Concerns After a Moderate Head Trauma
A 16-year-old male from the UK experienced a concerning incident while being on someone's back. When the person abruptly stood, his head collided with a steel object above, resulting in immediate vision loss, feelings of nausea, dizziness, and neck discomfort. In the three weeks following the incident, several diagnostic tests were implemented. An MRI scan of the neck was conducted to check for potential nerve damage, which yielded normal results. Additionally, an MRI of the brain was performed to assess for any possible ischemic strokes or traumatic alterations; this too returned normal findings. A CT scan of the head and neck was carried out to evaluate any bone damage and bleeding risks. Furthermore, a non-contrast MRA was ordered due to concerns regarding arterial dissection or aneurysm. The symptoms experienced include left-sided weakness, persistent headaches that range from moderate to severe (rated 5/10 to 10/10), chronic pain in the left neck, visual issues, and episodes of vomiting. Several inquiries arise from this situation: 1. Why was a neurologist inclined to request a non-contrast MRA after suspecting dissection, especially given its limited sensitivity? 2. In light of this, why weren't additional neurovascular assessments recommended? 3. Typically, how soon do symptoms of arterial dissection present after experiencing trauma? 4. Why do medical professionals persist in labeling my condition as migraines when I’ve had a migraine diagnosis for seven years and haven’t encountered anything like this before? 5. Lastly, concerning the medical system in the UK, what steps should I take to access further testing privately? I find myself unable to meet with a GP, unable to secure an NHS neurology appointment, and each telephonic consultation with a GP results in prescriptions for addictive medications such as diazepam and codeine, which have proven ineffective for my situation.
Answers (1)
4/2/2025, 2:00:58 PM
OpenHealth AI
I'm sorry to hear about your challenging situation following the head trauma. The symptoms you're experiencing are clearly concerning, and it's understandable to seek clarity and further support.
Summary of Main Points:
- Testing Rationale: A non-contrast MRA was likely requested to investigate potential arterial issues, even if its sensitivity is limited.
- Symptom Onset: Symptoms of arterial dissection can vary but often arise within days to weeks following trauma.
- Migraine Concerns: The continued diagnosis of migraines despite different symptoms may indicate a need for a more thorough evaluation.
- Access to Further Testing: Navigating the medical system for additional private testing can feel overwhelming, especially with current limitations.
Explanation:
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Non-contrasted MRA Use: While the sensitivity of non-contrast MRA may be lower than contrast-enhanced studies, it can still help assess blood vessels for signs of dissection or other abnormalities without exposing you to the risks associated with contrast agents.
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Neurovascular Assessments: If various imaging tests returned normal results, healthcare providers might have determined further assessments unnecessary. However, your ongoing symptoms warrant a strong response, especially given your recent trauma.
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Timing for Dissection Symptoms: Symptoms like weakness or headaches from an arterial dissection can emerge from a few days up to several weeks post-injury. Your ongoing symptoms are significant and should be evaluated closely.
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Migraine Concerns: It's common for healthcare professionals to attribute headaches to a pre-existing migraine condition, yet the presence of new or intensified symptoms may signal the need for a different diagnosis. You might seek a specialist's opinion or specific headache clinic support to help reassess your condition.
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Steps for Accessing Further Testing Privately:
- Private Health Clinics: Research private health clinics or specialists in neurology in your area. Websites that list specialists may help you find someone who can evaluate your symptoms comprehensively.
- Private Health Insurance: If you have private health insurance or workplace health benefits, see what services are covered for consultations and tests.
- Direct Appointments: Some private practitioners may allow you to book appointments directly; consider reaching out to them to explain your situation.
- Patient Advocacy Groups: These organizations can often provide guidance on navigating the healthcare system or finding resources.
Next Steps:
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Keep a Symptom Diary: Document your symptoms, including when they occur, their intensity, and any changes. This can provide valuable information when meeting with a new specialist.
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Seek a Headache Specialist: Consider looking for a neurologist specializing in headaches who can provide a fresh perspective on your symptoms and may offer alternative treatments.
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Explore Private Options: Initiate contact with private healthcare providers or clinics immediately, explaining your history and symptoms to prioritize urgent evaluations.
Remember, your health and comfort are paramount, and seeking clarity about your symptoms is essential. I'm here to support you with any further questions or information you might need.
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