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Conditions and Diseases > Brain and Head Injuries Forum > Physical trauma to the brain
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Q: Physical trauma to the brain
asked by: DoctorQuestion on June 20th, 2009
Hello.I have been hit in the back of the head three times about 4 days ago. I still have a bit of pain on my temples and my left eye hurts when I look to the right.I am also dizzy. I didnt not black out when I was hit or vomit although I did feel nasuea. I am visting a foreign country and it is very hard to get things done so please let me know so I may take action. Thank you!


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Dr. Goce Aleksovski , MD
replied on June 24th, 2009
Brain and Head Injuries Answer A6844


The symptoms you reported (pain in temples, pain in left eye, dizziness, no black out) might be related to physical trauma. Depending on the intensity of the force, a person might experience concussion, contusion or coma. All three conditions are associated with unconsciousness. However, they differ in the further progress of the symptoms.


In a concussion, only headache and dizziness might be present afterwards. Only functional disturbances can be found in a concussion, whereas in a contusion and coma there is an anatomical disturbance as well. In a contusion and coma there might even be bleeding, which, if not stopped on time, might put pressure on the brain tissue, thus interfering with the blood flow. The reduced blood flow as well as the anatomical damage might be cause for somnolence, which might slowly lead to unconsciousness.


The unconsciousness is expected to last no longer than 72 hours. In this period the person should not be left to fall asleep in an inappropriate time (during daytime), especially if he is completely rested and nothing that is done can help him to stay awake.



The fact that you were not unconsciousness at any time might rule out any damage to the brain tissue. However, in order to completely rule it out, you might want to visit a neurologist for a physical examination and X-ray. Additionally,an EEG might be needed. In cases of intracranial bleeding, surgery is usually recommended to stop the bleeding.




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