Should You See a Doctor After a Baseball Hit to the Head? - Neurosurgery

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I just got hit in the head by a baseball?


During baseball practice, I was hit on the forehead by a baseball that was struck by a bat.
At the moment, I didn't have any specific symptoms.
However, after returning to my dorm and looking in the mirror, I noticed a swelling (approximately 0.3 cm protrusion).
The area that was hit feels a bit numb, and sometimes I experience tingling that reaches the top of my head.
Should I see a doctor? Currently, I do not have dizziness or any other significant symptoms.
What would the physician's advice be? (It has been about 1.5 hours since the incident.)

Aga, 20~29 year old female. Ask Date: 2015/12/17

Dr. Zhang Junwei reply Neurosurgery


Hello: It appears that the swollen area is a subcutaneous hematoma, which should not be a cause for concern.
Apply ice for the first three days, followed by heat therapy.
If there are persistent symptoms of dizziness, vomiting, or headache, it is recommended to visit a neurosurgery outpatient clinic for evaluation.
Thank you!

Reply Date: 2015/12/17

More Info


When you experience a head injury, such as being struck by a baseball, it is crucial to monitor your symptoms closely and understand when to seek medical attention. In your case, you mentioned that you were hit on the forehead and noticed a bump (approximately 0.3 cm) along with some tingling sensations in the area. While you do not currently have dizziness or other severe symptoms, there are several important considerations to keep in mind.


Immediate Symptoms and Initial Response
After a head injury, it is common to experience localized swelling and tenderness at the impact site. The bump you described is likely a hematoma, which is a collection of blood outside of blood vessels, often caused by trauma. The tingling sensation could be due to nerve irritation or pressure from the swelling. However, the absence of severe symptoms like dizziness, confusion, or loss of consciousness is a positive sign.


When to Seek Medical Attention
Despite the lack of immediate severe symptoms, it is essential to be vigilant. Here are some guidelines on when to seek medical help:
1. Worsening Symptoms: If you start to experience worsening headaches, nausea, vomiting, dizziness, or changes in vision, you should seek medical attention immediately. These symptoms could indicate a more serious condition, such as a concussion or intracranial bleeding.

2. Neurological Symptoms: Look out for signs of neurological impairment, such as difficulty speaking, weakness in limbs, or loss of coordination. If you notice any of these, it is crucial to go to the emergency room.

3. Persistent Symptoms: If the tingling sensation persists or worsens, or if you develop new symptoms, it would be wise to consult a healthcare professional.
4. Observation Period: Generally, if you have a mild head injury without severe symptoms, it is often recommended to observe yourself for 24 to 48 hours. During this time, you should avoid activities that could risk another head injury, such as sports or vigorous exercise.


Medical Evaluation
If you decide to see a doctor, they may perform a neurological examination and possibly imaging studies like a CT scan to rule out any serious injuries, especially if there are any concerning symptoms.

Conclusion
In summary, while your current symptoms may not seem alarming, it is essential to remain cautious. Monitor your condition closely for any changes, and do not hesitate to seek medical attention if you notice any new or worsening symptoms. Remember that head injuries can sometimes have delayed effects, so it is better to err on the side of caution. If you have any doubts or concerns, consulting a healthcare professional is always a prudent choice.

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