Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS).


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Old 10-17-2015, 07:08 PM #1
NotTHIS!! NotTHIS!! is offline
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Default Results of my DTI Scan

Looks like my corpus callosum is damaged, a lot of dark spots.

Was informed that it usually gets damaged in a brain injury and falling head first into a concrete floor would do that.

Anyone know any of effects from a damaged corpus callosum near the rear of the head?

Been some months since I last posted, I no longer have the low grade morning seizures where I stare at the wall for an hour and memory has come back to some degree but speed of processing is still horrible... it's like my thought process is stuck in mud.

The memory issue that is left is very acute, I'll lose track of thought during short conversations and forget why I'm going from one room to the other 3 out of 4 times... I'm thinking of writing everything down before I leave to mitigate this effect.... not practical but better than staying frustrated with having to get things done.

Headaches continue but they come and go for around an hour or two, have a could so sneezing isn't helping right now

Thx for reading and any input
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Old 10-17-2015, 07:28 PM #2
Mark in Idaho Mark in Idaho is offline
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From what I understand the corpus callosum connects input to memory. If it is damaged, it can make storing memory difficult. Visual and auditory sensation/input needs to be directed to memory banks.

You may find that you can remember things better if you repeat things out loud before moving on. This adds multi-sensory avenues for remembering.

The CC also is a big part of the filtering of sensory input. I would expect you struggling with too much sensory stimulation. As my neuro said, I hear everything. Nothing gets filtered out.

When you lose track of thought a conversation, it's likely that your processing is distracted. Sort of a lack of focus. Too many voices can be brutal in this situation.

Smart phones and tablets can be very helpful in these situations for making notes and reminders.
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Old 10-17-2015, 08:53 PM #3
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This is VERY interesting guys!! I need to look into this Results of my DTI Scan I appreciate this. I don't know what a DTI scan is? But I'll figure it out. I do know I have MAJOR memory issues and major loss of time issues. It goes from good days to bAd days. In terms of dark spots? I know I have that too, but I thought that was from the blood.

So gonna look into this.


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Old 10-17-2015, 09:52 PM #4
Mark in Idaho Mark in Idaho is offline
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DTI is a Diffusion Tensored Image MRI. It measure the flow of fluid in the brain. Studies show it can indicate damage although it does not show the specific damage. Think of an overflowing sink as evidence of a clog in the drain somewhere. The DTI shows the abnormal flow of water in areas where it would not usually be flowing.

It can be used to confirm an injury but has not been developed as a way to direct treatment.
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Old 10-17-2015, 11:07 PM #5
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Quote:
Originally Posted by Mark in Idaho View Post
From what I understand the corpus callosum connects input to memory. If it is damaged, it can make storing memory difficult. Visual and auditory sensation/input needs to be directed to memory banks...
The loss of memory is very acute, its as if something didn't happen when logically it did... really ticks me off and frustrating. Was supposed to go back to work but they denied my ADA request.

Quote:
The CC also is a big part of the filtering of sensory input. I would expect you struggling with too much sensory stimulation. As my neuro said, I hear everything. Nothing gets filtered out.
Exactly

I explained this effect to the therapist the other day that I most likely I can remember what I'm doing moving from one room to the other if I can walk to the other room blindly. If I look at something I instantly forget 3 out of 4 times what I went into that room for if it has nothing to do with the thought process.

It's really frustrating

I still get debilitating head aches if I drive over an hour, its like my brain turns to mush but less so at night.

Quote:
When you lose track of thought a conversation, it's likely that your processing is distracted. Sort of a lack of focus. Too many voices can be brutal in this situation.
yeah, too many of my voices or thoughts ... I often have to close my eyes when I talk
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Old 10-17-2015, 11:14 PM #6
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Quote:
Originally Posted by chrybmb View Post
This is VERY interesting guys!! I need to look into this Results of my DTI Scan I appreciate this. I don't know what a DTI scan is? ...
Diffusion Tensor Imaging - basically a scan that can detect lower level bruises on the brain.... the smaller stuff.

