Post-Concussion Syndrome: When to Seek Medical Help

Post-concussion syndrome

I had a car accident when I was a child, which resulted in a nosebleed and vomiting.
The doctor diagnosed me with a concussion.
After being discharged from the hospital, I often felt dizzy and nauseous when I returned to school, and I frequently took leave but did not continue seeing a doctor.
Now, after more than a decade, I still experience occasional dizziness, but it is not frequent.
Recently, I have been experiencing dizziness and nausea again.
Is this related to the long-term effects of the concussion? Should I see a doctor?

Phoebe, 20~29 year old female. Ask Date: 2016/01/13

Dr. Jiang Junyi reply Neurology

According to your description, patients with a concussion may experience post-concussive symptoms within a few days of head injury, such as headaches, dizziness, nausea, vomiting, impaired memory, and difficulty concentrating.
Patients suffering from "post-concussion syndrome" often present in neurosurgery outpatient clinics.
Most patients will see improvement within three weeks, while some may require symptom management for one to three months, and very few will experience symptoms lasting more than a year.
Your symptoms may indicate dizziness or other conditions related to cerebral hypoperfusion.
It is advisable to consult a physician for further evaluation.
Wishing you good health.

Reply Date: 2016/01/13

More Info

Post-Concussion Syndrome (PCS) is a complex disorder that can occur after a concussion, which is a type of traumatic brain injury. It can manifest with a variety of symptoms, including headaches, dizziness, nausea, fatigue, difficulty concentrating, and mood changes. Your history of a concussion from a car accident, along with your ongoing symptoms of dizziness and nausea, suggests that you may indeed be experiencing lingering effects from that initial injury.

Given that you have experienced these symptoms intermittently over the years, and they have recently resurfaced, it is advisable to seek medical attention. Here are several reasons why consulting a healthcare professional is important:
1. Evaluation of Symptoms: A healthcare provider can perform a thorough evaluation to determine if your current symptoms are related to your previous concussion or if they may be indicative of another underlying issue. This evaluation may include a neurological examination and possibly imaging studies, such as a CT scan or MRI, to rule out any structural problems in the brain.

2. Management of Symptoms: If your symptoms are indeed related to Post-Concussion Syndrome, a healthcare provider can recommend appropriate management strategies. This may include physical therapy, vestibular rehabilitation (which focuses on balance and dizziness), cognitive therapy, or medication to help alleviate headaches or nausea.

3. Monitoring for Complications: Persistent symptoms following a concussion can sometimes indicate complications, such as post-traumatic migraines or other neurological conditions. Regular follow-up with a healthcare provider can help monitor your condition and ensure that any complications are addressed promptly.

4. Education and Support: Understanding PCS and its potential impact on your daily life is crucial. A healthcare provider can offer education about the condition, helping you to understand what to expect and how to manage your symptoms effectively. They can also provide resources for support, including counseling or support groups for individuals dealing with similar issues.

5. Preventing Further Injury: If you are experiencing dizziness, it is essential to be cautious about activities that could lead to falls or further injury. A healthcare provider can advise you on how to modify your activities to minimize risk while you are experiencing these symptoms.

In conclusion, while it is not uncommon for symptoms of a concussion to persist for some time, the re-emergence of symptoms after many years warrants a medical evaluation. Seeking help from a healthcare professional can provide you with the necessary support and treatment options to manage your symptoms effectively and improve your quality of life. It is always better to err on the side of caution when it comes to brain health, so I encourage you to make an appointment with a neurologist or a healthcare provider who specializes in concussion management.

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