General Question

wiscoblond's avatar

Can you have a concussion without the telltale signs that show in your pupils?

Asked by wiscoblond (2250points) September 23rd, 2019 from iPhone

I fell and hit my head hard almost two weeks ago. It’s still sore and I have a stiff neck. I’ve been out of it with brain fog and confusion. Now I’m suffering from vertigo.

My husband looked at my pupils the night of the fall and said they were fine. If I had a concussion it would show in my pupils.

Is this correct?

I’m calling my doctor in the morning. My son is my priority today.

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23 Answers

KNOWITALL's avatar

Yikes, yeah, go get checked. I had a friend die in his sleep from not getting checked out. Please don’t wait if you don’t have to.

canidmajor's avatar

I have had a couple of concussions, I can speak to this.
Is it OK if I answer this one?

janbb's avatar

I don’t know much about concussions but if your symptoms are what they are, go to the doctor today. You’re not much good to your son if you’re sick.

canidmajor's avatar

The pupil thing isn’t absolute, although it’s a good tell if it’s there. I only had the pupil thing once, the other times I was beset with blurred vision and headaches and some dizziness. I was dazzled by sunlight and my night vision was negatively affected.Extra dark sunglasses helped during the day with the headaches.

I agree with @janbb, the sooner the better to the doctor.

jca2's avatar

I know two people that died in the past year from hitting their heads.

I’d go ASAP to the doctor. Even if someone else can stay with your son, who I believe is big enough to be left alone, I’d go right away to the doctor.

wiscoblond's avatar

We’re at his therapist right now. That’s why I couldn’t do anything today. :(

flutherother's avatar

I think you’re OK. Signs of a concussion usually appear within a few minutes or hours of a head injury. Occasionally they may not be obvious for a few days, so it’s important to look out for any problems in the days following a head injury.

Symptoms include:
• a headache that doesn’t go away or isn’t relieved with painkillers
• dizziness
• feeling sick or vomiting
• memory loss – you may not remember what happened before or after the injury
• clumsiness or trouble with balance
• unusual behaviour – you may become irritated easily or have sudden mood swings
• feeling stunned, dazed or confused
• changes in your vision – such as blurred vision, double vision or “seeing stars”
• being knocked out or struggling to stay awake.

There is no harm in getting a doctor to check you over. The vertigo and stiffness might have other causes.

PS. To look after your son you must first look after yourself.

MrGrimm888's avatar

Well. First of all, we need to be clear, that a concussion, is not the only possible complication, from a head injury…

There are multiple things, that could be contributing to OPs symptoms.

It’s doctor time. I would recommend that you seek help ASAP. IF you have insurance, get a full work up, on your head.

It may be expensive, but it’s better than death…

I have definitely had head injuries, that had symptoms that lasted for over a month. From football, MMA, street fights, falls, etc. I usually don’t get them checked out, because I have no insurance. Having said that. The OP seems concerned about the issue. Go, and get checked out. Even if going to the ER. Go ASAP. Deal with the financial issues, when we know you’re ok.

It’s unlikely to be fatal, this far into the injury. But there could be something else going on. PLEASE. Get checked out immediately…

Good luck.

Peace n love.

JLeslie's avatar

I think to be safe go to the doctor. Probably, you should get a CT. I hate going to the doctor, but a head injury isn’t something to play with.

Has it been two weeks already since the accident?

It might not be a concussion, it could be something else.

Is the vertigo constant? Or, is it fleeting? Maybe lasting 20–30 seconds in certain positions?

The vertigo could be from a brain injury, or might be positional caused by being shaken.

Have you been nauseas?

MrGrimm888's avatar

It could even be caused by inner ear infections…

jca2's avatar

@wiscoblond: Did you go to the doctor? What’s the diagnosis?

wiscoblond's avatar

My doctor said I experienced a concussion. I have a referral to neurologist. I’ve needed one for some time anyway due to my ocular migraines and I’m especially concerned since my mother had brain aneurysms and I have a cousin who died from brain cancer.

Today is the first day my vertigo hasn’t been horrible. It’s there but manageable.

Thanks everyone. I appreciate the help and concern.

janbb's avatar

Hope you feel much better soon!

MrGrimm888's avatar

Go to the specialist dammit.

JLeslie's avatar

When is your appointment with the neurologist?

Was the vertigo constant? Or, only when you changed positions?

MrGrimm888's avatar

Like I said. Vertigo, can be an inner ear thing. Get that checked.

JLeslie's avatar

@MrGrimm888 Who are you talking to? Me or the OP? I suffer from vertigo from an accident, I am trying to figure out with my question if it sounds like an ear problem or brain problem.

It is most likely not and infection or inflammation in her ear, because it started with the accident, if I understood correctly. Let’s not look for zebras yet.

The accident could have shook the crystals in her ears so her perception of gravity and balance is off. Or, her head injury could have caused inflammation, injury, or a bleed in her brain causing vertigo. The ear one I speak usually is moving through or in certain positions. Vertigo from a brain injury would more likely be constant.

If it is an infection or inner ear inflammation, it would be more likely constant also, but it also would be relieved with antihistamines. I would tell the OP she con try an antihistamine, or more specifically a Dramamine to test that possible cause, but I hesitate, because there is reason to believe it is accident related.

MrGrimm888's avatar

^Apologies. I was addressing the OP. But, in your case, and her’s I’m saying there could be multiple reasons, responsible for vertigo. My grandmother suffers similar symptoms. But she refuses to take any medications. So. The symptoms have never been cured . But it definitely impacts her quality of life. She cries a LOT, because of it. She allegedly has some sort of inner ear disease. I hate that my granny suffers from these symptoms, and I wanted to make sure the OP, doesn’t suffer the same fate. A bad fall, could disrupt her inner ear…

My Granny, went to a specialist, who flipped her upside down, and concluded that she could have a problem with the inner ear. I don’t wish these symtpoms, on anyone. That’s why I brought it up. I hate to see people suffering. It was years, before my granny got seen by a specialist. I think he’s right. But she won’t take the necessary treatments. So. She continues to suffer. It’s heart breaking…

JLeslie's avatar

@MrGrimm888 I do agree with you it could be the ear, I’m just saying I think it’s most likely caused by the accident. I also will say that a neurologist is likely to blame it on the brain when it could be the ear, a neurologist could overlook the ear altogether.

Maybe your grandma has Meniere’s Disease. Maybe the medicine she is prescribed doesn’t work well. I have positional vertigo, and motion sick pills don’t help at all. I luckily correct fairly easily with the Epley Maneuver (you have to flip around a few times in a special pattern) and luckily I haven’t had the vertigo as severe as when I had my accident. I couldn’t sit up after my accident because I felt like the bed was disappearing from beneath me, and I was being thrown out of it. It’s the only time I have screamed out loud from fear ever in my life.

It’s horrible having vertigo. I don’t wish it on anyone. I try to avoid triggering mine, which means I don’t do a lot of things I used to when I dance and exercise.

MrGrimm888's avatar

She HAS been diagnosed with the disease you speak of. But she won’t take medication for it….

JLeslie's avatar

^^The only medication I know is typical dizzy drugs or anti-nausea drugs. Maybe there is a drug specific for it that I’m unaware of. Maybe the drug doesn’t help her feel better? Sometimes there is surgery that can help.

MrGrimm888's avatar

^She won’t do either. She’s set on her ways… Many of our family members, have simply given up, on trying to help her. I am sadly one of them. I cannot tolerate her crying about it, if she won’t accept medical advice… She is very religious, and expects God, to cure her.

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