2007/01/10 by Allan H. Ropper, Kenneth C. Gorson · 2 citations
Medicine · #Traumatic Brain Injury Research #Traumatic Brain Injury and Neurovascular Disturbances #Child Abuse and Related Trauma #Medicine #Forehead #Vomiting #Nausea #Concussion #Falling (accident) #Anesthesia #Scalp #Convulsion #Tenderness #Neurological examination #Grand mal #Physical examination #Surgery #Poison control #Epilepsy #Injury prevention #Psychiatry #Medical emergency
paper · doi:10.1056/nejmcp064645
openalex publication_date 2007/01/10 · openalex created_date 2016/06/24 · openalex updated_date 2026/07/28
A 64-year-old woman slipped on an icy walk, falling forward and striking her forehead. She had a brief convulsion immediately after the fall, was unresponsive for less than 1 minute, and awakened with a severe generalized headache and nausea but no vomiting. In addition to being perplexed about the circumstances of the fall, she could not recall the previous few hours. She was awake and oriented and had no abnormalities on neurologic examination. Tenderness and a scalp contusion were apparent at the site of the impact, and there were abrasions on her right cheek. What is the expected course, and how should her case be managed?