Should You See a Doctor After a Head Injury Near the Temple?

Head trauma

The left side of the head near the temple was struck hard.
Currently, the person is conscious and did not lose consciousness at the time of the impact.
There is a slight headache, and there is pain when pressing on the area.
Should they see a doctor immediately, or can they observe for a day or two before seeking medical attention? Thank you, doctor.

Xiao Ming, 10~19 year old female. Ask Date: 2016/03/16

Dr. Gao Chunde reply Neurology

If there is a depression in the bone or a noticeable hematoma, along with symptoms of neurological dysfunction such as double vision, drowsiness, or unsteady gait, it is advised to seek medical attention promptly.

Reply Date: 2016/03/16

More Info

After experiencing a head injury, especially one that occurs near the temple, it is crucial to take the situation seriously. The temple area is particularly sensitive, as it is close to vital structures such as blood vessels and the brain. While you mentioned that you are currently conscious and did not lose consciousness at the time of the injury, it is still important to monitor your symptoms closely.

Head injuries can lead to various complications, including concussions, intracranial hemorrhages, or other forms of brain injury. Symptoms can sometimes take time to manifest, which is why the observation period is critical. In your case, since you are experiencing some pain upon pressing the area and a slight headache, it is advisable to seek medical attention rather than just waiting for a couple of days.

Here are some key points to consider regarding head injuries:
1. Symptoms to Watch For: After a head injury, you should be vigilant for symptoms such as persistent or worsening headaches, dizziness, confusion, nausea, vomiting, difficulty with balance, or any changes in vision. If you experience any of these symptoms, it is essential to seek medical help immediately.

2. Risk of Intracranial Hemorrhage: One of the significant risks following a head injury is the possibility of intracranial hemorrhage, which may not present symptoms immediately. This condition can develop hours or even days after the injury. If you notice any new symptoms or if your current symptoms worsen, you should go to the emergency room.

3. Concussion Assessment: Even if you feel fine initially, a concussion can occur without loss of consciousness. Medical professionals can perform tests to assess your cognitive function and determine if you have sustained a concussion.

4. Imaging Studies: Depending on your symptoms, a doctor may recommend imaging studies such as a CT scan or MRI to rule out any serious injuries like fractures or bleeding in the brain.

5. Follow-Up Care: If you do see a doctor, they may provide you with specific instructions on how to manage your symptoms and when to return for follow-up care. It’s essential to adhere to these recommendations to ensure your recovery.

In conclusion, while it may be tempting to wait and see if your symptoms improve, it is generally safer to err on the side of caution when it comes to head injuries. Given your current symptoms of pain and headache, I strongly recommend that you see a healthcare provider as soon as possible for a thorough evaluation. They can provide you with the necessary care and peace of mind regarding your condition. Remember, it’s always better to be safe and get checked out, especially when it comes to potential head injuries.

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