Emergency measures after falling on the back of the head

The brain is a sophisticated organ in the human body. The brain is both hard and fragile. It is hard because the tissues inside the brain are surrounded by the skull, and it is fragile because once the brain is damaged, it is difficult to treat. In life, we often hit our heads accidentally, especially the back of the head. The back of the head contains the skull and cervical vertebrae, which have a great impact on the whole body. Once you fall, you must check and receive treatment in time.

The back of the human head is mainly composed of brain organs. When you fall on the back of the head, it is most likely to cause diseases such as concussion or cerebral hemorrhage. Symptoms such as dizziness, headache, nausea, vomiting, fear of light and excessive tears may often occur. If bleeding occurs, it is necessary to determine whether the flowing fluid is blood or liquid, because hitting the back of the head on the ground may cause a skull base fracture. When the skull base is fractured, the meninges at the skull base are tightly attached to the skull, and the meninges will tear during the fracture, causing cerebrospinal fluid leakage. Cerebrospinal fluid is a clear and transparent liquid that normally exists in the skull. When the meninges at the skull base rupture, it can flow into the sinuses adjacent to the skull base and then out of the nasal cavity, which is called cerebrospinal fluid rhinorrhea. When rhinorrhea occurs, clear transparent liquid or thin bloody liquid will continue to flow out of the nasal cavity, which will be relieved in a semi-recumbent position. From what you've described, it doesn't look like cerebrospinal fluid rhinorrhea, so don't worry. However, it is necessary to observe carefully. If it is not clear, it is recommended to go to a regular hospital for examination. It is recommended to perform a thin-layer CT scan of the skull base to observe whether there is a fracture line in the skull base bone.

Check after falling on the back of the head. Lumbar puncture showed normal intracranial pressure, and some patients had decreased intracranial pressure. The cerebrospinal fluid is colorless and transparent, does not contain blood, and the white blood cell count is normal. Biochemical tests are mostly within the normal range, and some may reveal a significant increase in acetylcholine content, a decrease in cholesterase activity, and an increase in potassium ion concentration.

1. Skull X-ray examination: no fracture was found.

2. Brain CT scan: no obvious abnormal changes in the skull and brain.

3. Electroencephalogram examination: The electroencephalogram is usually normal several months after the injury.

4. Cerebral blood flow examination: Cerebral blood flow may be reduced in the early stage after injury.

The patient can be observed in the emergency room for a certain period of time after the injury, and close attention should be paid to changes in consciousness, pupils, limb movements and vital signs. If secondary intracranial lesions or other complications are found, timely diagnosis and treatment can be provided. Patients in the acute phase of concussion should pay attention to bed rest, avoid adverse external stimulation, reduce mental activity, and appropriately receive sedatives and drugs to improve autonomic nervous function, and pay attention to the patient's psychological adjustment and treatment.