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CHRONIC CONFUSION: HEAD INJURY
A confusional state following a head injury must always be taken seriously and it is important to note that confusion can occur after the event. Head trauma can be dangerous because the injury may have caused bleeding on the surface of the brain under the bone (subdural or extradural hematoma). If the bleeding is severe it will become apparent at the time, the person becomes rapidly unwell and either going unconscious or looking as if they have had a stroke. Some bleeding is less severe at the time and the person appears to recover from the injury, only to run into problems later. The symptoms can vary from bouts of drowsiness (fluctuating consciousness) to episodic or chronic confusional states. The collection of blood is best shown up using a CT scan (computerized tomography) where a computerized assisted machine gives a form of X-ray picture with ’slice’ views of the brain. If the collection of blood is large it should be drained by a neurosurgical operation. Recovery can be complete but does depend on the degree of damage sustained.
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