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

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Old 04-09-2013, 12:46 AM #1
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Default Different types of dizzy

Hi Guys,

I have two types of dizziness: the first is what I would call light headed, a little like if I were on a boat with a gentle sway. The second is much more intense and kind of zaps me from the back of the head. This is far more disturbing to me, it only lasts for a second or two but it feels like I am going to collapse. If I am lucky they are not so intense and just pass in a second, if I am not so lucky (so far about twice a week I am not so lucky) I actually have to stop what I am doing and sometimes even lean on something. These longer spells last only about 3-4 seconds but now and then they also result in a following headache and some more intense light headedness.

Anyone else had this?
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Old 04-09-2013, 10:19 AM #2
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I am now 7.5 months post car accident, and along with the usual suspects of pcs, ptsd, convergence insufficiency, and tinnititus, the dizziness and nausea are quite profound.

At first the neuro-opthalmologist suggested that I get my gaze "stabilized" before doing any vestibular therapy, but my eyes are not getting better with 3 months of prism glasses and vision therapy.

I seem to have "light" dizziness if I bend over, get up or change elevation (blood pressure changes?), but the more "heavy" dizziness as you described also troubles me.

If I walk in open space, at the grocery store or on stairs I need to pause and either touch something (a wall, the grocery cart, or even just stomp), and this seems to help. It is worse standing for sure.

Any advice? Perhaps it is time to see an ENT? Or physical therapist? Or just wait? I haven't had the energy to track down which specialists to see for this issue.
__________________
The event: Rear ended on freeway with son when I was at a stop in stop and go traffic July 2012. Lost consciousness.

Post-event: Diagnosed with post-concussion syndrome, ptsd, whiplash, peripheral and central vestibular dysfunction and convergence insufficiency. MRI/CT scans fine.

Symptoms: daily headaches, dizziness/vertigo, nausea, cognitive fog, light/noise sensitivities, anxiety/irritability, fatigued, convergence insufficiency, tinnitus and numbness in arms/legs.

Therapies: Now topamax 50mg daily; Propanolol and Tramadol when migraine. Off nortryptiline and trazodone. Accupuncture. Vitamin regime. Prism glasses/vision therapy. Vestibular therapy 3month. Gluten free diet. Dairy free diet. On sick leave from teaching until Sept. 2014.
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Old 04-09-2013, 10:35 AM #3
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I still get the electric zaps when I am concentrating too much while reading. Always feeling dizzy....result of the labyrinthian concussion. Damage to inner ear and vestibular. It is all linked with the visual and proprioception damage.
I also have BPPV (vertigo) which is quite common after brain trauma....little crystals are knocked out of place and make your world spin. That had settled down but i tried doing the dance thing on the WII (for therapy!) and have been suffering spins and nausea for over a week. i think getting vision (neuro) and vestibular assessments are important.
Good luck!
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What happened: Legs pulled forward by a parent's hockey stick while resting at the side of the rink at a family skate....sent me straight back. I hit the back of my head (with helmet) on the ice, bounced a few times, unconscious for a few minutes. September 11, 2011. Off work since then…I work part-time at home when I can. It has been hell but slowly feeling better (when I am alone☺).

Current symptoms: Vision problems (but 20/20 in each eye alone!) – convergence insufficiency – horizontal and vertical (heterophoria), problems with tracking and saccades, peripheral vision problems, eyes see different colour tints; tinnitus 24/7 both ears; hyperacusis (noise filter gone!), labyrinthian (inner ear) concussion, vestibular dysfunction (dizzy, bedspins, need to look down when walking); partial loss of sense of smell; electric shocks through head when doing too much; headaches; emotional lability; memory blanks; difficulty concentrating. I still can’t go into busy, noisy places. Fatigue. Executive functioning was affected – multi-tasking, planning, motivation. Slight aphasia. Shooting pain up neck and limited mobility at neck. Otherwise lucky!

