Is a CT Scan Necessary After a Head Injury? Understanding the Risks
Is there a necessity for a non-contrast CT scan of the brain? Hello Dr. Ding, My brother weighs about 100 kilograms and fell off his bike on a rainy, slippery road. He has a head injury with an external wound measuring approximately 7 to 10 centimeters. When bystanders brought h...
Dr. Ding Xianwei Reply:
If it is an emergency issue, you should go directly to the emergency department for evaluation and treatment by an emergency physician. Since I cannot examine you in person, I can only provide suggestions based on your description. It sounds like you may have experienced a concus...[Read More] Is a CT Scan Necessary After a Head Injury? Understanding the Risks
Head Injury from Bar Impact: Persistent Dizziness and Pain Concerns
Head injury from hitting a horizontal bar? Hello Doctor: I would like to ask you about an incident that occurred on May 18 when I accidentally hit the left side of my head (temple) against a horizontal bar (there was no bleeding). After that, I felt fine from May 19 to May 20, bu...
Dr. Ding Xianwei Reply:
Based on your concerns, if there is intracranial bleeding or cerebrospinal fluid leakage, it would definitely be visible during examinations. However, CT scans and EEG tests may not provide any benefit for you. As for your dizziness and headaches, these are likely sequelae of the...[Read More] Head Injury from Bar Impact: Persistent Dizziness and Pain Concerns
Understanding Neck Pain After Head Injury: Causes and Treatment Options
Hit the back of the head? Hello, Doctor. I visited you today, but I apologize for having a few more questions. I forgot to ask if discomfort in the neck, similar to stiffness, is a result of head trauma or if it is related to cervical spine issues? Also, I would like to ask if th...
Dr. Ding Xianwei Reply:
You have already visited the outpatient clinic; I suggest you ask directly at the clinic.[Read More] Understanding Neck Pain After Head Injury: Causes and Treatment Options
Understanding Post-Concussion Symptoms: Headaches and Recovery Tips
Concussion headache Six days ago, I hit my head and experienced continuous dizziness for five minutes, but I did not lose consciousness. The area of impact did not swell significantly, but I still have a feeling of pressure and pain in my head (which is different from a migraine)...
Dr. Ding Xianwei Reply:
A concussion typically requires a loss of consciousness or a temporary memory lapse to be classified as such. If you did not lose consciousness, the current symptoms are likely sequelae following the head injury, which can sometimes persist for a period of time. In fact, about 5%...[Read More] Understanding Post-Concussion Symptoms: Headaches and Recovery Tips
Understanding Post-Concussion Symptoms: When to Seek Medical Attention
Hit the back of the head? Hello, doctor. Seven days ago, I fainted in the bathroom due to the side effects of medication and hit the back of my head. However, I regained consciousness immediately after the impact, but I experienced significant headache and dizziness, although my ...
Dr. Ding Xianwei Reply:
Your physician's advice is correct, but it is important to consider whether there is a cervical spine injury in addition to the head trauma. Generally speaking, if there is no loss of consciousness, there is no concern for a concussion; however, there may be some sequelae fr...[Read More] Understanding Post-Concussion Symptoms: When to Seek Medical Attention
Understanding Head Injuries: When to Seek Medical Attention
The head has previously been injured by someone? Your question: I have previously sustained a head injury. On the day of the incident, my scalp felt soft and watery. Now, the soft and watery area of my scalp has formed a hard bump. Normally, the head is rounded, but there is now ...
Dr. Ke Fangxu Reply:
Due to the lack of a physical examination, it is impossible to determine the location, size, and extent of the tear of the wound, so online consultation can only lead to speculation. It is possible that there is a mild linear skull fracture causing localized headaches, or that a ...[Read More] Understanding Head Injuries: When to Seek Medical Attention
Head Injury: Symptoms, Diagnosis, and When to Seek Medical Attention
Head injury I experienced a head injury where my scalp felt soft and watery immediately after the incident. Now, the area has a hard protrusion, and instead of the usual rounded shape of the head, there is a sudden bulge. The affected area is located about 1 to 2 centimeters to t...