Quote:
I do know I have MAJOR memory issues and major loss of time issues.
I had time issues all of the time at first, I know have many many tell tales to let me know what time it is. But time shifting is still an issue, sometimes I feel some things that happened today happened last week. I have a supportive spouse so I'm kept straight.

Quote:
It goes from good days to bAd days. In terms of dark spots? I know I have that too, but I thought that was from the blood.
The dark spots on a DTI scan show the axonal tears or bruising (the non technical word) on the brain. Mine are deep and dark... I pray yours isn't the same
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Old 10-18-2015, 02:37 PM #7
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Hi NotThis,

I've been thinking about having a DT done for the past 6 months, and have posted some info on it. The one thing you have now is knowledge that your issues are biological rather than psychological, which I think it helpful. It will hopefully help you develop effective work-arounds and move forward with everything. In this sense, I believe DTI can help direct treatment... what could be more important than knowing the area of the brain that is deficient in function?

One thing, out of interest where did you have your DTI done? I've been unsuccessfully trying to find one for some time. I keep being told that these are at the research stage, which is true.
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Old 10-18-2015, 03:00 PM #8
Laupala Laupala is offline
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NotThis,

Did you have a normal MRI before the DTI? If so, did that show anything?
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26 year-old PhD student in evolutionary biology, slipped on ice in Feb 2014 while clipping my fingernails and walking to save time (dumbest reason for PCS ever?). Initially just had headaches and didn't feel quite right, but a minor head bump 5 days later started a downward spiral of anxiety, depression, insomnia and fatigue. Had trouble concentrating on reading/looking at screens

April 2014 - did exertion test, passed, started exercising and doing more, but didn't feel much better.

May 2014 - Went on backpacking trip OK'd by doctor, trip itself went fine, but felt worse a few days after getting back, more difficulty concentrating, worse headaches.

June 2014 - Bumped head on ceiling walking slowly down stairs, no immediate symptoms, but caused worsening headahces, more difficulty concentrating and looking at screens. Have not felt as good as I did before this since this bump.

December 2014 - after feeling relatively better I went xc skiing and fell but didn't hit my head (something my psychologist who specializes in brain injuries told me he hoped would happen so I saw it was OK), felt worse

Feb 2015 - back in grad school, light teaching load and some research, nowhere close to operating at my full capacity. Still have constant headaches, difficulty reading/looking at screens, mild anxiety and depression, and just not feeling like my normal sharp self.

Trying, but struggling, to believe that I'll get back to my old self, or at least get close.
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Old 10-18-2015, 10:20 PM #9
Mark in Idaho Mark in Idaho is offline
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MM,

I had a shoulder MRI 2 months ago. I asked the tech. She said it is just a matter of the MRI equipment having the proper software package. She believed most due. DTI's are also used for imaging heart disease. The challenge is finding a neuro who will prescribe it and a radiologist who knows how to read the images. You might try contacting some local radiologist groups and ask some questions.

A brain injury attorney might also be a good contact. They may have the contacts to the radiologists and if you tell them a DTI can differentiate physiological from psychological issues, they may want to find a DTI radiologist for their own use.

Also, The Cleveland Clinic has a huge radiologist group that reads images taken in MRI's and other facilities nationwide. That may be a good place to check. My shoulder MRI taken in Idaho was read by Cleveland. A Massachusetts PCS patient who is a NT participant had his MRI sent off to Cleveland to be read. Research shows that the neuroradiologist who reads the MRI is a very important part of the equation.
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Old 08-23-2016, 04:51 AM #10
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Quote:
Originally Posted by Laupala View Post
NotThis,

Did you have a normal MRI before the DTI? If so, did that show anything?
Yes, I had a normal MRI and like others it showed little to nothing other than spots in the front near my nose which I though was funny seeing I smelled metal right after I fell like someone stuck a pipe up my nose.

The neurologist said most likely that was blood and I was smelling the iron in it... that makes sense.

Had a CT and X-ray... none of those are sensitive enough to show the things a DTI scan shows.
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