Head Injuries: When to Seek Medical Attention - Neurosurgery

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Regarding brain injuries?


Hello, I would like to inquire about an incident that occurred when I was about 6 years old.
I slipped and fell while taking a shower, hitting the upper left back of my head.
At that time, I went to a clinic for treatment (it was already late, so I only went to the clinic).
After that, I thought everything was fine and didn't pay much attention to it.
However, in the past few months, I've noticed that the area where I was injured has started to experience sharp pain, and it also hurts when I press on it.
What could be the reason for this? Should I go to the hospital for an examination? Thank you.

Guan Xiansheng, 20~29 year old female. Ask Date: 2015/12/30

Dr. Zhang Junwei reply Neurosurgery


Dear Dr.: According to the information you provided, the head injury occurred 18 years ago.
Essentially, your current headaches are not related to the previous head trauma.
If you are truly uncomfortable, please visit a hospital for a consultation.

Reply Date: 2015/12/30

More Info


When it comes to head injuries, understanding the symptoms and knowing when to seek medical attention is crucial for ensuring your health and safety. Based on your description, it sounds like you experienced a significant head injury at a young age, and now you are experiencing pain and discomfort in the same area. This situation raises several important considerations.

First, it’s essential to recognize that head injuries can have long-term effects, even if they initially seem minor. The symptoms you are experiencing—pain and tenderness in the area where you previously sustained an injury—could be indicative of several underlying issues. These may include post-traumatic headaches, which can occur after a head injury, or even the development of scar tissue or other changes in the brain or surrounding tissues. In some cases, symptoms can manifest long after the initial injury, which is why it’s important to take them seriously.

The fact that you are experiencing "shooting pain" and tenderness upon pressure suggests that there may be some ongoing irritation or inflammation in the area. This could be due to a variety of reasons, including muscle tension, nerve irritation, or even a previous concussion that may not have fully resolved. It’s also worth noting that the brain and surrounding tissues are complex, and injuries can sometimes lead to conditions that are not immediately apparent.

Given your history of a head injury and the new symptoms you are experiencing, it is advisable to seek medical attention. A healthcare professional, particularly a neurologist, can perform a thorough evaluation, which may include a physical examination and imaging studies such as a CT scan or MRI. These tests can help rule out any serious complications, such as intracranial bleeding, structural changes, or other neurological issues.

In terms of what to expect during your medical evaluation, the doctor will likely ask about your symptoms, their duration, and any other relevant medical history. They may also conduct neurological tests to assess your cognitive function, balance, and coordination. Based on their findings, they will be able to provide a diagnosis and recommend appropriate treatment options.

Treatment for post-head injury symptoms can vary widely depending on the underlying cause. Options may include physical therapy, medication for pain relief, or other interventions aimed at managing symptoms and promoting recovery. If there is evidence of a more serious condition, further specialized treatment may be necessary.

In summary, while it’s understandable to hope that past injuries will not have lingering effects, your current symptoms warrant a thorough evaluation by a medical professional. Head injuries can have complex and sometimes delayed consequences, and it’s always better to err on the side of caution when it comes to your health. Seeking medical attention will not only provide you with peace of mind but also ensure that any potential issues are addressed promptly and effectively.

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