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


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Old 10-08-2010, 04:20 AM #1
Ali B Ali B is offline
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Default PCS - does not resting cause collapse?

Hi I'm new here

I spent the day in Accident and Emergency yesterday having collapsed at the son's football class. I've had PCS for nearly 5 weeks.

There's a lot going on in my life and I've been trying to stay busy despite the daily dizziness, fatigue, loss of concentration, intolerance of noise etc.

I collapsed two days after I hit my head (minor injury at home, broke skin but no other symptoms to suggest major trauma). I've had some wobbles where I've had to lie down for a bit but yesterday it was like my body went into shock or a fit or something. I pretty much passed out and was sick too. The CT scan showed no damage so they discharged me.

I've taken to my bed for a couple of days. I'm scared now.

Thanks for reading.
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Old 10-08-2010, 11:32 AM #2
Mark in Idaho Mark in Idaho is offline
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Ali,

Sorry to hear of your struggles.

I've never experienced a collapse like you had but I know that the motor control brain area can become overloaded. One researcher talks about doing a neuro-exam where they test your reflexes (the rubber hammer ) and after repeated negative results (the nerve causes a reflex action) the nerves can finally fatigue and cause a positive result (the reflex action is fatigued and absent).

It is not a good idea to keep busy after a concussion. You may not need bed rest but you do need a very low stress environment. It is more important for you to sleep well than rest in bed. When you are sleeping well, you will enter REM (Rapid Eye Movement) sleep. This is when the brain repairs itself.

So, the rest you need should be quiet (no chaotic noise), no visual over-stimulation, only light physical work load (household tasks should be OK), and not time demands on completing these tasks. Take is slow until you get a sense that you can focus better and slowly increase the intensity of your day.

You may need weeks of this low stress rest. So, simplify your day and over time, things will get better. Search NT for nutrition and you will find some vitamin and other supplement recommendations. The brain needs these to purge the toxins from your injury and heal.

My best to you.
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Old 10-08-2010, 02:27 PM #3
Ali B Ali B is offline
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Thanks for your reply, Mark, and all the other useful stuff I've read in your posts while I've been researching PCS on this forum. I've also got hold of the TBI survival guide you've mentioned on here.

I really am wondering what happened yesterday and am considering the possibility of seizure. I am so fatigued today and dizziness is worse than ever when I move around. I'll try to do a bit more tomorrow.

I'm seeing a neurologist in a few weeks if symptoms aren't improving.

Home is nuts while extension building work enters its, thankfully, final stages. But still I plan to stop racing around pretending all is well when clearly my body is crying out for me to take it slower.
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Old 10-08-2010, 02:49 PM #4
Mark in Idaho Mark in Idaho is offline
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Ali,

If you have commotion at home, you need to find a place of respite. I can imagine the chaos if there is building/remodeling going on, especially for the woman of the house. You need to find a place of comfort. Your home is not likely that place right now.

Do you have a friend with a comfortable home that would be gracious enough to put up with your needs for part of the day?

The female need to protect/order the nest can be taking you for a wide ride. Your hormones may be screaming and especially your stress hormones.

I can not comment about whether you had a seizure or not. I have a friend who experienced the same thing after a concussion. She was at the chiropractors office and became immobilized by a similar event. The first thought was to call an ambulance. They waited and she recovered enough for someone to pick her up and take her home. She was also left in a very weak state for a few days.

Strange events can follow a concussion. Many are unexplainable. Any effort to get a proper explanation will likely lead to being dismissed as a hypochondriac by the doctors. If doctors don't understand an event, most will question your description of it.

Hope you find some respite.

My best to you.
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Old 10-09-2010, 09:35 AM #5
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Good advice indeed and my husband is keeping the house as quiet as possible by taking the kids out this weekend. I do find their and the builders' noise / disruption so so stressfull since my accident. I have keys of neighbours and relatives to use their place but my kids are often with me and it's easier to look after them at home, even if it's noisy.

I've been reading about non epileptic seizures and found an article mentioning this phenomenon in PCS, which I can't post here until I'm a more established user of this forum.

I'm not sure if I should try to work out what happened and mention it again to my doc and the neurologist whenever I get to see him / her, or just keep quiet and hope it doesn't happen again.

I have young children that I often look after in the absence of another adult, and I do drive. I don't want to risk others, and myself.

Hope you are feeling well today.
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Old 10-09-2010, 11:15 AM #6
Mark in Idaho Mark in Idaho is offline
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I would suggest being very careful with driving. If your brain is like mine, you can tell when you are less able to perform at your best. My wife will look me in the eyes and ask if I am 'good' to drive. Some days I am definitely not good to drive.

