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Head Injuries

Head injuries are a very common cause of long-term disability or even death. They occur when the head suffers an unexpected blow or when the tissue in and around the brain is pierced by a foreign object. A head injury is an umbrella term for a wide variety of injuries, including a bump on the forehead, internal bleeding, cuts, fractures, and concussions.

The different types of head injuries include:

  • Concussion – injury that affects the ability of the brain to function properly.
  • Skull fracture – break in the bones of the skull.
  • Intracranial hematoma – a build-up of blood in the brain, either between the skull and the protective layers of the brain, between the layers that protect the brain, or between the layers that protect the brain and the brain itself. This can be very dangerous if not watched and properly treated. Often associated with a skull fracture.

Symptoms

The symptoms of head injuries can vary greatly between mild head injuries and moderate to severe head injuries.

Symptoms of a mild head injury include:

  • Bump or bruise
  • Cut in the skin of the head
  • Sensitivity to noise and light
  • Confusion
  • Irritability
  • Headache
  • Dizziness
  • Nausea
  • Memory and concentration issues
  • Blurred vision
  • Balance issues
  • Trouble sleeping
  • Fatigue
  • Ringing in the ears

Symptoms of a moderate to severe head injury include:

  • A persistent headache
  • Frequent nausea and vomiting
  • Trouble walking
  • Slurring speech
  • Short-term memory loss
  • Weakness on only one side of the body
  • Seizures
  • Sweating
  • Loss of colour in the skin
  • Fluid draining from the ears or nose
  • Changes in behaviour
  • Open wound in the head
  • Object lodged in the head
  • Coma

Causes & Risk Factors

Head injuries are caused by bruising and internal damage to the brain due to sudden blows, penetration by a sharp object, and excessive shaking of the brain as occurs in a car accident or in some abuse survivors, particularly in children.

Risk factors for head injuries include:

  • Age – children, young adults, and seniors are the most at risk for long-term brain damage from a head injury due to having brains that are not fully developed (children and young adults) or due to being older (seniors)
  • Sex – males are considered to be at a higher risk for head injuries because they frequently engage in riskier behaviour than females

Diagnosis & Complications

Diagnosis of head injuries involves your doctor taking a medical history, understanding how the injury occurred, and doing a physical examination to understand the extent of your symptoms. Imaging scans will help your doctor come to a definitive diagnosis.

Your doctor may order a computerised tomography (CT) scan or magnetic resonance imaging (MRI) scan.  They may also do an electroencephalogram (EEG), a test that records the electrical activity in the brain. Additionally, they may elect to have bloodwork done. These diagnostic tools will give you a clear picture of the head injury and how long it may take to recover.

Complications of head injuries include lasting neurological damage and, in some cases, death. When a head injury is not treated right away or taken seriously, severe cases can be fatal.

Treatment & Prevention

Treatment of head injuries varies based on the severity of the injury and the age, health, and wishes of the patient.

Treatment can include extended bed rest, ice, observation, stitches for an open injury, surgery, and treatment of any symptoms that arise as a result of the head injury.

Preventative measures for head injuries include creating a safe environment for yourself and any children. That includes wearing seatbelts in the car, wearing helmets and protective gear when doing activities that make you prone to injury, and avoiding contact sports, if possible.

 
 
 

The content appearing on this site is not intended to treat, diagnose, or provide health care advice. The articles you read here are meant for informational purposes only. Please review additional information to learn more.