Headache And Vomiting After A Few Days Of The Accident?
Good evening, I want to ask my niece 5 yrs 8 months. Had an accident in a car hit with a speed of under 40 KM / hour. R n r n Injury to the front of the head, precisely above the left temple. The child was taken to the hospital in a conscious state, while in the emergency room the doctor said to wait 6 hours if he vomited, his head had to be scanned to see if there was brain bleeding and so on. After waiting for 6 hours, the nephew vomited and according to the doctor’s recommendation he had to have a head scan. R n r nAfter the scan, the result was a minor head injury and the doctor said he could return home and gave some prescription drugs. n r nDuring 3 days at home, the child is normal and plays with friends his age. But suddenly the child complained of headaches and vomiting and was taken back to the hospital. R n r nThe question was whether there was a doctor’s misdiagnosis during the scan or what? Or a nerve effect on the head ??? r n r nThank you.
Hello Yuldi, thank you for the question for HealthReplies.com
Head CT scan is indeed the recommended examination for patients after head injury, especially if there is a suspicion of a heavy impact on the head accompanied by neurological symptoms and symptoms of increased intracranial pressure (severe headache, vomiting, double vision, decreased consciousness). The condition that occurs to your nephew can be caused by several possibilities:
There is subdural bleeding (subdural hematoma). In a subdural hematoma, bleeding in the brain occurs very slowly and gradually increases in size (because the initial bleeding is small, a CT scan may indicate only minor head injury). When the bleeding is large enough, worsening of the symptoms (deterioration) may occur.
Delayed cerebral edema or edema of the brain that occurs too late. This condition can be found in people who experience minor head injuries after clinical examination and CT scan, but experience worsening of symptoms after a few days.
Post concussion syndrome, which is symptoms that appear a few days to a few weeks after minor head injury or post brain concussion. Symptoms that can appear include headache, dizziness, sleep disturbances, irritability, personality changes, etc. On repeat CT scan, there was no significant change in the brain.
The possibilities of the diagnosis above can indeed occur in people whose first CT scan of the head found no significant abnormalities or only minor abnormalities. In the case of your nephew, you should immediately do another CT scan of the head to be sure.
You should discuss further about your nephew's condition with the neurologist who treats your nephew because the doctor sees the clinical condition and CT scan more clearly.
So much information from me, hopefully it will be enough to answer