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What Causes Ringing In Ears And Decreased Hearing Post Head Injury?

Posted on Wed, 22 Jul 2015

Question: Hi My Name is XXXXXXX XXXXXXX i need your medical opinion. My son who is 19 years old got injured in his room at the airforce academy. He hit his head on thecorner of a dresser which was open . He had a head concussion, he has not been able to sleep, he hears ringing noise in his head he hears his cadre yelling at him, he is very emotinal, and full of worry, He is seeing a specialist tonight to get to the root of the problem. As a parent i am trying to be strong for him.

Answered by Dr. Neeraj Kumar (19 minutes later)

Brief Answer:
Head injury to be evaluated

Detailed Answer:
Hello XXXXXXX XXXXXXX ,

I have gone through your query and understand your concerns.

Head injury severity and symptoms vary according to nature and force of imapct. The worrisome symptoms are Recurrent vomiting ,severe headache , loss of consciousness, seizure, Bleeding from nose or ear and any focal neurological deficit in form of weakness in limbs or facial deviation. You did not report any of these symptoms.

However ringing in ear with decreased hearing or ear bleed may be a result of injury to eight nerve.
There may be some symptoms related to issues at academy leading to decreased sleeping and hallucinations. But in view of recent head injury and possibilities of eighth cranial nerve issues, brain imaging is required to rule out any serious inner injury.

He may consult a neurosurgeon or neurologist for proper examination. I feel brain scan will be ordered to rule out injuries.

Hope you found the answer helpful.
Do get back for further queries.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Neeraj Kumar (11 hours later)

he went to a specialist yesterday and found out that all the symptons he has is normal However he is turning around slowly but surely He is being monitor around the clock. What happens to the brain when you have a head concussion? should i request that he get a cat scan of the brain to make sure theirs no damage? I hope he recovers completely. They gave him a low dose of sleeping pill

Thanks

Answered by Dr. Neeraj Kumar (10 minutes later)

Brief Answer:
Less chances of CT being abnormal

Detailed Answer:
Hello XXXXXXX XXXXXXX
According to me, there is no need of brain imaging if examination is normal. Also he has some adjustment related issues.
Is there any swaying while walking or fall to either side. Then imaging can be done.
If you are very concerned and CT imaging can be done without hassle you can go for it.
Continue prescribed medication for anxiety and sleep.
hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist

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Above answer was peer-reviewed by : Dr. Vaishalee Punj