Head Injuries: Sleep Guidelines and Symptoms to Watch For

The right side of the occipital region of the head sustained a strong impact?

My boyfriend fell backward in a hotel room and hit a large glass table with great force.
He said that for a moment, everything went blank.
After the impact, he experienced severe pain and dizziness, and there was a significant swelling on the back of his head.
He later went to see a doctor, who examined the back of his skull and confirmed that there were no fractures.
The doctor advised him not to sleep for too long and to wake up periodically.
I would like to ask, what does "not sleep for too long" mean in terms of duration? The doctor mentioned he could only take short naps; how long is that? Additionally, there is some redness at the corner of his left eye—could that be related to the head injury? What could happen if he continues to sleep? I forgot to ask the doctor due to my anxiety.
Thank you.

Ding, 10~19 year old female. Ask Date: 2015/09/19

Dr. Ding Xianwei reply Neurosurgery

Due to insufficient data, a diagnosis cannot be made.
It is recommended that you visit a neurosurgery outpatient clinic for evaluation and treatment.

Reply Date: 2015/09/19

More Info

When it comes to understanding head injuries, particularly after a significant impact like the one your boyfriend experienced, it is crucial to follow medical advice closely and be aware of the symptoms that may arise. Given the details you've provided, it sounds like he sustained a concussion or a mild traumatic brain injury (TBI) from the fall.

Sleep Guidelines After a Head Injury
After a head injury, especially one that results in symptoms like confusion, dizziness, or severe headache, medical professionals often recommend a cautious approach to sleep. The advice to avoid sleeping for extended periods is primarily to monitor for any worsening symptoms that could indicate a more serious injury, such as a brain bleed or increased intracranial pressure.
1. Duration of Wakefulness: Typically, the recommendation is to wake the person every 1-2 hours for the first 24 hours after the injury. This allows caregivers to assess the individual's responsiveness and cognitive function. After this initial period, if the person is stable and showing no concerning symptoms, they can gradually return to normal sleep patterns.

2. Signs to Watch For: While monitoring, it’s essential to look for signs of deterioration, such as:
- Increased confusion or difficulty waking up
- Severe or worsening headache
- Repeated vomiting
- Seizures
- Weakness or numbness in limbs
- Slurred speech
- Unequal pupil size
If any of these symptoms occur, it is crucial to seek immediate medical attention.

Eye Symptoms and Their Relation to Head Injury
Regarding the redness in the left eye, it could be related to the head injury. Trauma to the head can sometimes cause eye symptoms, including:
- Subconjunctival Hemorrhage: This is when a small blood vessel breaks just underneath the conjunctiva (the clear surface of the eye), leading to a red spot on the eye. It is usually harmless and resolves on its own.

- Increased Pressure: If the injury caused any swelling or pressure in the head, it could also affect the eyes, leading to redness or discomfort.

Risks of Sleeping Too Long After a Head Injury
If your boyfriend sleeps for an extended period without waking, there are potential risks:
- Delayed Recognition of Symptoms: If he were to develop a serious complication, sleeping too long might delay the recognition of symptoms that require immediate medical intervention.

- Increased Risk of Complications: In rare cases, prolonged unconsciousness or excessive sleep can indicate a worsening condition, such as increased intracranial pressure.

Conclusion
In summary, after a head injury, it is essential to follow the guidelines provided by healthcare professionals regarding sleep. Waking your boyfriend every couple of hours initially is crucial to ensure he remains stable and responsive. If you notice any concerning symptoms, do not hesitate to seek medical attention. The redness in his eye could be related to the injury, but it is generally not a cause for alarm unless accompanied by other symptoms. Always prioritize safety and vigilance in the days following a head injury, and when in doubt, consult with a healthcare provider for further guidance.

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