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


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Old 01-02-2014, 02:31 PM #1
nevergone nevergone is offline
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Default has anyone seen a neurophsycologist?

I saw my dr today and after my ct scan came back clear she suggested I see one

I still have not had my results from my MRI but as it was only a 3 and not a 6 I'm not expecting anything to show up anyway
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Old 01-02-2014, 03:48 PM #2
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A Neuro Psych can do a Neuro Psych Assessment which is a battery of tests to measure your brains ability to function. Reaction time, memory, executive functioning, etc, can be quantified.

The MRI and CT Scans rarely show any abnormalities.

Did you mean the MRI was only a 3 Tesla ? That is more powerful than most. 1.5 is the norm. 6 Tesla MRI's are usually in research. Diffusion Tensored Imaging is a common MRI process for brain injuries.

Either way, other than dealing with a continuing bleed. imaging does not change much. It rarely provides a better treatment direction. It is used to rule out serious conditions, not diagnose any of the common concussion issues.

What are your current symptoms ?
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Old 01-02-2014, 06:14 PM #3
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Yes I saw one, but I didn't require any tests.

She was very helpful and advised that the physiological symptoms of PCS are closely tied to the psychological ones. Therefore stressing over symptoms actually exacerbates them. So getting plenty of rest and doing things that help you relax is important.

After five months of hell, she helped me get back to work in March. I am still working full time, but have I fear overdone things in the gym and now have neuralgia again.

PCS can be very deceptive. You think you are better, but if you push yourself too hard too fast symptoms can return.
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PCS following head injury November 2012. Experienced dizzyness, light and noise sensitivity, hypercusis, fatigue, insomnia, migraines, facial pain, problems concentrating, irritability, sensory overload, exercise intolerance.

Symptoms mostly resolved, working full time and I am now mostly better. I wake 6am daily since my injury. Was experiencing daily Neuralgia which was controlled with Cymbalta 30mg, Lyrica 200mg daily. Now only on 30mg Cymbalta.
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Old 01-02-2014, 06:27 PM #4
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yes I meant tesla sorry I forgot the word

my short term memory is basically non existstant

I can't centrate on anything, I can't read a paper or watch TV

I can't follow what's going on and when people talk to me by the time they finish their sentence I can barely remember the start of it

I also feel weak physically and dizzy I get vertigo too sometimes this feels like its getting better then it comes back

I also have zero sense of time I don't k ow the difference between 10 minutes or 10 hours
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Old 01-02-2014, 06:37 PM #5
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Quote:
Originally Posted by nevergone View Post
yes I meant tesla sorry I forgot the word

my short term memory is basically non existstant

I can't centrate on anything, I can't read a paper or watch TV

I can't follow what's going on and when people talk to me by the time they finish their sentence I can barely remember the start of it

I also feel weak physically and dizzy I get vertigo too sometimes this feels like its getting better then it comes back

I also have zero sense of time I don't k ow the difference between 10 minutes or 10 hours
Nevergone,

By the sounds of what you are describing your brain isn't ready to tolerate some of the things you or those around you are exposing it to.

Therefore no computing, pc gaming, using mobile, watching TV, reading, complex conversation. Doing as little as possible until you are anyway near ready is the way to go.

Relax and take all pressure off yourself.

Good luck!
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PCS following head injury November 2012. Experienced dizzyness, light and noise sensitivity, hypercusis, fatigue, insomnia, migraines, facial pain, problems concentrating, irritability, sensory overload, exercise intolerance.

Symptoms mostly resolved, working full time and I am now mostly better. I wake 6am daily since my injury. Was experiencing daily Neuralgia which was controlled with Cymbalta 30mg, Lyrica 200mg daily. Now only on 30mg Cymbalta.
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Old 01-03-2014, 10:11 AM #6
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Quote:
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has anyone seen a neuropsychologist?
Yes, both during my hospitalization and as an outpatient.

I have had two neuropsychological assessments, one just prior to discharge from the hospital and one three months later to assess my readiness to return to work. A neuropsychological assessment (NPA) is typically about four hours or so and includes and interview and a battery of standardized tests based on the symptoms presenting.

The reason for having a NPA done is to assess how you are recovering, and identify specific deficit areas. They can test cognitive functions such as working memory and attention, spatial orientation, speech, and executive functioning. Based on their findings they can recommend specific therapies to help your recovery.

Like you, in my case I had difficulty with short term memory and mental flexibility. Specific therapies with occupational therapists and speech pathologists were helpful in moving my recovery along.

Best to you in your recovery.
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What Happened: On November 29, 2010, I was walking across the street and was hit by a light rail commuter train. Result was a severe traumatic brain injury and multiple fractures (skull, pelvis, ribs). Total hospital stay was two months, one in ICU followed by an additional month in neuro-rehab. Upon hospital discharge, neurological testing revealed deficits in short term memory, executive functioning, and spatial recognition.

Today: Neuropsychological examination five months post-accident indicated a return to normal cognitive functioning, and I returned to work approximately 6 months after the accident. I am grateful to be alive and am looking forward to enjoying the rest of my life.
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Old 01-04-2014, 10:03 AM #7
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Going through testing now. I see my neuropsych regularly also. The counseling has helped me understand better about what has happened, is happening and how to use strategies...plus keep my emotional state together.

Peace and good health,

Jace
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*TBI with mild to severe damage November 2012 from car crash. Stroke with hemorage & 4 clots in veins in brain Feb/Mar 2015.

*Vestibular damage, PCS, hypercusis, severe visual processing and tracking issues, short term memory loss, headaches/migraines, occipital neuralgia, cognitive issues, neurological issues, brain fog, brain fatigue when over stimulated, twitching, vertigo, neck issues, nerve issues, PTSD, personality change, Since stroke left side weakness, rage, worsening of vestibular problems, recall, speech, memory.

*Can't drive or work. Have done occupational therapy, cognitive therapy, physical therapy. Learning work arounds, and strategies to be competent in daily life. Change your attitude/perspective changes your life. As TBI survivors this is a vital part of our healing and living.

*Working on getting to know and accept the new me.
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Old 01-04-2014, 04:28 PM #8
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thank you, everyone

I am debating over whether to return to work; I am currently signed off until the end of January by that time ill have been off almost 3 months

today I took my daughter shopping to spend her Xmas mo ey and I am completely exhausted my head is literally throbbing I don't understand how ill ever be able to work anytime soon
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Old 01-04-2014, 09:18 PM #9
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You should try a gradual return to work, even before the end of January. Two hours a day for a week or two then 4 hours a day. Also, plan on how to get rest breaks and how to avoid over-stimulation. Preset time off does not make sense to me. Nobody can predict when you are ready to return to work. Only trial and error will tell you.

I am not surprised you were overloaded shopping. Stores are miserable places for people with over-stimulation issues.

Your most important need is to learn what your stimulation limits are, what your triggers are and what signs of impending overload are. Your body/brain does put out signals when you are pushing your limits. You just have to listen and watch yourself.

Needing to reread a line of text is a good sign of overload. Needing to squint to focus is another. A sense that everything is starting to move too fast or slower than expected are also signs of brain fatigue. Beginning to feel disconnected from those around you is also a sign. I am sure others can add to this list.

It takes time and attention to learn these signs but it is a necessary skill to move forward with life.

My best to you.
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