Hello, I fainted, fell backwards and hit the back of my head on the garage floor about eight weeks ago. Went to the ER and did not get a CT scan at that time, based on the ER doc's evaluation. First month was bad - daily headaches, balance issues, etc. but I am slowly improving, although still minimally exercising and not spending too much time in the sun due to light sensitivity. I went to my regular doctor for a check up about two weeks ago because my headaches were pretty bad and she wanted me to get a CT scan. I haven't yet because I seem to be healing and it doesn't seem necessary. Does anyone have thoughts on whether I should get one, or not? I have a high deductible health plan so would rather not spend the $800 if there is no real benefit and I'm not sure what it would reveal. My doctor, while very good, is a general practitioner and basically went on her computer and read up about concussions during my visit.

ahughes,

Welcome to NeuroTalk.

Your doctor is just trying to cover her bases. A CT Scan is not necessary unless you have debilitating head aches, muscle weakness, unequal pupils, slurred speech, or any stroke like symptoms. I'd spend the money on a neuro consult before a CT scan. If your insurance covers office visits, ask for a referral to a neuro or head ache specialist to get a better understanding.

Did she do a neurological assessment with motor control testing, muscle strength testing, etc ?

Do you have even the slightest soreness or tenderness in your neck or upper back or between your shoulders ? Whiplash can be a big cause of making concussion symptoms worse.

Do you have any idea why you fainted ?

Keep in touch and let us know how you are doing.

My best to you.

Mark thank you so much. That is what I was thinking - a more covering of the bases. She did do several motor skills and neurological tests and they were fine. No real neck pain. The headaches are getting better, but it is just going to take some time, and I have not been very good about resting my brain - too much external stimulation (TV, internet, reading, etc.). My family is urging me to go ahead and get the CT scan so will think about it, but leaning towards 'no.'