Current treatments: Vestibular therapy, Vision therapy, amantadine (100 mg a day), acupuncture and physiotherapy for neck, slow return to exercise, magnesium, resveratrol, omega 3 fish oils, vitamins D, B and multi. Optimism and perserverance.
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Old 04-10-2013, 07:12 AM #4
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Default Incredible progress

I am 6 months pcs. I was experiencing debilitating dizzy and balance problems and after 6 weeks of therapy I am 80 percent better. I went to the national dizzy and balance center. The great thing was that I didn't have to wait months to get started once I was referred. I can tell you more if you like. I have lots of other problems that I'm not getting help for, so it was great to see improvement in one area.
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Old 04-10-2013, 08:29 AM #5
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Hi Su Seb....is that the center in the Twin Cities area? What do you think was the most helpful? Did they use lots of different strategies? My vestibular therapist has me doing video games while on a treadmil with a computer mouse strapped to my head(gyromouse). I am progressing but VERY slowly...8 months so far of VT)
Thanks for any info!
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What happened: Legs pulled forward by a parent's hockey stick while resting at the side of the rink at a family skate....sent me straight back. I hit the back of my head (with helmet) on the ice, bounced a few times, unconscious for a few minutes. September 11, 2011. Off work since then…I work part-time at home when I can. It has been hell but slowly feeling better (when I am alone☺).

Current symptoms: Vision problems (but 20/20 in each eye alone!) – convergence insufficiency – horizontal and vertical (heterophoria), problems with tracking and saccades, peripheral vision problems, eyes see different colour tints; tinnitus 24/7 both ears; hyperacusis (noise filter gone!), labyrinthian (inner ear) concussion, vestibular dysfunction (dizzy, bedspins, need to look down when walking); partial loss of sense of smell; electric shocks through head when doing too much; headaches; emotional lability; memory blanks; difficulty concentrating. I still can’t go into busy, noisy places. Fatigue. Executive functioning was affected – multi-tasking, planning, motivation. Slight aphasia. Shooting pain up neck and limited mobility at neck. Otherwise lucky!

Current treatments: Vestibular therapy, Vision therapy, amantadine (100 mg a day), acupuncture and physiotherapy for neck, slow return to exercise, magnesium, resveratrol, omega 3 fish oils, vitamins D, B and multi. Optimism and perserverance.
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Old 04-10-2013, 05:11 PM #6
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Smirk Vestibular therapy

None of my exercises are on a video screen.
And yes, I am in Minneapolis.
They sound so simple but they really worked.
They are basically all exercises involving standing, walking,balancing, balancing with eyes closed, moving head while walking, moving head while balancing on a pillow with eyes closed...


But they start very simple, and get more complex.

I'm doing so well with dizzy and balance that I moved onto more vision therapy today. For convergence insufficiency. I'm so excited to see progress. It's amazing! Especially after so many months with so little therapy.


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Old 04-10-2013, 05:14 PM #7
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Default More

Also,
I go to therapy once a week, but I do the exercises everyday, once or twice a day.

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Old 04-30-2013, 03:08 PM #8
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So wonderful to hear that progress is possible!

I had my Videonystagmogram (VNG) test at the ENT yesterday. AWFUL!
It triggered waves of vertigo and nausea-I felt like I was on the teacup ride at Disneyland.

It also triggered a painful migraine. Is this normal? I had to take my tramadol, ice my neck/head, and go to a dark/quiet place for a couple of hours before I could re-emerge and interact with my family.

I get the results in a week. I feel nervous (questions loop: will they have a 'diagnosis'?; will it be treatable?; am I making this up?). But it's a gorgeous day in the Bay Area, so I feel more hopeful than not.
__________________
The event: Rear ended on freeway with son when I was at a stop in stop and go traffic July 2012. Lost consciousness.

Post-event: Diagnosed with post-concussion syndrome, ptsd, whiplash, peripheral and central vestibular dysfunction and convergence insufficiency. MRI/CT scans fine.

