Head Injury After Fall: Symptoms and Recommended Actions - Neurosurgery

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Head injury


Hello! Yesterday afternoon, I fell backward while riding an electric scooter.
Bystanders said that my eyes rolled back at that moment, and I regained consciousness a few seconds later.
At that time, my right eye had blurred vision with halos and white spots, I experienced severe pain in my head, and I was unable to turn my neck to either side.
Doctor, could you please advise me on how to handle this? Thank you!

Joan, 40~49 year old female. Ask Date: 2016/03/01

Dr. Zhang Junwei reply Neurosurgery


Schedule a neurosurgery outpatient examination!

Reply Date: 2016/03/01

More Info


Experiencing a head injury can be alarming, especially when accompanied by symptoms such as loss of consciousness, visual disturbances, and neck stiffness. Based on your description, it is crucial to take your symptoms seriously, as they may indicate a significant injury that requires immediate medical attention.


Symptoms and Their Implications
1. Loss of Consciousness: The fact that you experienced a moment of unconsciousness (even if brief) is concerning. This can indicate a concussion or more severe traumatic brain injury (TBI). Loss of consciousness, even for a few seconds, is a red flag that should not be ignored.

2. Visual Disturbances: The blurred vision, along with seeing halos or spots, can be a sign of increased intracranial pressure or other neurological issues. This symptom, combined with your loss of consciousness, necessitates further evaluation.

3. Head Pain: Severe headache following a head injury is common but can also indicate a more serious condition, such as a concussion, hematoma, or other intracranial injuries.

4. Neck Stiffness: Difficulty turning your neck can suggest a neck injury or strain, which is not uncommon after falls. However, it can also be associated with more serious conditions like cervical spine injuries.


Recommended Actions
Given the symptoms you are experiencing, it is imperative that you seek medical attention as soon as possible. Here are the steps you should take:
1. Immediate Medical Evaluation: Go to the nearest emergency room or urgent care center. Inform the medical staff about your fall, the loss of consciousness, visual disturbances, and neck stiffness. They will likely perform a neurological examination and may order imaging studies, such as a CT scan or MRI, to assess for any brain injuries or bleeding.

2. Avoid Activities: Until you have been evaluated by a healthcare professional, avoid any activities that could put you at risk for further injury, including driving, operating machinery, or engaging in sports.

3. Monitor Symptoms: Keep track of any changes in your symptoms. If you experience worsening headaches, increased confusion, persistent vomiting, seizures, or any new neurological symptoms (such as weakness or numbness), seek emergency care immediately.

4. Follow-Up Care: If diagnosed with a concussion or other injury, follow your healthcare provider's recommendations for rest and recovery. This may include physical and cognitive rest, avoiding screens, and gradually returning to normal activities as tolerated.


Conclusion
Head injuries can have serious consequences, and your symptoms warrant prompt medical evaluation. Do not hesitate to seek help, as early intervention can significantly impact recovery outcomes. Remember, it is always better to err on the side of caution when it comes to head injuries. Your health and safety are the top priorities.

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