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


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Old 04-15-2013, 07:27 PM #11
Mokey Mokey is offline
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Thanks Mark. I have had some basic tests...but The GP just said all in the normal range. I recall you or someone posting about different normals for tbi? I should ask for the exact values.

I will check out l tryptophan! Spouse is out shopping right now...will give him a new errand! Thanks,
__________________


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 04-15-2013, 09:18 PM #12
berkeleybrain berkeleybrain is offline
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Wow!

Your post on the auditory processing disorder took my breath away as it describes my difficulties and panic when I try to have conversations (with my children, husband, neighbors, even doctors)!

I cringe when the phone rings (but I have 3 kids so I have to answer!). I cannot really follow conversations beyond the weather. Any conversation conveying steps or information is torment. It is so hard to take notes even!

I also mishear (train for tray, etc) all the time.

I mean I have a PhD, wrote books, and gave lectures internationally - so I use to be smart. But now--I cannot read and it is so hard to listen (because we hear so much)!

If not an ENT, then what kind of specialist? I'll ask tomorrow and see what the doctor says.

Thanks SO much-I feel so empowered now. You are all so great.
__________________
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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Su seb (04-16-2013)
Old 04-15-2013, 09:56 PM #13
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Berkeley Brain...i am in your shoes (phd, etc) and feel exactly the same way. You are still smart...just suffering after a terrible injury. I have done a few international conferences out of stubborness...no going out with the groups, no coffee break chit chat, no receptions or banquets...the most recent one in NYC almost did me in (the only quiet place I could find was the women's washroom on some upper floor in the rockefeller centre. Sat in there fully dressed with earplugs and an eye patch for 1 hour after my presentation to a room of 300 with spotlights, etc. it was hell.....i was not as good as I used to be....but I did it. So you will get there again. It takes time to heal. When we are used to being so efficient and effective with our brains, this is hard to understand.

I try to count my blessings (it could have been much worse) and focus day to day. Today was awful....as has been the past two weeks...but tomorrow will be better!

I hope the information gives you some more insight. I think we are all trying to understand what this monster of an injury is! Hang in there.
__________________


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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Su seb (04-16-2013)
Old 04-15-2013, 10:04 PM #14
Mark in Idaho Mark in Idaho is offline
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I doubt a GP would order a qEEG with VEP and AEP. Plus, it takes a specialist to understand the waveforms of a AEP/VEP.

Your job intensity may be your worst enemy. You may need to arrange for more low stimulus time before increasing your stimulus levels. Just preparing for something like your presentation would put me over the edge.
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Old 04-15-2013, 11:23 PM #15
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I agree with the job intensity, Mark. It is tough to find the spot where you are doing enough but not too much. Not easy. And I haven't yet figured out (or accepted!) where the limit is. Lots of grieving goes on with this type of injury too. Takes a while to accept what we can no longer do.

What doctor would you see to get those types of tests?
Thanks,
M
__________________


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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MiaVita2012 (04-19-2013)
Old 04-17-2013, 09:54 PM #16
Sara from Minnesota Sara from Minnesota is offline
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Hi Eveerne -

I wanted to check in on everyone..... So thankful for all the interesting information you posted Mokey. I have a question in regard to sound sensitivity. When I am in a noisy environment, I feel like I become a bobble head doll. OR the person I am talking to is literally moving like a bobble head doll...... Noise makes me even more dizzy and off balance.... especially background noise at a restuarant or something like that. I am wondering if you all have that same response...... does it hurt your ears or do you get the bobble head effect? I was reading that this is called the Tullio Effect. Just to recap my symptoms, I always feel off balance/disequalibrium 24/7. I have light sensitivity to flourescent lighting and am dizzy. I have no headaches. In addition since the accident I have a constant fullness in my left ear.... constant for 8.5 months. Now I am also experiencing ear pain in that ear and can hear my heart-beat in that ear, cannot even hold up a phone to that ear because of the pain it will cause. Also when I leave places with background noise, my ear throbs for hours????? Do you have this too Mokey?? At any rate..... after reading about the Tullio Effect, I saw a Neuro-Otologist today. He thinks I may have a Perilymph Fistula in my left ear...... I am having a barrage of tests done Friday Ecog and a VEMP test. I guess this type of ear issue can also cause light sensitivity. Anyone else eventually see a neuro-otologist to see what in the Hellen is going on?
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Old 04-18-2013, 12:19 AM #17
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I still can'tgo to restaurants or coffee shops or kids activities. My brain crashes. I don't get a sore ear though...that sounds awful. I have a horrid sense of brain squeezing and then I hurt with headache for a day or two after. Other than that headaches have gotten better. But after being in a noisy place, my brain pays me back by churning and shattering all through the night. Hard to describe.
I would love to know who you saw for the neuro-otologist? Was it in MSP? Will be there for an appointment in a few weeks. Always looking for a doctor who know abut tbi!
Hang in there.
All of these things indicate cranial nerve damage (vision, tinnitus, vestibular, audiology, etc. )
__________________


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 04-18-2013, 12:22 PM #18
berkeleybrain berkeleybrain is offline
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I saw my ENT who is ordering the vestibular, inner ear and auditory tests.

He mentioned something called traumatic auditory-vestibular disorders after pcs. He also mentioned auditory processing issues in which the neuro-pathways around the brain stem can get damaged after mtbi.

The sound sensitivity and vestibular difficulties can only be stabilized by rebuilding and strengthening the neuro-pathways. But because we walked, heard and balanced before, the ability is there. He mentioned with various vestibular and auditory rehab it could take up to one year.

After the tests, I'll let you know what the doctors say. It seems that my visual, auditory, and vestibular systems/neuro-pathways will need to be stabilized, strengthened or rebuilt, and may take a year. Does this ring true for anyone else?
__________________
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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MiaVita2012 (04-19-2013)
Old 04-18-2013, 02:43 PM #19
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Sounds just like me! (ringing true....as in ringing in the ears
So wonderful that you have a doctor that understands. Do you know what tests have been ordered?

I am 19 months post accident...have seen some improvements but for me it is taking longer than a year.

The more i reseach the more i understand that this is all in the brainstem. Not to say that there are not some other deficits that I am dealing with, but the brain stem and cranial nerve damage is key. For people like us, we are LUCKY that the brain stem damage was limited. It could have been way worse. So blessed and cursed at the same time. And on we go! Good luck!!!!!
__________________


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 04-18-2013, 05:54 PM #20
berkeleybrain berkeleybrain is offline
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Thanks Mokey.

It's frightening how fragile and strong the brain is. At the time, I didn't think it was such a bad car accident.

Now I realize that if this much went wrong with me with the accident, it could have been so much more worse. I am grateful that it wasn't.

It looks like I will be 2 years off the tenure track and rat race of academia. It may prove hard to get back on, but it's my goal for now.
__________________
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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