Dr. Ke Fangxu Reply:
After a head injury, if there is a subcutaneous edema or hematoma on the scalp, the severity of the injury is generally related to the mechanism of injury. If there is no confusion or weakness in the limbs, it is likely not serious. However, if you are still concerned, you can co...[Read More] Head Injury: Symptoms, Diagnosis, and When to Seek Medical Attention
Understanding Nerve Damage After Neck Injury: Recovery and Concerns
Neuropathy Hello Dr. Ding, I apologize for bothering you! My father-in-law had an accident in August this year where he collided with someone, resulting in neck injuries. He has been wearing a cervical collar and is experiencing symptoms such as headaches, dizziness, neck pain, ...
Dr. Ding Xianwei Reply:
Any injury to the head can be collectively referred to as a head trauma. A concussion is generally defined as a loss of consciousness lasting more than 10 minutes following a head injury, with recovery of consciousness occurring within 24 hours; it is considered one of the mildes...[Read More] Understanding Nerve Damage After Neck Injury: Recovery and Concerns
Understanding CT Scans: Concerns After Pediatric Head Injury
Computed Tomography (CT) scan That day, my four-year-old daughter was squatting on the ground playing when she was possibly hit on the head by something from a high chair. At that time, she vomited (around 2 PM). Later, around 9 PM, she vomited again, so I asked my husband to tak...
Dr. Ding Xianwei Reply:
What is your question? Due to the lack of complete information, I can only provide suggestions based on personal experience. If the question is whether a CT scan is needed for head trauma, in fact, if the patient has lost consciousness for a period of time, a CT scan of the brain...[Read More] Understanding CT Scans: Concerns After Pediatric Head Injury
Post-Car Accident Symptoms: Understanding Neurological Issues
Symptoms after a car accident? Hello Doctor, three months ago, I sustained a head injury due to a car accident. At the time of the injury, there was bleeding from my head, but the doctors and nurses at the hospital could not find any visible wounds. Over the past three months, in...
Dr. Ding Xianwei Reply:
1. The sequelae of head trauma do not resolve quickly, so it may take some time. About 5% of patients may not fully recover from these sequelae. 2. If there is numbness or pain in both hands, it is possible that there was a concomitant cervical spine injury at the time, which is ...[Read More] Post-Car Accident Symptoms: Understanding Neurological Issues
Understanding Post-Traumatic Brain Injury Symptoms After a Motorcycle Accident
Post-traumatic brain injury (TBI) sequelae from a car accident? Hello Doctor: My father was hospitalized due to a motorcycle accident at the end of April, which resulted in a brain injury. He was in a coma with a Glasgow Coma Scale score of 3 and had an intracranial pressure moni...
Dr. Ding Xianwei Reply:
Based on your description, I would like to offer my suggestions. Your father may be experiencing changes in temperament due to frontal lobe damage, which is part of the sequelae of a head injury. Frankly, it is quite remarkable that he has progressed from a Glasgow Coma Scale sco...[Read More] Understanding Post-Traumatic Brain Injury Symptoms After a Motorcycle Accident
Understanding Head Injury Symptoms After a Car Accident
Symptoms of head trauma after a car accident? Hello doctor, a few days ago my girlfriend and I were in a car accident. Initially, I had no external injuries to my head, but after a day, I noticed a small bruise and slight swelling at the back of my head, which hurts when pressed....
Dr. Ding Xianwei Reply:
Since you did not visit in person, all suggestions are for reference only. Generally, head injuries can result in lingering symptoms such as dizziness and headaches, which may sometimes persist for more than three months. Therefore, it is recommended that you drink plenty of wate...[Read More] Understanding Head Injury Symptoms After a Car Accident
Urgent Concerns: Family's Struggle with Father's Neurological Condition
A family member's inquiry about a patient with an urgent medical condition? Dear Dr. Ding, I am a family member of a patient. My surname is Lai, and I live in Miaoli. I would like to ask some questions regarding my father's condition. Two weeks ago, my father fell at h...
Dr. Ding Xianwei Reply:
Due to the lack of clarity in your description, it would be helpful if you could bring all imaging data, a list of medications previously taken, and a summary of the medical case directly to my clinic. This would assist in making further decisions. Since the information is incomp...[Read More] Urgent Concerns: Family's Struggle with Father's Neurological Condition
Persistent Headaches: Are They a Result of Past Head Injury?
