Dr. Aida Abaz Quka
Neurology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 34-year-old male recently suffering from a concussion at work. I have never had this sort of thing happen to me before, and I have not felt like myself since the accident. I was sent to the local hospital, where they did a simple test of follow-the-finger or light, and basically said there was no point in doing a CT scan or MRI because a concussion would not show up. They did not believe that I had suffered from trauma. The best advice they gave me was to see my regular doctor. Unfortunately, my regular doctor was unavailable, so I saw a nurse practitioner who sent me off for a CT scan and then returned to work, saying that everything was normal. But since then, I have felt like a completely different person altogether. I get irritated and angry more easily, my speech has become slurred, and I have cognitive and thinking problems. This is truly frightening, and I do not know what to do. I hope that you might be able to help me. Thanks so much for your time. Hoping for a solution to my problem.
Hello,
Welcome to icliniq.com.
I have read your query and would like to say that your symptoms are quite normal after a head concussion. I agree with your doctor that a normal CT scan can help exclude a lot of complications related to head trauma, like brain bleeding. But you should know that there are also other symptoms like mood changes, chronic headaches, anxiety, gait imbalances, etc., which are related to temporary brain dysfunction. In such a case, it is necessary to consult with a neurologist and discuss the possibility of starting an SSRI (Selective serotonin reuptake inhibitors) drug, which can help through this situation. Yoga and, aerobics, recreational sports can help too. I hope you will find this answer helpful. If you have any other questions, please do not hesitate to ask me again.
Regards.
Patient's Query
Hi doctor,
Thank you, doctor, for your prompt response. I also wanted to ask if you think my condition is possibly only temporary in any way. My injury was basically a direct blow to the forehead which caused a laceration and a concussion. I forgot to mention that I have also been feeling swelling in the left side of my head on and off. Since the CT scan returned normal, I was unsure what would cause it. I worry about this very much because it affects my work and personal life. How to deal with this?
Thank you.
Hello,
Welcome back to icliniq.com.
In my opinion, your symptoms are quite reversible. Still, there is a need for some medication like the drugs mentioned above, for example Sertraline or Fluvoxamine to help improve your situation. I recommend discussing with a neurologist on the above treatment options. There is no evidence of brain damage in a brain CT scan or MRI, so there are good chances of recovery. Yoga, aerobics and recreational drugs can help improve your situation too.
I hope you find this answer helpful. If you have any other uncertainties, I would be glad to answer anytime.
Wishing you all the best.
Regards.
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Neurology
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