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 unicycle.
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 proceed? Thank you!

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

Dr. Zhang Junwei reply Neurosurgery


Schedule an appointment with the neurosurgery outpatient clinic!

Reply Date: 2016/03/01

More Info


Experiencing a head injury can be a concerning event, 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 and seek medical attention promptly. Here’s a detailed breakdown of your situation and recommended actions.


Symptoms Analysis
1. Loss of Consciousness: The fact that you experienced a momentary loss of consciousness (even if it was brief) is significant. This could indicate a concussion or more severe brain injury. Loss of consciousness, even for a few seconds, can be a sign of a serious condition.

2. Visual Disturbances: The blurred vision, light halos, and white spots you experienced in your right eye could be indicative of increased intracranial pressure or other neurological issues. These symptoms warrant immediate evaluation.

3. Head Pain: Severe head pain following a fall can be a sign of a concussion, contusion, or even a more serious injury such as a skull fracture or intracranial hemorrhage.

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


Recommended Actions
1. Immediate Medical Evaluation: Given the combination of symptoms you are experiencing, it is essential to seek medical attention as soon as possible. Go to the nearest emergency room or urgent care facility. Medical professionals 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 structural damage.

2. Avoid Physical Activity: Until you have been evaluated by a healthcare professional, it is crucial to avoid any physical activities that could exacerbate your condition. This includes sports, heavy lifting, or any activities that require significant concentration.

3. Monitor Symptoms: Keep track of any changes in your symptoms. If you experience worsening headaches, persistent nausea or vomiting, confusion, or any new symptoms such as seizures or difficulty speaking, seek emergency care immediately.

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

5. Consider a Neurological Consultation: Depending on the severity of your injury and symptoms, your primary care physician may refer you to a neurologist for further evaluation and management.


Conclusion
Head injuries can have serious implications, and your symptoms suggest that you may have sustained a significant injury. It is vital to prioritize your health by seeking immediate medical attention. Early intervention can help prevent complications and ensure a better recovery. Remember, when it comes to head injuries, it is always better to err on the side of caution. Take care of yourself, and I wish you a swift recovery.

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