Ayoosh,

Many doctors make such claims with no evidence. I never assumed you made it up. I did assume the doctor did. Coup contre coup refers to the brain bouncing inside the skull from a single impact. As I said, unless imaging showed bruising on both sides of your brain, there is no way to diagnose a coup contre coup. Many doctors will incorrectly label a head injury where your head hit two objects as coup contre coup when in reality, you suffered two separate impacts. It is no different than when a doctor diagnoses a concussion as a diffuse axonal injury. That is speculation unless a DTI MRI has been done and shows diffuse DTI responses.

My point was to not let that label cause you to have any extra concern.

Your focus should be your continuing symptoms, not what a doctor wrote on a report at first presentation.

btw, We have had many Canadians on NT who have struggled to get the specialty care needed for a concussion. PCP care and ER care is easy to access. Getting to that specialist level of head injury care can be a challenge. If one doctor is not helping you improve, search for another doctor.

Your ability to express yourself in text posts online suggests the issue is not verbal processing, aphasia, etc. The dysarthria comment is a consideration. That refers to the muscle control of the tongue that can be neck related that I mentioned.

If you are in Ontario, MyoWorx focuses on the neck issues of head injuries in Guelph. There is a chiropractor in Canada who claims high level research and results. There are functional neurologists and chiropractic neurologists all over Canada. Upper cervical specialist, either physiotherapists or chiropractors, can help many. Just as every head injury is different, every specialist who claims to be able to treat you may not be able to help you with your specific issues.

Ontario Neurotrauma Foundation helps people locate resources throughout Canada. ONF.org

These neck issues are what I call subtle neck injuries. They do not show up on imaging. They are more of an instability that never recovers stability resulting in inflammation that causes the other symptoms/dysfunctions.

My best to you as you look for help.