Post-Concussion Symptoms: When to See a Specialist - Neurosurgery

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Concussion


Doctor: Hello, I was in a car accident half a month ago and suffered a concussion.
The hospital physician said that I don't have any major issues anymore.
However, when I woke up yesterday morning, I noticed that I could hardly hear out of my left ear, as if something was blocking it, and my hearing has worsened.
I'm wondering if this could be a complication from the concussion.
Should I see a neurosurgeon or an ear, nose, and throat (ENT) specialist?

Ye, 20~29 year old female. Ask Date: 2002/01/04

Dr. Hong Xuyi reply Neurosurgery


Mild head trauma occurring two weeks prior to the sudden onset of hearing impairment is not a common complication following a concussion.
It is recommended that you seek assistance from an otolaryngologist to assess the degree and type of hearing loss (conductive or sensorineural) in order to arrange for further evaluation and treatment.

Reply Date: 2002/01/04

More Info


Hello! I'm glad you reached out with your concerns regarding your recent concussion and the subsequent symptoms you're experiencing. It’s important to address these issues promptly, especially after a head injury.

First, let’s clarify what a concussion is. A concussion is a type of traumatic brain injury (TBI) that occurs when the brain is jolted inside the skull, often due to a blow to the head or a sudden movement. Symptoms can vary widely and may include headaches, dizziness, confusion, and sensory changes, such as hearing issues. While many people recover from concussions without long-term effects, some may experience persistent symptoms, known as post-concussion syndrome (PCS).

In your case, the sudden onset of hearing loss in your left ear could potentially be related to your concussion, but it could also be due to other factors, such as an ear infection, fluid buildup, or even a more serious condition affecting the inner ear. Given that your hearing seems to be affected, it is crucial to seek medical attention.

When deciding whether to see a neurosurgeon or an ear, nose, and throat (ENT) specialist, consider the following:
1. Neurosurgeon: If you are experiencing neurological symptoms such as severe headaches, confusion, persistent dizziness, or any other concerning neurological signs, it may be wise to consult a neurosurgeon. They can evaluate any potential complications related to the concussion, such as bleeding or swelling in the brain.

2. ENT Specialist: Since your primary concern is hearing loss, an ENT specialist would be the most appropriate choice. They can assess your ear function, check for any blockages, infections, or other conditions affecting your hearing. They are equipped to diagnose and treat issues related to the auditory system and can provide you with the necessary interventions.

In addition to these specialists, if you continue to experience symptoms like dizziness, balance issues, or cognitive difficulties, you might also consider seeing a neurologist. They can provide a comprehensive evaluation of your brain function and help manage any ongoing symptoms related to your concussion.

It's essential to act quickly, especially since your symptoms have changed. Hearing loss can sometimes indicate a more serious issue, and early intervention can lead to better outcomes. Make sure to communicate all your symptoms clearly to whichever specialist you choose to see, as this will help them provide the best care possible.

Lastly, keep in mind that recovery from a concussion can vary significantly from person to person. Some individuals may recover fully within a few weeks, while others may experience lingering symptoms for months. It’s crucial to follow up with healthcare providers regularly and report any new or worsening symptoms.

In summary, given your current symptoms, I recommend you see an ENT specialist first to address the hearing loss. If you have any neurological concerns, don’t hesitate to consult a neurosurgeon or neurologist as well. Take care of yourself, and I hope you find relief soon!

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