Blow to head and possible hematoma

Posted by janneg @janneg, May 20, 2017

I slipped on wet tile, fell and hit my forehead on the sharp corner of a nightstand
while on vacation 22 days ago. I was unconscious and when I woke , I realized that
I had fallen face first on the floor. Yes, I should have gone to a doctor, but we were
leaving the next day and we were out of the country on a Saturday. I had a dent in my
head that I could put my finger tip into that developed a huge blood blister, as well as two
black eyes and face. Since I obviously woke up (know you are not supposed to go to sleep
with a possible concussion) I just iced it down and flew home. I had headaches for a few days
and black and blues that took almost two weeks to clear up. I looked it up on Mayo and found
that it was possible that I could have a hematoma slowly leaking in my brain for up to 6 weeks
that I could die from. I stupidly thought that since it seemed to heal that I was okay. I am a bit
worried that I should have a Cat scan even at this late date. I took another bad fall about 5 months
ago hitting my head on the side and was knocked out, and had a huge bump for weeks from that fall.
Do you think I should ask for a Cat scan of my brain? I feel like a fool for not having done something
sooner, but after the Mayo read I am worried that I should have it done, if not just to make myself feel
better and more sure I have no worries. Jan

Hello, Jan.

You should 100%, absolutely be seen by a Medical doctor. It sounds like you took a pretty big fall…twice.

Put all feelings of embarrassment aside for the safety of your own health. Being an advocate for yourself cannot be stressed enough. Here is an article http://bit.ly/1BYZ7tN from the U.S health and news on being an advocate for your own health. It takes practice speaking up for yourself and asking questions that sometimes make us feel somewhat vulnerable, but necessary in order for us to get the best care for our personal needs.

I hope I’m not coming across as preaching but I too, have been in the same boat as you. I had a horrible concussion after a car accident a year and 1/2 ago and thought “this is part of getting banged up and hitting my head” and then I took two weeks before I address the fact that I was abnormally tired and had headaches and couldn’t think of what I wanted to say. I was finally frustrated enough that I went in and was put on “brain rest” for 7 weeks and some cognitive therapy to follow. To this day, I still struggle with what I’m trying to say. My physician told me the earlier brain rest starts after brain trauma, the faster recovery will begin.

please make an appointment to be seen and follow up with us on how you are doing. 🙂

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@jamienolson

Hello, Jan.

You should 100%, absolutely be seen by a Medical doctor. It sounds like you took a pretty big fall…twice.

Put all feelings of embarrassment aside for the safety of your own health. Being an advocate for yourself cannot be stressed enough. Here is an article http://bit.ly/1BYZ7tN from the U.S health and news on being an advocate for your own health. It takes practice speaking up for yourself and asking questions that sometimes make us feel somewhat vulnerable, but necessary in order for us to get the best care for our personal needs.

I hope I’m not coming across as preaching but I too, have been in the same boat as you. I had a horrible concussion after a car accident a year and 1/2 ago and thought “this is part of getting banged up and hitting my head” and then I took two weeks before I address the fact that I was abnormally tired and had headaches and couldn’t think of what I wanted to say. I was finally frustrated enough that I went in and was put on “brain rest” for 7 weeks and some cognitive therapy to follow. To this day, I still struggle with what I’m trying to say. My physician told me the earlier brain rest starts after brain trauma, the faster recovery will begin.

please make an appointment to be seen and follow up with us on how you are doing. 🙂

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You are right. Thank you. I always put everyone first ahead of myself. The first fall I was just put to bed and this fall no one
even offered to take me to the hospital except the office help at the hotel who wasa so concerned for me. You gave me the shove
I needed. I will do it immediately. At 70 I am not what I used to be and balance is off more than it used to be. I was a work horse all my life and maybe it’s time for me to realize I need to come first. Again, Thank you for your response.

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Hello,
My name is Laura and I’m 45. On Monday May 8th I was helping my husband and friend unload a trailer of split wood, I stood up as my husband left go of his and it hit my temple. I couldn’t see anything for about 15 to 20 mins, my husband did take me to the ER and they ran test and I have a real bad concussion with a hematoma. The swelling is gone but still have pain in my right side of jaw, and my temple hurts when I yuan and I have lots of pressure around my eyes and right ear. Is this normal or should I get a second opinion? I am being told its my PTSD.

