Frequent Head Injuries at Work: Headaches and Memory Loss - Neurosurgery

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Frequent headaches often occur due to being overly busy at work and carelessly bumping the head?


Hello Dr.
Ding: I work at a dental clinic, and since we have a high volume of patients every day, I often don't pay attention to how close the medical equipment is to my head when I'm busy.
I frequently bump my head hard, and when it happens, it feels like my head is splitting open, although there are no external injuries.
I also experience a tingling sensation, dizziness, and swelling.
Usually, when the impact is very uncomfortable to the point that I can't ride my bike, I go to a general surgery clinic.
The doctors there often advise me to rest, avoid looking at screens, and monitor my condition at home.
Since last year, I've noticed a significant decline in my memory and find it difficult to concentrate like I used to.
Sometimes my vision gets blurry, and my eyes feel warm.
Whenever I move or exert myself, I experience head pain, and I feel dizzy when standing, although the nausea is mild.
Could you please help me understand the cause of these symptoms? My family is concerned that my frequent head bumps might lead to a brain tumor… is this true? I'm very worried.
Also, I had a minor car accident two years ago that resulted in a mild concussion and a neck strain, for which I used a neck brace.
Could this be related?

Ms. Wu, 20~29 year old female. Ask Date: 2013/01/07

Dr. Ding Xianwei reply Neurosurgery


It is possible to experience similar symptoms after a head injury, and in some cases, these symptoms may persist for more than a year.
A small number of individuals may have lifelong sequelae following a head injury.
These can include dizziness, headaches, and even memory impairment, along with various neurological symptoms.
If you are concerned about a brain tumor, it is necessary to undergo a computed tomography (CT) scan or magnetic resonance imaging (MRI), preferably with contrast for clearer imaging.
Additionally, tumors smaller than one centimeter may not be detectable.
It is recommended that you visit a neurosurgery outpatient clinic for further evaluation and treatment.

Reply Date: 2013/01/07

More Info


Frequent head injuries, especially in a work environment like a dental clinic, can lead to a range of symptoms, including headaches, memory loss, and difficulty concentrating. Your description of experiencing significant pain upon impact, dizziness, and swelling indicates that you may be suffering from recurrent concussions or mild traumatic brain injuries (TBIs). These injuries can have cumulative effects, particularly if they occur repeatedly over time.

When you sustain a head injury, even if there is no visible external damage, the brain can still be affected. The brain is a delicate organ, and impacts can cause it to move within the skull, potentially leading to bruising, swelling, or other forms of injury. Symptoms such as headaches, dizziness, and cognitive difficulties can arise as a result of these injuries. The fact that you are experiencing memory loss and difficulty concentrating is concerning and should not be overlooked.

In your case, the recurrent nature of your head injuries, combined with your symptoms, suggests that you may be experiencing post-concussion syndrome. This condition can occur after a concussion and is characterized by persistent symptoms such as headaches, dizziness, cognitive difficulties, and emotional disturbances. It is essential to take these symptoms seriously, as they can significantly impact your quality of life and ability to work.

Your family’s concerns about the risk of developing a brain tumor due to frequent head injuries are understandable, but it is important to note that while repeated head trauma can increase the risk of certain neurological conditions, the direct link to brain tumors is not well established. However, it is crucial to monitor your symptoms and seek medical advice, especially if they worsen or new symptoms arise.

Given your history of a mild concussion from a car accident and the ongoing issues you are facing, it is advisable to consult with a neurologist or a specialist in brain injuries. They can perform a thorough evaluation, which may include imaging studies such as an MRI or CT scan, to rule out any serious underlying conditions. Additionally, they can provide guidance on managing your symptoms and developing a treatment plan tailored to your needs.

In the meantime, here are some strategies that may help alleviate your symptoms:
1. Rest and Recovery: Ensure you are getting adequate rest. Avoid activities that require intense concentration or visual focus, such as prolonged screen time or reading.

2. Gradual Return to Activities: If you are returning to work, consider a gradual approach. Take breaks and avoid situations where you might be at risk of further injury.

3. Cognitive Rehabilitation: Engaging in cognitive rehabilitation exercises can help improve memory and concentration. This may involve working with a therapist who specializes in cognitive recovery.

4. Stress Management: Stress can exacerbate symptoms. Techniques such as mindfulness, meditation, and gentle exercise can help manage stress levels.

5. Follow-Up Care: Regular follow-ups with your healthcare provider are essential to monitor your progress and adjust your treatment plan as needed.

In conclusion, your symptoms warrant a comprehensive evaluation by a healthcare professional specializing in neurological conditions. Early intervention can help mitigate the effects of repeated head injuries and improve your overall well-being. Remember, your health is paramount, and addressing these concerns promptly is crucial for your recovery and future safety.

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