs of a more serious condition.


Conclusion
Your symptoms are concerning and warrant further evaluation. While many individuals recover from concussions with appropriate care and rest, it’s essential to monitor your condition closely. Avoid activities that could put you at risk for another injury, such as riding a motorcycle, until you have fully recovered and received clearance from a healthcare professional. Your health and safety, especially as a caregiver for your children, should be your top priority. Please consider scheduling a follow-up appointment with your healthcare provider to discuss your symptoms and any necessary tests or treatments.

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