Cristina,

Welcome to NeuroTalk. Sorry to hear you are struggling so.

Your experience at the ER is par for the course. It has nothing to do with any normal standards of healthcare or lack thereof. Those of us dealing with PCS have seen this situation many times. The doctors just do not know much about concussion or post concussion syndrome. If you pass the basic neuro exam and don't have a bleed, they usually just pass you along.

Your first real question was my first real question so I googled it.

involitional is defined as:
2. a retrograde change of the body or of an organ, as the retrograde changes in size of the female genital organs after delivery.
3. the progressive degeneration occurring naturally with age, resulting in shriveling of organs or tissues.involu´tional

It sounds to me like you may have some wide spread shrinking of brain tissue that is more than would be expected for your age. This is probably similar to what would be called CTE (Chronic Traumatic Encephalopathy) if you were a football player and suffered lots of concussions and sub-concussive impacts.

This kind of a reading is a bit controversial because different radiologists will have different standards for making such a diagnosis.

The effect of such a change would usually be a slow progression of dementia. It may contribute to the cause of your intractable depression.

Regarding your concussion, You are still very early in your recovery. You suffered quite an impact.

And yes, water can feel like a cement surface when going fast enough. Think of what it is like when a barefoot skier falls at 40 mph. Ouch. I have a cousin who has barefooted at 90+. She is nuts.

What other head traumas have you suffered over your lifetime? Did you play sports, soccer, etc? Any high fevers? Other insults to your brain?

How old were you at your second concussion?

Have you had any cervical diagnostics done? You likely have suffered a myriad of vertebral injuries, especially upper cervical resulting in inflammation causing a myriad of issues, poor vertebral artery blood flow, nerve dysfunction, etc.

Add that on top of your other issues and you deserve to be a mess.

Has anybody done any hormone analysis? A good referral source is : https://www.womensinternational.com/..._referral.html Getting a specialist to balance your hormones can change your life. Most gyno's and endo's use a wide range to analyze and a shot gun to treat. Targeted analysis and treatment makes a big difference. And no, you are not too young to have hormone problems.

There are more things to consider but this is already a fire hose full.

We are here for you. We understand your struggles.

My best to you.