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Lump on the head after being hit. Have foggy feeling and being cold. Is there a concussion?

Hi. So this last Saturday I hit my head against the wall. It hurt but didnt think anything of it. The next morning I had a huge bump on the side. Since then I have not been feeling lik me. My brain is in a constant fog or it feels like I just woke up all the time. I am also constantly freezing now. I slept with 8 blankets last night and woke up cold . Do I have a concussion?
Asked On : Sat, 17 Nov 2012
Answers:  1 Views:  399
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General & Family Physician 's  Response
Dear Concerned.,

Thanks for writing to us.

The very fact that you have developed a bogginess is a cause for concern.On the side of bogginess the blood vessel would have been punctured/ruptured.There may be a skull fracture(could be minor there)An X-ray will rule out the same.A blood vessel may rupture above the bony plate causing scalp haematoma// or below the bony plate extradural haematoma(serious).

Due to sudden jerk as a result of head injury, there will be minor molecular level of reversible neuronal disturbances (due to violent shaking )also called concussion and the foggy feeling could be due to that //or as a remote chance there could be an intracranial clot or a haematoma gradually developing either within the brain matter(intracerebral) or under the coverings of the brain such as Subdural(Subacute).

The other signs of concussion such as seizures/intense head ache/Vomitting/Clouding or loss of conciousness/signs of Skull fracture such as ENT bleeds/CSF rhinorhoea/CSF otorrhoea are all absent.

Kindly consult a NeuroSurgeon who will examine you systematically and may in all probabality suggest a CT scan of Brain to rule out all of the above.

Wishing you a speedy recovery,

Best Regards,

Dr Lt Cdr ASN Bhushan.

Answered: Sat, 17 Nov 2012
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