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I had fallen on a corner of an end table while on vacation. I did not seek medical attention. I went to bed (dumb thing to do) and thought, well, I woke up and all ok, despite black eyes, face and huge dent in head with blister full of blood. I was checking hemotomas and did not like what I read. I then asked Mayo as you did for advice 22 days later. I was told that you could still bleed with hematoma under the skull for up to 6 weeks or more and to get a scan done-which I did. All was ok, but I could have died. I hope you were given a scan of your brain and not just told you were ok. If not-GO AND GET ONE DONE NOW. I was thankful for their advice. I have always put everyone before myself and will never so that again. You come first, especially your health.

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@david33

Hello,
My name is Laura and I’m 45. On Monday May 8th I was helping my husband and friend unload a trailer of split wood, I stood up as my husband left go of his and it hit my temple. I couldn’t see anything for about 15 to 20 mins, my husband did take me to the ER and they ran test and I have a real bad concussion with a hematoma. The swelling is gone but still have pain in my right side of jaw, and my temple hurts when I yuan and I have lots of pressure around my eyes and right ear. Is this normal or should I get a second opinion? I am being told its my PTSD.

Jump to this post

If there is any concern with a head injury, it may be wise to seek a second opinion. The worst that can happen is they tell you the same, but if there is any concern there is a lingering issue, it would be wise to get it looked it.

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@david33

Hello,
My name is Laura and I’m 45. On Monday May 8th I was helping my husband and friend unload a trailer of split wood, I stood up as my husband left go of his and it hit my temple. I couldn’t see anything for about 15 to 20 mins, my husband did take me to the ER and they ran test and I have a real bad concussion with a hematoma. The swelling is gone but still have pain in my right side of jaw, and my temple hurts when I yuan and I have lots of pressure around my eyes and right ear. Is this normal or should I get a second opinion? I am being told its my PTSD.

Jump to this post

Thank you Justin, I went to the ER and they did a CT scan it came back normal. But when they gave a cocktail a mixture of Tylenol Benadryl and else and made the pain worse. Then they gave me morphine, it put me to sleep but when I woke up my pain went from 10 to 3, they are telling me its silent headaches but I never heard of them lasting 24/7

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@david33

Hello,
My name is Laura and I’m 45. On Monday May 8th I was helping my husband and friend unload a trailer of split wood, I stood up as my husband left go of his and it hit my temple. I couldn’t see anything for about 15 to 20 mins, my husband did take me to the ER and they ran test and I have a real bad concussion with a hematoma. The swelling is gone but still have pain in my right side of jaw, and my temple hurts when I yuan and I have lots of pressure around my eyes and right ear. Is this normal or should I get a second opinion? I am being told its my PTSD.

Jump to this post

Hi Laura: I concur with Justin. A second opinion sounds like an excellent idea. Sometimes a “brain-bleed” does not show up right away, however, by doing a new CT scan or MRI it might show up now. As you have an upcoming appointment this month, perhaps that test will be ordered. Best wishes! Teresa

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@david33

Hello,
My name is Laura and I’m 45. On Monday May 8th I was helping my husband and friend unload a trailer of split wood, I stood up as my husband left go of his and it hit my temple. I couldn’t see anything for about 15 to 20 mins, my husband did take me to the ER and they ran test and I have a real bad concussion with a hematoma. The swelling is gone but still have pain in my right side of jaw, and my temple hurts when I yuan and I have lots of pressure around my eyes and right ear. Is this normal or should I get a second opinion? I am being told its my PTSD.

Jump to this post

Hi Laura Just wanted you to know you are in my prayers and wishing you God speed in your recovery.

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Hey Laura How long have you been married? Better not chop wood with your husband anymore. Huuuuummmmmmmmmmm Cancel your life
insurance policy! (Just kidding) Hope you feel better. Sounds like you got one heck of a whack!

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@janneg

I had fallen on a corner of an end table while on vacation. I did not seek medical attention. I went to bed (dumb thing to do) and thought, well, I woke up and all ok, despite black eyes, face and huge dent in head with blister full of blood. I was checking hemotomas and did not like what I read. I then asked Mayo as you did for advice 22 days later. I was told that you could still bleed with hematoma under the skull for up to 6 weeks or more and to get a scan done-which I did. All was ok, but I could have died. I hope you were given a scan of your brain and not just told you were ok. If not-GO AND GET ONE DONE NOW. I was thankful for their advice. I have always put everyone before myself and will never so that again. You come first, especially your health.

