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Is A Bump On The Forehead Due To Any Bleeding In The Head?

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Posted on Tue, 25 Jan 2022
Question: Hi, can I answer your health question? Please type your question here..My mother took a hard nosedive onto the pavement. She fell, flat on her face, and though she was wearing sunglasses that helped ease her fall slightly, she was left with an egg-shaped bump in the middle of her forehead. She also broke a bone in her leg. She was rushed to the hospital where they performed a CT scan. The doctor said everything was absolutely clear and perfect. My question, though, what are the odds that a brain bleed could appear later? It’s been almost two days (in a few hours) and she’s had no symptoms of a brain bleed (other than seeing a “floater” in her right eye, she says it looks almost like a small mosquito? This is the same eye where underneath she has a darkened bruise from impact. ) but I’ve read that it can happen days or even weeks later. I’m utterly paranoid and worried sick. Should she do a follow-up even though it wasn’t recommended to her? MRI? I cannot lose her, and I’m terrified something will happen! .
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Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
Brain bleeding very unlikely.

Detailed Answer:

Hello,

There are two main factors that don't indicate any intracranial bleeding in your mother's case:

1- there are no symptoms of such condition (neurological symptoms such as loss of consciousness, nausea, vomiting, lethargy, speech issues, vision problems other than the "floater " you refer, any limbs weakness, etc)

2- the CT scan resulted in normal findings (CT scan is the preferred imaging modality when it comes to trauma).

So, for now, you shouldn't worry much more than necessary.

Late bleeding may happen only in cases with coagulation problems such use of blood thinners, liver disease, chemotherapy, etc.

Even in these cases, bleeding may occur in the first days after trauma, and periodic follow-up by your mother's primary care Doctor is sufficient, CT scan should be repeated only if there will be any new neurological symptoms mentioned before.

Only a "floater" located at the probably contused eye does not mean brain bleeding.

MRI is not necessary for the first phases after trauma.
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Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4492 Questions

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Is A Bump On The Forehead Due To Any Bleeding In The Head?

Brief Answer: Brain bleeding very unlikely. Detailed Answer: Hello, There are two main factors that don't indicate any intracranial bleeding in your mother's case: 1- there are no symptoms of such condition (neurological symptoms such as loss of consciousness, nausea, vomiting, lethargy, speech issues, vision problems other than the "floater " you refer, any limbs weakness, etc) 2- the CT scan resulted in normal findings (CT scan is the preferred imaging modality when it comes to trauma). So, for now, you shouldn't worry much more than necessary. Late bleeding may happen only in cases with coagulation problems such use of blood thinners, liver disease, chemotherapy, etc. Even in these cases, bleeding may occur in the first days after trauma, and periodic follow-up by your mother's primary care Doctor is sufficient, CT scan should be repeated only if there will be any new neurological symptoms mentioned before. Only a "floater" located at the probably contused eye does not mean brain bleeding. MRI is not necessary for the first phases after trauma.