Does Childhood Head Injury from Falling Affect Brain Health? - Neurology

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Sustaining a head injury during childhood, such as hitting the back of the head on a concrete surface, can potentially have negative effects on brain health. Depending on the severity of the impact, it may lead to concussions or other types of traumatic brain injuries, which can affect cognitive function, behavior, and overall neurological health. It is important to monitor for any symptoms such as headaches, dizziness, or changes in behavior, and to consult a healthcare professional for a thorough evaluation if any concerning symptoms arise?


When I was in elementary school, I hit the back of my head on a concrete surface.
I felt that the impact was quite strong because the sound of the collision was loud.
However, I did not experience any discomfort at the time, so I did not go to the hospital for an examination.
I would like to ask the doctor if this could have any impact on my brain.
Recently, I have been experiencing pain in the back of my head and dizziness that has lasted for a week (without any cold symptoms).
Could this be related?

Xiao Mei, 10~19 year old female. Ask Date: 2002/08/15

Dr. Ye Boshou reply Neurology


There are many causes of headaches and dizziness, which may not necessarily be related to a previous head injury.
Therefore, it is recommended to visit a neurology clinic for a detailed diagnosis and treatment.

Reply Date: 2002/08/15

More Info


Childhood head injuries, particularly those resulting from falls, can indeed have implications for brain health, depending on the severity and nature of the injury. When a child experiences a significant impact to the head, such as hitting a hard surface like concrete, it is essential to monitor for any symptoms that may indicate a more serious issue, even if the child initially appears fine.

In your case, you mentioned that you experienced a loud impact when you hit your head on the concrete but did not seek medical attention at the time because you felt no immediate discomfort. This is a common reaction, as many individuals may not recognize the potential severity of a head injury right away. However, it is crucial to understand that symptoms can sometimes manifest later, and the absence of immediate symptoms does not guarantee that no injury occurred.

The brain is protected by the skull, but significant impacts can still lead to various types of injuries, including concussions, contusions (bruising of the brain), or even more severe conditions like intracranial hemorrhages. A concussion, for instance, is a type of traumatic brain injury that can occur even without a loss of consciousness. Symptoms of a concussion can include headaches, dizziness, confusion, and memory problems, among others.

You mentioned experiencing headaches and dizziness for a week, which raises concern. These symptoms could potentially be related to your past head injury, especially if they are persistent and have not improved. It is essential to consider that headaches and dizziness can arise from various causes, including stress, tension, dehydration, or even migraines. However, given your history of a significant head impact, it is advisable to consult a healthcare professional for a thorough evaluation.

A healthcare provider may recommend imaging studies, such as a CT scan or MRI, to assess for any structural damage to the brain or skull. They may also perform a neurological examination to evaluate your cognitive function, balance, and coordination. Early intervention is crucial, as untreated head injuries can lead to long-term complications, including cognitive deficits, memory issues, and emotional disturbances.

In summary, while not all childhood head injuries lead to lasting effects on brain health, significant impacts warrant careful observation and, if symptoms arise, medical evaluation. Your current symptoms of headache and dizziness should be taken seriously, especially in the context of your past injury. Seeking medical attention will help determine the cause of your symptoms and guide appropriate treatment, ensuring your brain health is safeguarded. Remember, it is always better to err on the side of caution when it comes to head injuries.

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