A concussed Simon Cowell gave a thumbs up today as he returned home from hospital after falling down the stairs - but risked further injury by leaving his shoelaces untied.
The star, 58, was stretchered out of his London mansion to hospital in a neck brace after the accident while going to get a cup of hot milk to help him fall asleep at around 7.30am today.
He looked dazed as he arrived home at around 4pm looking slightly dishevelled in tracksuit bottoms and trainers.
Speaking at his front door he said: 'I fainted and fell down the stairs. I've got a bit of concussion. I feel better now' and thanked fans for their ‘concern'.
The fall came just a day before the first live X-Factor show of the year on Saturday and confirming he may not well enough to appear he said: 'I will be back but I don't know about tomorrow'.
His partner Lauren was in New York with their son Eric but is flying back to London to be with him.
The X-Factor star is believed to have been going to the kitchen to get a hot drink when he fainted before clattering down the stairs.
The cause of his collapse is not yet known but in 2012 he reportedly told friends that running the X-Factor and his other TV talent show in the UK and America had left him with nervous exhaustion and living 'like a weird vampire' because of his globetrotting.
Representatives for Cowell and The X Factor have been asked to comment.
London Ambulance Service told MailOnline they couldn't comment on cases 'where patients could be identified'.
In July Simon missed part of the live auditions for his ITV talent show after being left in bed by a mystery illness.
Last June his partner Lauren was forced to step in as host at his own fundraising event in London because he was struck down with the flu.
In 2012 he collapsed from nervous exhaustion this summer after his workaholic lifestyle got the better of him.
The star was bedridden for weeks after doctors told him to rest, according to his updated biography.
It claimed the then 52-year-old admitted he was ‘paralysed with tiredness’ and his ‘immune system was failing’ because of his job.
In an updated version of his book Sweet Revenge: The Intimate Life Of Simon Cowell, biographer Tom Bower claims that the star had to halt filming of the US show as he began acting like a ‘weird vampire’, working through the night.
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