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Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS). |
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Hi, my 14 yo daughter was hit by the opponent as she was jumping up to make a basket in a game on Feb 11, 2014. She hit the padded wall and then hit her forehead on the floor. Never lost consciousness, and is aware of the time before and after the injury. CT was negative. Slept for 18-20 hours the first 10 days. Headaches controlled with ibuprofen and acetaminophen. Has been home from school this whole time, avoiding cell phone, tv and computer. Noise and confusion bother her so we've kept her 4 brothers quiet as possible. The last 2 days has slept less and headaches seemed to be a little better. The reason I am posting is because since the injury she has had blurred vision constantly. One week after the injury she saw a neuro-opthalamologist (amazed that our small community had one) and was told her eyes are 20/20 and that the blurred vision is from the PCS. Has anyone experienced this and how long does it usually take to get better? Thanks in advance for any help, I am so worried.
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"Thanks for this!" says: | Ken Koester (02-25-2014) |
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Legendary
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Jenna's mom,
Every concussion is different. Nobody can say how long it will take for her vision to recover. She still is very early in her recovery period so it is too early to be overly concerned. It sounds like you are doing all the right things to help her. It may help if she starts a vitamin and supplement regimen with Omega 3 fish oil with a good DHA level. The Vitamins and Supplements sticky at the top has information. I am confused as to how she can have 20/20 vision if she is struggling with blurry vision. She should limit her use of acetaminophen. It is not good for brain health. Keep up the good work of keeping stress levels low. My best to you.
__________________
Mark in Idaho "Be still and know that I am God" Psalm 46:10 |
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"Thanks for this!" says: | Ken Koester (02-25-2014) |
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I'm so sorry for your daughter. Rest is also very important: no reading, no screen, no tv, no texting -- ie. no life!
My neuroopthalmologist explained that vision is more about the brain processing information. With concussions, the brain is unhappy and will need time to readjust before it can help with complex functions like vision. The good news is that the brain usually rebuilds pathways to perform pre injury. The bad news is that there is no real time schedule. Did the neuro ophthalmologist also check for convergence and accommodation? Both eyes need to work in binocular vision to also help the brain process information. 20/20 vision doesn't mean binocular vision. Best of luck!
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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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Vision therapy will definitely help the brain re-train itself to see correctly. There are various exercises that are done at home or at the clinic.
Having said that, it is very painful and exhausting when done. There may be a time of rest and testing and then beginning the therapy. Although, I am sure your daughter is ready to get back to her life!
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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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Her emotional state does not effect the concussion but it can slow her recovery. You could try a half day of school but I think she should be trying to do school work at home. If she can get her school work done without it bringing on symptoms, a half day at school may be OK.
I suggest you wait until her head aches are better. The blurry vision needs to be considered as a safety risk. She does not need to trip over books on the hall floor and get another concussion.
__________________
Mark in Idaho "Be still and know that I am God" Psalm 46:10 |
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Did the doctor test for convergence insufficiency and binocular vision? If there are deficits in these areas, it can either be addressed via vision therapy or else through things like prism lenses.
For more information (or a second opinion), you might want to consult a practitioner found via http://www.braininjuries.org or http://www.nora.cc
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mTBI and PCS after sledding accident 1-17-2011 Was experiencing: Persistent headaches, fatigue, slowed cognitive functions, depression Symptoms exacerbated by being in a crowd, watching TV, driving, other miscellaneous stress & sensory overload Sciatica/piriformis syndrome with numbness & loss of reflex Largely recovered after participating in Nedley Depression Recovery Program March 2012: . Eowyn Rides Again: My Journey Back from Concussion . |
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