Head Trauma: Symptoms and When to See a Neurosurgeon - Neurosurgery

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Head trauma can lead to a variety of symptoms and complications, some of which may not manifest immediately. Given your history of being struck on the head by a rock during childhood and the recent symptoms of pulsating sensations and transient vision loss, it is crucial to seek medical evaluation.
The symptoms you describe, particularly the pulsating sensation in your head and episodes of temporary vision loss, could indicate underlying issues such as intracranial hemorrhage, post-traumatic headaches, or even more serious conditions like a concussion or traumatic brain injury (TBI). While it is possible that these symptoms are related to your past head injury, they could also be indicative of new developments that require immediate attention.

When it comes to head trauma, the following symptoms should prompt you to seek medical attention:
1. Persistent or worsening headaches: If your headaches are becoming more frequent or severe, this could be a sign of increased intracranial pressure or other complications.

2. Vision changes: Transient vision loss or any changes in your eyesight should be evaluated by a healthcare professional, as they may indicate issues with the optic nerve or other neurological concerns.

3. Nausea or vomiting: These symptoms can be associated with increased pressure in the skull or other serious conditions.

4. Dizziness or balance issues: These can be signs of vestibular dysfunction or other neurological problems.

5. Cognitive changes: If you experience confusion, difficulty concentrating, or memory problems, these could be related to brain injury.

Given your symptoms, it is advisable to see a neurosurgeon or a neurologist. A neurosurgeon specializes in surgical interventions for neurological conditions, while a neurologist focuses on diagnosing and treating neurological disorders. Both specialists can provide a comprehensive evaluation of your symptoms.

During your visit, the doctor may recommend imaging studies such as a CT scan or MRI of the brain. These imaging techniques can help identify any structural abnormalities, bleeding, or other issues that may be causing your symptoms. A CT scan is often the first step in evaluating head trauma due to its speed and effectiveness in detecting acute bleeding or fractures.

In summary, do not wait for your symptoms to worsen. Given your history of head trauma and the current symptoms you are experiencing, it is essential to seek medical evaluation as soon as possible. Early intervention can significantly improve outcomes and help prevent potential complications. Remember, your health is paramount, and addressing these concerns with a qualified medical professional is the best course of action.