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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long Will It Take To Recover After A Head Injury?

I fell down a flight of stairs 4 weeks ago today. I was unconscious for about 25 minutes. I went to the emergency room, stayed overnight, CT about 4 hours after the fall that they said was normal and was then released. I had amnesia including memories before the fall and about 3 hours after. I also had a personality change after becoming conscious and was reported as very combative and resistant to medical help.
I vomited once I returned home. I started having severe dizziness as soon as I remember. I went to my general doctor a few days after. He did some cognitive tests, looked at my eyes, and suggested OTC meclizine. I tried to return to work with that medication the next day but was sent home due to walking unbalanced and getting really dizzy. I then started having vertigo. The end of the second week I passed out once. I returned to my doctor and he referred me to an audiologist. This week I went to a balance center and was diagnosed with severe vertigo in both ears as well as something I forget the name of which she described as my eyes not communicating with my ears. I was treated that day and am scheduled for two more treatments.
The location of my head injury was on the temporal lobe behind my left ear. I also have soreness on the top of my head right above the wound. Aside from the dizziness and vertigo, I get sporadic severe head pains.
After my first treatment I am feeling sore, tired, still dizzy (faint dizzy not vertigo). After all that background, my question is: When can I return to work? Should I be driving? Is it safe to exercise? My regular doctor has given me no guidelines for this besides to base it on how I feel. I feel pretty bad and don't want to return to work, but it has been a month and I don't know how much better I'm going to feel. Also, is 4 hours long enough to wait on a CT? I've read that sometimes it takes days to see damage. Should I see an neurologist?
Tue, 23 Aug 2016
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Neurologist, Surgical 's  Response
Hi ,
you are experiencing post concussion symptoms.

These symptoms develop in 5 to 7 days and usually persist for 3 - 6 months.

You can return to work when your walking is balanced and headache , vertigo and mood changes subside with treatment.

You should not drive unless your dizziness and balance problems solved out.

You need symptomatic treatment like antidepressants and medicines for headache and vertigo.

CT done after 4 hours is ok but it should be repeated after 24 hours and 1 week.

I would suugest you to consult neurosurgeon as they are expert in managing these cases.

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How Long Will It Take To Recover After A Head Injury?

Hi , you are experiencing post concussion symptoms. These symptoms develop in 5 to 7 days and usually persist for 3 - 6 months. You can return to work when your walking is balanced and headache , vertigo and mood changes subside with treatment. You should not drive unless your dizziness and balance problems solved out. You need symptomatic treatment like antidepressants and medicines for headache and vertigo. CT done after 4 hours is ok but it should be repeated after 24 hours and 1 week. I would suugest you to consult neurosurgeon as they are expert in managing these cases.