Post-Car Accident Dizziness: Neurological Symptoms - Neurology

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Dizziness six months after a car accident?


Hello Doctor, I was in a car accident on November 8th last year, and I sustained a head injury.
I experienced a concussion at that time, and since then, I have been experiencing dizziness, which has worsened in the past few days.
It feels like the whole world is spinning, and when I walk, I tend to lean to one side.
I also have pain on one side of my head.
Could this be a consequence of the car accident? Should I see an ENT specialist or a neurologist? Do I need to return to the hospital where I was treated after the accident?

Qingqing, 10~19 year old female. Ask Date: 2015/09/30

Dr. Gao Chunde reply Neurology


The recent dizziness accompanied by headaches, along with a tendency to lean to one side while walking, suggests a new condition.
It is advisable to return to the neurology department of the original hospital for evaluation.
Generally, post-concussion symptoms tend to diminish over time; however, the current dizziness and vertigo could indicate an issue with the inner ear.
Given the additional symptoms of headache and the tendency to veer to one side, it is important to rule out any new central nervous system conditions.
Therefore, it is recommended to consult a neurologist first.

Reply Date: 2015/09/30

More Info


After a car accident, experiencing dizziness and other neurological symptoms can be concerning, especially if these symptoms persist or worsen over time. In your case, since you mentioned that you had a concussion (or mild traumatic brain injury) following the accident, it is important to understand the potential implications of this injury and the symptoms you are currently experiencing.

Dizziness, especially the sensation of the world spinning (known as vertigo), can be a common symptom following a concussion. This can occur due to various reasons, including vestibular dysfunction, which affects the inner ear and balance system, or due to post-concussion syndrome, where symptoms like dizziness, headaches, and cognitive difficulties persist for weeks or even months after the initial injury. The fact that you are experiencing unilateral headaches (pain on one side of your head) alongside the dizziness could suggest a few possibilities, including migraine-related vertigo or other neurological issues that may need further evaluation.

Given your symptoms, it is advisable to seek medical attention. In terms of which specialist to consult, both an ear, nose, and throat (ENT) doctor and a neurologist could be appropriate. An ENT specialist can evaluate for any vestibular issues or inner ear problems that might be contributing to your dizziness. On the other hand, a neurologist can assess for any neurological complications resulting from the concussion, including the possibility of post-concussion syndrome or other neurological disorders.

If you have a specific hospital or clinic where you received treatment after the accident, it may be beneficial to return there, especially if they have access to your medical history and previous imaging studies. They will be familiar with your case and can provide continuity of care. However, if you feel that you need a second opinion or if the symptoms are significantly impacting your daily life, seeking care from a different facility or specialist is also a valid option.

In the meantime, it is essential to monitor your symptoms closely. If you experience any new or worsening symptoms such as severe headaches, changes in vision, difficulty speaking, weakness in limbs, or loss of consciousness, you should seek emergency medical care immediately. These could be signs of more serious complications that require urgent attention.

In summary, your ongoing dizziness and headaches following a concussion warrant further evaluation. Consulting with either an ENT or a neurologist is recommended, and returning to the facility where you were initially treated could provide a comprehensive approach to your care. Remember to take care of yourself, avoid activities that could exacerbate your symptoms, and prioritize rest as your brain heals from the injury.

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