Head Injuries After a Slip in the Bathroom: When to Seek Help - Neurosurgery

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Slipping in the bathroom?


Hello Doctor: Recently, my friend accidentally slipped in the bathroom and fell directly on her buttocks, after which she fainted (with her eyes rolling back) and appeared to have a seizure.
She also accidentally hit her head.
Later, she went to the emergency room where the doctor only checked her spine for injuries and did not examine her head.
After returning home, she became very drowsy; she responds when called, but it seems like she can't get enough sleep.
Additionally, she mentioned that whenever she is not lying down, whether standing or sitting for a while, she experiences severe headaches.
Is this a normal reaction after hitting her head? If she needs to see a doctor, which specialty would be most appropriate?

Zhuó, 20~29 year old female. Ask Date: 2013/06/07

Dr. Ding Xianwei reply Neurosurgery


It is recommended that you consult a neurosurgeon or a neurologist.

Reply Date: 2013/06/07

More Info


When it comes to head injuries, especially those resulting from falls, it is crucial to understand the potential implications and when to seek medical attention. Your friend's experience after slipping in the bathroom raises several important points regarding head trauma, symptoms, and the appropriate medical response.

Firstly, the symptoms your friend is experiencing—loss of consciousness, excessive sleepiness, and persistent headaches—are concerning and may indicate a more serious condition such as a concussion or even a more severe traumatic brain injury (TBI). Loss of consciousness, even if brief, can be a sign of a concussion, which is a type of mild TBI. The fact that your friend is experiencing headaches that worsen with certain positions (lying down versus standing or sitting) could suggest increased intracranial pressure or other complications that need to be evaluated.

In general, after a head injury, it is essential to monitor for specific symptoms that warrant immediate medical attention. These include:
1. Loss of Consciousness: Even a brief episode can indicate a significant injury.

2. Severe Headache: A headache that is worsening or does not improve with over-the-counter pain relief should be evaluated.

3. Confusion or Disorientation: Difficulty in concentrating, confusion, or memory issues can indicate a concussion.

4. Nausea or Vomiting: These symptoms can be associated with increased intracranial pressure.

5. Seizures: Any seizure activity following a head injury is a medical emergency.

6. Persistent Drowsiness: Excessive sleepiness or difficulty waking up can indicate a serious issue.

Given your friend's symptoms, it is advisable to seek medical attention promptly. The appropriate specialist to consult would be a neurologist or a neurosurgeon. These specialists are trained to evaluate and manage conditions related to the brain and nervous system. They can perform a thorough assessment, which may include imaging studies such as a CT scan or MRI to rule out any structural damage to the brain.

In addition to seeking immediate medical care, it is also important for your friend to avoid activities that could exacerbate her condition. This includes avoiding physical exertion, limiting screen time, and ensuring she gets adequate rest. If she is prescribed any medications or therapies, it is crucial to follow the healthcare provider's recommendations closely.

In summary, while some symptoms following a head injury can be typical, the combination of loss of consciousness, excessive sleepiness, and persistent headaches should not be taken lightly. It is essential to seek medical evaluation from a neurologist or neurosurgeon to ensure that any serious conditions are identified and treated appropriately. Early intervention can significantly improve outcomes and prevent potential complications.

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