Jump to this post

Hi, I am not sure if this discussion is still active, but I found it because I have a similar situation. I was in an accident and hit my head on the driver's side window. Like you i developed a hemotoma and a dent on my forehead, and woke up with black and blue eyes. Its been two weeks and I did go to urgent care, but they told me they didnt think I needed a scan because I didnt faint, or was dizzy, and no vomiting. Now Im wondering if I should just go amd get a CT scan done anyways, although it is healing and going down, and my bruised eyes are also getting better. Im also wondering about the dent, will it go away? Thank you for sharing your experience. Hopefully this discussion is still active and I will wait for a reply. 🙂

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@victoriav110

Hi, I am not sure if this discussion is still active, but I found it because I have a similar situation. I was in an accident and hit my head on the driver's side window. Like you i developed a hemotoma and a dent on my forehead, and woke up with black and blue eyes. Its been two weeks and I did go to urgent care, but they told me they didnt think I needed a scan because I didnt faint, or was dizzy, and no vomiting. Now Im wondering if I should just go amd get a CT scan done anyways, although it is healing and going down, and my bruised eyes are also getting better. Im also wondering about the dent, will it go away? Thank you for sharing your experience. Hopefully this discussion is still active and I will wait for a reply. 🙂

Jump to this post

Hello, @victoriav110, and welcome to Mayo Clinic Connect. Sounds like you were in quite a car accident with hitting your head and developing a dent and a hematoma. It also sounds as though you are not feeling comfortable with the urgent care recommendation against a CT scan.

If you click on VIEW & REPLY in your email notification, you will see the whole discussion and can join in, meet, and participate with other members talking about their experiences.

I'm hoping that members who have been involved in this discussion, "Blow to head and possible hematoma," will return and offer their insights on CT scans and whether the dent in your forehead will go away with time, like @janneg @hopeful33250 and @david33. I'd also like to bring in @jenniferhunter and @lakelifelady @treyaj @kobeelya for their insights.

@victoriav110 – have you had the chance to speak to your primary care doctor about a visit to follow up on your injuries from the car accident? If so, what did he or she recommend?

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@victoriav110

Hi, I am not sure if this discussion is still active, but I found it because I have a similar situation. I was in an accident and hit my head on the driver's side window. Like you i developed a hemotoma and a dent on my forehead, and woke up with black and blue eyes. Its been two weeks and I did go to urgent care, but they told me they didnt think I needed a scan because I didnt faint, or was dizzy, and no vomiting. Now Im wondering if I should just go amd get a CT scan done anyways, although it is healing and going down, and my bruised eyes are also getting better. Im also wondering about the dent, will it go away? Thank you for sharing your experience. Hopefully this discussion is still active and I will wait for a reply. 🙂

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@victoriav110 My suggestion would be to consult your regular physician or a neurologist who specializes in problems with the nervous system. Any time a person hits their head, there's a possibility of a bleed in the brain, and that can become evident a day later and be fatal. There are news stories about people who think they are fine after head trauma, and they die later. That's why it's important to watch a person and not allow them to sleep after an impact to the head. I'm not suggesting that happened to you, but without imaging, it goes undetected. The doctors should look for problems with abnormally dilated pupils in response to light to look for brain injuries. When you have an elderly person in a nursing home who falls and hits their head, they are sent for a CT scan right away. My dad had a traumatic brain injury from a skull fracture that affected him the rest of his life so I take these things seriously. The brain is floating in fluid inside the skull kind of like the yolk inside a raw egg, and the brain will contact the skull during a serious impact. The brain itself is soft like jello. It sounds like you are functioning well and it's been 2 weeks, but I can't offer an opinion on benefits of a CT scan now at 2 weeks since I'm not a doctor. It is expensive and you might have trouble with insurance coverage if you don't have symptoms that would qualify it as medically necessary. That's a question for a doctor. If you had insisted at the Urgent care, or gone elsewhere at that time, they may have done it.

The skull is also jointed, and the joints could have shifted a bit from the impact, and also been affected by muscle spasms that connect the neck and skull. A physical therapist who does cranial sacral work could assess that in case the dent is an alignment problem. I suppose it's possible it's a skin compression issue with compressed fascia, and myofascial release might help, essentially stretching the skin to the barrier and holding it until it gives and releases. You can see myofascialrelease.com for information.

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@victoriav110

Hi, I am not sure if this discussion is still active, but I found it because I have a similar situation. I was in an accident and hit my head on the driver's side window. Like you i developed a hemotoma and a dent on my forehead, and woke up with black and blue eyes. Its been two weeks and I did go to urgent care, but they told me they didnt think I needed a scan because I didnt faint, or was dizzy, and no vomiting. Now Im wondering if I should just go amd get a CT scan done anyways, although it is healing and going down, and my bruised eyes are also getting better. Im also wondering about the dent, will it go away? Thank you for sharing your experience. Hopefully this discussion is still active and I will wait for a reply. 🙂

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Hi @victoriav110 – how are you doing? Did you end up having a CT scan?

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