Recently, my daughter got kicked in the head during a soccer game. She seemed fine at the time, but later developed a sizable lump on her forehead. Is this a concern?
Answer From David J. Daniels, M.D., Ph.D.
Probably not. Head trauma from play or sports is a common concern for parents, but rarely does a bump on the head result in serious injury.
The forehead and scalp have a large blood supply. Injury to these areas often results in bleeding under the skin. When the bleeding is in just one area, it causes bruising and swelling, known as a hematoma. Keep in mind that even a minor head bump can cause a large swelling.
The speed, momentum and size of the children involved, such as teenagers versus young children, can increase the possibility of a serious injury. The forces involved, such as impact with a concrete floor or hard surface, also can raise the risk of a serious injury.
When to see a doctor
The American Academy of Pediatrics recommends that you call a member of your child's healthcare team for anything more than a light bump on your child's head.
If your child remains alert, moves as usual and responds to you, the injury is probably mild. A mild injury usually doesn't need further testing.
Occasionally, a blow to the head may be bad enough to cause bleeding in or around the brain. This type of bleeding can cause an intracranial hematoma, a serious condition that puts pressure on the brain.
See a healthcare professional within 1 to 2 days of a head injury with ongoing symptoms, even if emergency care isn't required.
Seek emergency medical attention if your child experiences:
- Loss of consciousness, confusion or disorientation after a head injury.
Also seek emergency attention if your child has the following symptoms after a head injury, which could signal a concussion:
- A headache that is getting worse.
- Trouble with balance.
- Vomiting.
- Blood or clear fluid coming from the nose or ears.
- Memory loss or confusion.
- Mood changes, such as being irritable.
With
David J. Daniels, M.D., Ph.D.
Show References
- Meehan SP, et al. Concussion in children and adolescents: Clinical manifestations and diagnosis. https://www.uptodate.com/contents/search. Accessed March 22, 2024.
- Lumba-Brown A, et al. Centers for Disease Control and Prevention guideline on the diagnosis and management of mild traumatic brain injury among children. JAMA Pediatrics. 2018; doi:10.1001/jamapediatrics.2018.2853.
- Schutzman S. Minor head trauma in infants and children: Management. https://www.uptodate.com/contents/search. Accessed March 22, 2024.
- Symptoms of mild TBI and concussion. Centers for Disease Control and Prevention. https://www.cdc.gov/traumaticbraininjury/concussion/symptoms.html. Accessed March 22, 2024.
- Concussion signs and symptoms. Centers for Disease Control and Prevention. https://www.cdc.gov/headsup/basics/concussion_symptoms.html. Accessed March 22, 2024.
- Schutzman S. Minor blunt head trauma in children (2 years and older): Clinical features and evaluation. https://www.uptodate.com/contents/search. Accessed March 22, 2024.
- Sports-related concussion. Merck Manual Professional Version. https://www.merckmanuals.com/professional/injuries-poisoning/traumatic-brain-injury-tbi/sports-related-concussion#. Accessed April 3, 2024.
- Halstead ME, et al. Sport-related concussion in children and adolescents. Pediatrics. 2018; doi:10.1542/peds.2018-3074.
- Head injury. Pediatric Care Online. https://publications.aap.org/pediatriccare. Accessed April 3, 2024.
- Minor head injuries in children. Pediatric Patient Education. https://publications.aap.org/patiented. Accessed April 4, 2024.
Original article: https://www.mayoclinic.org/diseases-conditions/intracranial-hematoma/expert-answers/head-injury/faq-20058442