Persistent headache Seven years ago, while at work, I accidentally got hit on the head by a chair that was placed high up. At that time, I experienced significant pain and dizziness, but after resting, I felt fine. Now, seven years later, I have been experiencing persistent heada...
Dr. Huang Junxiong Reply:
Please visit the neurosurgery outpatient clinic for further follow-up examinations. Thank you.[Read More] Persistent Headaches: Are They a Result of Past Head Injury?
Understanding Concussion Symptoms and Long-Term Effects After Head Injury
Concussion I would like to ask the doctor about an incident that occurred at the end of December when I was hit in the head while playing softball. At the moment of impact, I felt a sharp pain, but I was able to stand and move, and my consciousness was clear. I only felt slight s...
Dr. Ding Xianwei Reply:
A concussion is defined as a loss of consciousness lasting at least 10 minutes; therefore, you do not have a concussion. After a head injury, it is common to experience symptoms such as dizziness, headaches, and memory impairment as residual effects. Your symptoms are indeed resi...[Read More] Understanding Concussion Symptoms and Long-Term Effects After Head Injury
Persistent Dizziness After Head Injury: When to Seek Medical Imaging?
Head trauma has resulted in dizziness persisting for over a week? Hello, doctor: My father (almost sixty years old) was struck on the left side of his head by a golf club about ten days ago. He went to the emergency room that day, and the hospital said he could go home for observ...
Dr. Ding Xianwei Reply:
Generally, the sequelae of head trauma include dizziness and headaches, which may persist for three to five months. Therefore, it is possible that your father is currently experiencing the aftereffects of head trauma. If he is only experiencing dizziness and has no other symptoms...[Read More] Persistent Dizziness After Head Injury: When to Seek Medical Imaging?
Post-Concussion Care: Key Considerations After Intracranial Hemorrhage
excuse me? After experiencing intracranial hemorrhage, there are several important considerations to keep in mind during recovery. Since the injury occurred from a fall while riding a bike, and there was a reported hematoma of nearly 1 cm, likely a subdural hematoma, it is crucia...
Dr. Zhang Yuanyi Reply:
Hello, 1. How long does it take for the bleeding to be absorbed by the body? Will it be completely absorbed? → It can take anywhere from 1 to 3 months, and it is possible for it to be completely absorbed. 2. He experienced headaches a few days ago, but not recently. Could thi...[Read More] Post-Concussion Care: Key Considerations After Intracranial Hemorrhage
Post-Surgery Care and Medications for Right Frontal Lobe Injury
What medications or precautions should be considered for damage to the right frontal lobe? Hello Doctor, my father (67 years old) sustained a contusion on the contralateral frontal lobe due to a car accident one week ago. After four days of observation, the doctor decided to perf...
Dr. Ding Xianwei Reply:
Your father's head injury is currently in a critical phase, so it is not possible to assess the prognosis at this time. I would like to highlight two important points to pay attention to: First, your father's condition is still unstable, and he should still be in the in...[Read More] Post-Surgery Care and Medications for Right Frontal Lobe Injury
Post-Accident Urinary Issues: Understanding Bladder Dysfunction After Brain Injury
The father experienced a brain hemorrhage due to a car accident and is unable to urinate successfully after the removal of the urinary catheter? Dear Dr. Chiu, My father, who is 55 years old, was involved in a car accident three months ago. He sustained a head injury that result...
Dr. Qiu Yushu Reply:
Hello: Generally, catheter training can be successful. You may go to the rehabilitation department for further evaluation. Best wishes, Dr. Yu-Shu Chiu.[Read More] Post-Accident Urinary Issues: Understanding Bladder Dysfunction After Brain Injury
Head Injury in Young Children: What Parents Need to Know
Head trauma Today, my child (1 year and 4 months old) fell from a height of about 60 cm and hit the upper right side of her head against the handle of a wardrobe (made of aluminum alloy), resulting in bleeding about 5 cm above her right ear. (The doctor estimated the wound to be ...
Dr. Huang Junxiong Reply:
Hello~ 1. A child over one year old who has received vaccinations according to the schedule does not need to receive a tetanus vaccine again. 2. For young children who are not yet able to express themselves, their mental status can be assessed through the following observations: ...[Read More] Head Injury in Young Children: What Parents Need to Know