[37F] With head injury resulting in burning sensation, pressure, and dizziness

Patient Description

A 37-year-old female experienced a head injury approximately 6 hours ago. Since the injury, she has been experiencing a burning sensation and pressure on the left side of her head above her ear to her temple area. The burning sensation started immediately after the injury. She also reports a severe headache, rated 9 out of 10, which worsens when bending down. The headache extends from the site of the injury to the front of her forehead and the other side of her head. Additionally, she is experiencing lightheadedness, dizziness, nausea, a heavy feeling in her head, blurry vision, difficulty focusing, confusion, memory problems, and difficulty staying awake. Her medical history includes asthma (diagnosed in childhood), anxiety (diagnosed in 2013), and PTSD (diagnosed in 2023). She has allergies to Keflex, sulfa drugs, ibuprofen, Cipro, Topamax, Toradol, Clindamycin, and Flagyl. The only medication she is currently taking is Albuterol, used as needed. She has had concussions from being hit in the same area twice before.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Concussion: Given your history of previous concussions and the immediate onset of symptoms after the head injury, it is highly likely that you have sustained another concussion. Symptoms of a concussion can include headache, dizziness, nausea, confusion, memory problems, and difficulty concentrating.

    • Treatment typically involves rest and avoiding activities that could cause another head injury. It's important to follow up with a healthcare provider for a thorough evaluation and guidance on when it is safe to resume normal activities.
  • Post-Concussion Syndrome: This condition can occur after a concussion and involves persistent symptoms such as headache, dizziness, and cognitive difficulties.

    • Treatment focuses on managing symptoms and may include medications for pain relief, physical therapy, and cognitive therapy.
  • Intracranial Hemorrhage: Although less common, a head injury can sometimes cause bleeding in the brain, which can lead to increased pressure and serious complications. Symptoms can include severe headache, nausea, vomiting, confusion, and difficulty staying awake.

    • This condition requires immediate medical attention and may involve imaging tests such as a CT scan or MRI to diagnose. Treatment can range from observation to surgical intervention, depending on the severity.

What you can do

Given the severity of your symptoms and your history of concussions, it is crucial to seek medical attention immediately. Here are some steps you can take:

  1. Go to the Emergency Room: Given the risk of a serious condition like an intracranial hemorrhage, it is important to get evaluated by a healthcare professional as soon as possible. They can perform the necessary tests to determine the cause of your symptoms and provide appropriate treatment.
  2. Rest: Until you can see a healthcare provider, try to rest as much as possible. Avoid activities that could worsen your symptoms or put you at risk for another head injury.
  3. Stay Hydrated: Drink plenty of fluids to help manage nausea and dizziness.
  4. Avoid Bright Lights and Loud Noises: These can exacerbate symptoms like headache and dizziness.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Worsening headache
  • Persistent vomiting
  • Increased confusion or difficulty staying awake
  • Seizures
  • Weakness or numbness in any part of your body
  • Changes in vision, such as double vision or loss of vision

Remember, while I can provide information based on your symptoms, it is essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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People Also Ask


What are the common symptoms of a concussion?

Common symptoms of a concussion include headache, dizziness, nausea, confusion, memory problems, difficulty concentrating, and sometimes sensitivity to light and noise.


How is post-concussion syndrome different from a regular concussion?

Post-concussion syndrome involves persistent symptoms that last for weeks or months after the initial concussion. These symptoms can include prolonged headaches, dizziness, and cognitive difficulties, whereas a regular concussion's symptoms typically resolve within a few weeks.


What are the signs of an intracranial hemorrhage after a head injury?

Signs of an intracranial hemorrhage can include a severe headache, nausea, vomiting, confusion, difficulty staying awake, seizures, and weakness or numbness in parts of the body. Immediate medical attention is necessary if these symptoms occur.


What should I do if I suspect I have a concussion?

If you suspect you have a concussion, it is important to rest and avoid activities that could lead to another head injury. Seek medical attention for a proper evaluation and follow the healthcare provider's guidance on when it is safe to resume normal activities.


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