Symptoms: daily headaches, dizziness/vertigo, nausea, cognitive fog, light/noise sensitivities, anxiety/irritability, fatigued, convergence insufficiency, tinnitus and numbness in arms/legs.

Therapies: Now topamax 50mg daily; Propanolol and Tramadol when migraine. Off nortryptiline and trazodone. Accupuncture. Vitamin regime. Prism glasses/vision therapy. Vestibular therapy 3month. Gluten free diet. Dairy free diet. On sick leave from teaching until Sept. 2014.
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Old 04-30-2013, 04:37 PM #9
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Default What was this test exactly?

Quote:
Originally Posted by berkeleybrain View Post
So wonderful to hear that progress is possible!

I had my Videonystagmogram (VNG) test at the ENT yesterday. AWFUL!
It triggered waves of vertigo and nausea-I felt like I was on the teacup ride at Disneyland.

It also triggered a painful migraine. Is this normal? I had to take my tramadol, ice my neck/head, and go to a dark/quiet place for a couple of hours before I could re-emerge and interact with my family.

I get the results in a week. I feel nervous (questions loop: will they have a 'diagnosis'?; will it be treatable?; am I making this up?). But it's a gorgeous day in the Bay Area, so I feel more hopeful than not.
I had a whole battery of tests done and I'm not sure of the names of them. If you describe it, I could tell you more though!
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I have recovered my cognitive function, and I've overcome severe vertigo through sensory integration therapy. Wellbutrin has helped me escape depression. I have recently had a few stress-related migraines, as well as headaches stemming from eye strain. I'm also dealing with tinnitus, lack of stamina, extreme light sensitivity, and eye pain. Diagnosed with 9 different vision issues: convergence insufficiency, pursuit eye movement deficit, egocentric visual midline shift, photophobia, visual information processing delays, accommodative insufficiency, saccadic eye movement deficit, lack of coordination, and central peripheral visual integration deficit.

*First concussion: October 2010. I was pregnant and got rear ended. I associated my mild PCS symptoms with baby brain and blamed my light sensitivity on allergies and dry eyes.
*Second concussion: December 2011. I hit my head on a wooden beam, saw stars but did not lose consciousness, and I had very disturbing PCS symptoms but didn't go to the doctor.
*Third concussion: August 2012. I caused a car accident as a result of PCS symptoms. Thankfully no one was injured but me. My husband confronted me, and I finally sought help and took medical leave from work. My symptoms worsened, and I developed severe vertigo.
*Fourth concussion: November 2012. I was riding in a car with a friend and we were hit head on by a driver who lost control of her car. I didn't have a big increase in PCS symptoms.
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Old 04-30-2013, 07:52 PM #10
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my vestibular therapy sounds very much the same as Su Seb's. I just do eye movements, head movements, walking movements with head movements and standing balancing poses.

I saw pretty quick improvements but they have slowed. I still have a lot of problems with uneven surfaces and walking any length of time. I am hoping that now that I have new glasses and will be starting vision therapy, the vestibular therapy will help more.

Dizziness sucks.
CC
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I'm a 39 year old, female, accountant. On July 2, 2012 I crashed my bike at the end of a 65KM road ride. I was fine that day but woke up the next morning to my current world.

Ongoing symptoms include: dizziness, blurred vision, light and noise sensitivities, cognitive problems, uncontrollable emotions/depression/anxiety, headaches (but they're getting better), mental and physical fatigue, difficulty communicating and sleep disturbances.

Currently seeing a fabulous Neuro Psychologist and vestibular physiotherapist and hoping to soon see a neuro ophthalmologist. I am currently doing 20 minute stationary bike rides daily, 20 minutes of meditating, 15 minutes of Lumosity and lots of resting. I have not been able to work or drive since the accident.

The things that have helped me the most since the accident are vestibular therapy, gel eye drops (for blurred vision, sensitivity and dryness), amitriptyline (10mg), and meditating. I am finally starting to see some slight improvements and am hopeful!

My brain WANTS to heal itself... I just have to let it and stop trying to get better!
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