My best to you.
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"Thanks for this!" says:
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Old 10-12-2010, 04:28 PM #7
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Default Opinion

Having suffered TBI's and an inner ear canalysis. I had two types of Dizziness. The TBI produced a general feeling of vertigo that was worse with exertion. The second was positional and severe. I got to the point I could duplicate it at will when I turned my head a certain direction from rest. With therapy movements from a balance disorder physician "local medical school professor" and a treatment to remove the particles from my inner ear the second problem abated over 4-6 months.

Most PCS is undiagnosed. It doesn't show on the MRI so it didn't happen. You do not have to bleed to have damage. Look at Muhammad Ali. He never had a bleed and his MRI is "fairly" normal. He has MASSIVE PCS and trauma induced Parkinson's. They call it punch drunk.

Your brain is trying to tell you to rest. I had a second "issue" we will call it, and what would have been a "non incident to most" put me on the couch for 5 days. My wife made me go to the hospital day 2 cause my hand writing changed as did my speech. MRI and hours later we were sent home "No New Bleed". The sheet we were given with 13 symptoms to return for, nine (9) of them were why I let her take me in the first place. I was taken aback by her disgust with the physicians, I had expected the outcome. I was concerned I might actually have a new bleed. The MRI was my only desire. After a few years, I realized 50% of physicians are complete IDIOTS, 25% are ruled by kickbacks from pharmaceutical companies, 15% have blinders on, and 10% are awesome.

I worked in hospitals. When a Physician needs to know your type of insurance before they agree to see you. He is focused on if and how much he will get paid. We had one called Dr. Paycheck.

Rattling your brain, causes severe fatigue to protect you. Ever heard of a KO in boxing? Have you ever had a sore spot that didn't bruise but still hurt like $%^& for a week or so. Your brain is more fragile than your body.

TMI The short of it. If you experience the symptoms of PCS after a blow to the head "YOU HAVE PCS". The severity or degree and expectancy of life long implications can be drawn by whether you had a detectable bleed or not.

I wish you the best. and REALLY REALLY hope you will STOP and NOT opt. to just slow down. You unlike me can have a complete recovery..
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Old 10-12-2010, 10:03 PM #8
Mark in Idaho Mark in Idaho is offline
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A brain bleed or not makes very little difference in long term outcome. A bleed causes localized damage and if allowed to continue, can cause swelling or pressure on the brain and more seriously, the brain stem. Although a bleed may seriously damage that local part, if there is no diffuse damage such as diffuse axonal damage or high intracranial pressure, the PCS symptoms may be minimal.

Most PCS symptoms are from the diffuse injury. A bleed will have more stroke like symptoms if it is not treated right away. CT scans are the commonly used to look for bleeds. Research shows that a bleed is more likely imageable with a CT or MRI at day three. Earlier it may not be noticeable. Later and it will be absorbed by the body.

My condolences to Gibson if he has had to deal with a bleed. I am sure it is a scary experience.

Muhammed Ali has, in medical terms, demetia pugilistica. He is very fortunate to have lived as long as he has.

Gibson, What is inner ear canalysis? I have never heard of it nor can I find a reference to it.

Was your send 'issue' the result of a head impact?

My best to you.
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Old 10-13-2010, 09:15 AM #9
margomills margomills is offline
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Default I have had PCS for ten years

I still collapse and have tremors. Noise and light is intolerable after a collapse. I take Neurontin and these symptoms COMPLETELY go away. Generics do not work. Cognitive therapy does help! If you have more than 1 collapse keep in mind it may, or may not, take a long time to heal. Drinking a gatorade or G2 in the morning helps and staying away from alchohol or anything that dehydrates the brain. A PET scan can show what areas of the brain are not operating correctly. My MRIS and CAT scans were and are all clear. EEG s without light and sound stimulation are clear, but, with stimulation EEG is off. Unfortunately, most neurosurgeons have no idea how to help you.
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Old 10-13-2010, 07:22 PM #10
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Hi,

I had about 6 months of fainting/convulsions which my neurologist explained as a phenomenon that wasn't really understood but often resolves after a few months.

I am happy to say that I have not fainted for 2 months now, which I am happy with as it was every week or every other week before. I am now on Gabapentin too and it has reduced my headaches and dizzyness, Elavil has helped with sleeping.

I am about 14 months PCS and am happy to say that my life is improving every week. I have more energy, and feel like the fog has lifted. I gave myself a lot of rest, took it easy and took Mark's advice to "accept" that things are different and that this was ok.

Rest and quiet is so important and I only wish I had been a little more careful and gentle with myself a year ago and not pushed it and gone back to work. Live simply, let yourself heal and I wish you all the best.
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