Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Traumatic brain injury

Resolved Question:

Hello. My husband had a fall onto his head from about 10 feet in January of 2013. He was quite badly concussed, but was not knocked out. He hit at the back of his head, and the force of the fall burst his head open at the top...it was quite a blow. They never did any scans, they just stitched him up (it required two layers of stitches as it burst right to the skull. He was concussed quite badly for 10 days and was "normal" again after three weeks but after that he developed depression. He started to have problems sleeping, was irritable, less motivated. We had a very, very stressful year and in November 2013 he had a complete breakdown, after which he has been very deeply depressed. So much so that he left our family and lives on his own. He started Citalopram three weeks ago for the depression, and has started counselling. However, his behavior is often strange. He has turned very heartless and mean, where he was very kind before. He feels no emotions. He is sometimes hyper and says inappropriate things and has worrying memory problems and confusion (forgetting the day of the week and going to the wrong appointments). He is ike a stranger really. His doctor says it is just depressions but I am concerned there is some link to the head injury. Should he insist on a scan or seeing a specialist? Or is it more likely there is no link and he is just depressed due to the extreme stress he has experienced recently?

Category: Family Physician-GP

Ask Your Own Question

Category: HIV- AIDS Specialist
 21 Doctors Online

Hello,

Thank you for choosing DoctorSpring.

Yes, you should insist on a scan - preferably MRI brain with contrast. The depression and other cognitive symptoms seem to have evolved after the head injury and hence a traumatic brain injury has to be ruled out. The change in character - from kind to heartless and mean, lack of emotions could be due to a injury in the frontal lobe.

Other symptoms including the depressive symptoms does not fit into a traumatic brain injury or post concussion syndrome. But still there is a probability that these are related to the past injury and so it has to be ruled out by taking an MRI.

Does he have any other behavioural symptoms ? Any change in urination pattern (like urinating in public ?), lack of inhibition in general ? lack of smell etc ?

Hope this helps
Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news