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Head Injuries in Children – When to Worry and When to See a Specialist – Dr. Vishakha Patil, Best Paediatric Neurosurgeon in Hyderabad, Explains

Head injuries in children are a common concern for parents. Whether it’s a minor bump while playing or a more serious fall, the fear of lasting damage is natural. As the brain is still developing in children, timely attention and the right treatment are crucial to ensure their healthy growth and well-being.

In this article, Dr. Vishakha Patil, one of the best paediatric neurosurgeons in Hyderabad, explains when a head injury can be managed at home and when it requires urgent medical attention.

Why Are Head Injuries Common in Children?

  • Children are naturally active, curious, and often fearless.
  • Their motor skills are still developing, making them prone to falls.
  • Contact sports, playground activities, and bicycle riding can increase the risk.
  • Infants and toddlers may fall from beds, sofas, or while learning to walk.
  • While most minor head bumps result in no long-term problems, some injuries can be serious and need prompt evaluation.

Types of Head Injuries in Children

  1. Minor Bumps and Bruises – Superficial injuries with mild pain or swelling.
  2. Concussion – A mild traumatic brain injury (TBI) that may cause confusion, dizziness, or brief loss of consciousness.
  3. Skull Fracture – A break in the skull bone, sometimes associated with bleeding.
  4. Intracranial Injury – Bleeding or swelling inside the brain, which can be life-threatening if untreated.

Warning Signs Parents Should Never Ignore

Seek immediate medical attention if your child has:

  • Loss of consciousness (even for a few seconds)
  • Repeated vomiting
  • Excessive drowsiness or difficulty waking up
  • Seizures or convulsions
  • Clear fluid or blood leaking from the nose or ears
  • Persistent headache that worsens
  • Unequal pupils or blurred vision
  • Sudden behavioural changes (confusion, irritability, slurred speech)
  • Weakness or difficulty moving arms/legs

What to Do Immediately After a Head Injury

  • Stay calm and comfort your child.
  • Apply a cold pack to reduce swelling.
  • Keep your child awake and observe for any unusual symptoms.
  • Do not give strong painkillers without medical advice.
  • If there is heavy bleeding, apply gentle pressure with a clean cloth.

When to See a Specialist

  • According to Dr. Vishakha Patil, parents should consult a paediatric neurosurgeon if:
  • The child has any of the red-flag symptoms listed above.
  • The child is under 2 years old and had a fall from a height.
  • The injury occurred during sports or road accidents.
  • There are signs of skull fracture or abnormal CT/MRI scan reports.
  • The child has recurrent headaches, memory issues, or behavioural changes after a head injury.

How a Paediatric Neurosurgeon Can Help

  • Dr. Vishakha Patil explains that treatment depends on the severity of the injury:
  • Observation & Monitoring – For mild injuries and concussions.
  • Medication – To control swelling, pain, or seizures.
  • Surgical Intervention – In cases of bleeding, skull fractures, or severe brain injury.
  • Rehabilitation & Follow-up – Ensuring the child recovers fully without long-term complications.

Dr. Vishakha Patil’s Advice to Parents

  • Never ignore a head injury, even if your child appears fine initially.
  • Trust your instincts – if something feels unusual about your child’s behaviour, seek medical advice.
  • Always use protective gear (helmets for cycling, safety gear for sports).
  • Child-proof your home to minimise risks for toddlers.

Frequently Asked Questions (FAQ)

  1. My child vomited once after hitting their head. Should I worry?

Occasional vomiting can happen, but repeated vomiting is a red flag. If it continues, consult a doctor immediately.

  1. Is it normal for my child to sleep after a fall?

Mild tiredness can occur, but if your child is excessively drowsy or hard to wake up, it requires urgent medical evaluation.

  1. How long should I observe my child after a head injury?

Monitor for at least 24–48 hours. If symptoms worsen, seek medical attention right away.

  1. Can a mild concussion affect school performance later?

Yes. Some children may experience concentration issues, headaches, or memory problems. Regular follow-up with a specialist is important.

  1. When is a CT scan needed for a child’s head injury?

A CT scan is recommended if there are red-flag symptoms like loss of consciousness, seizures, repeated vomiting, or suspected skull fracture.

Final Thoughts

Most childhood head injuries are minor and heal without problems. However, some can be life-threatening if not addressed quickly. Early recognition and timely consultation with a paediatric neurosurgeon like Dr. Vishakha Patil in Hyderabad can make all the difference in protecting your child’s brain health

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