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


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Old 01-06-2015, 07:30 PM #1
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Default MRI of My Head

Hi everyone, after 1-1/2 years I am being sent for a head MRI. I was wondering if this is a waste of time or if others found it beneficial? I also suffer from chronic neurological pain and migraines so was wondering if it might show the nerves?

I am scheduled to also have a cervical spine and T1/T2 MRI which I DO feel is going to be great! I have issues with these areas even today. However, I was not sure about the head MRI.

Thoughts?
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1 year post-concussion caused by a high-speed MVA.
Driver to driver head-on. I was stationary and the other vehicle hit me traveling > 110 km/hr successfully breaking my sternum.
Diagnosed with chronic neuropathic pain, PTSD, somatic symptom disorder, depression, anxiety. I suffer from daily headaches, 24x7.
Meds: On prescription medication for neuropathic pain, breakthrough pain, anxiety, depression and sleep disorder.
OTC medications used to try and keep headaches in check: acetaminophen and ibuprofen.
Treatments: Physio (declined since May '14), RMT (declined since Feb '14), Psychiatry CBT (since Nov '13), Pain Clinic Nerve Blocks, Botox and Lidocaine Infusion (since May '14), SLP (since Aug '14), OT (since Sep '14).
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Old 01-08-2015, 02:49 AM #2
WesBJJ WesBJJ is offline
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I Got a MRI a few weeks after my MVA, It found a cyst I was born with that has never shown any symptoms and also revealed an area of increased t2 and flair.

I would say it is absolutely worth getting to find out if anything is in fact wrong so you can have it monitored or dealt with, at the very least have peace of mind of knowing everything was okay.
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Old 01-08-2015, 02:19 PM #3
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I think an MRI is worth it, most of the times it will probably be normal and not show anything, but will help to remove any doubt that there might be something physically wrong.

I got my brain MRI done about 3 weeks after my injury and was definitely relieved that I didn't have something major going on in there, it definitely helped with my anxiety at that point.

AFAIK there is no harmful exposure from an MRI (unlike a CT scan), so there is no harm in it other than the loud sounds and some vibration.
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12/02/2012 - Light concussion at boxing practice. Ended up having PCS for about 3 months.
March 2013 - Thought that since most of my symptoms resolved I could start having fun again.
Went snowmobiling once (didn't hit my head) and concussion symptoms returned and got even worse than before.
June 2013 - accidentally bumped my head against a deck railing, and had a month-long setback.
November 2013 - drove to work after a big snowstorm and the roads were very rough, ended up having another setback.
2014 - Having setbacks after coughing/sneezing too much, or someone slapping me on the back, or any other significant jarring.
Feb 2014 - Started seeing Atlas Orthogonal chiro - most helpful doc so far.
June 2014 - Two months of physical/visual therapy - no noticeable improvement.
September 2014 - Diagnosed with Perilymph Fistula in right ear.
November 2014 - Fistula surgery (switched to left ear before the surgery after additional testing).
January 2016 - Quit work to "work" on figuring out PCS, so far it seems that eyes/vision issues are the most contributing factor, especially computer work.

Current symptoms are: inconsistent sleep patterns, headaches, vertigo/dizziness, anxiety/panic attacks, mental fog/problems with concentration, problems with computer screens.
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Old 01-10-2015, 11:59 AM #4
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It's pretty sad that it takes this long to get one and I have to ask for it too. The issue I am finding is that no one is sending me to a Neurologist! I will finally be getting a neuro-psych eval done later this month, so maybe that will be the driver in the event something shows up.
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1 year post-concussion caused by a high-speed MVA.
Driver to driver head-on. I was stationary and the other vehicle hit me traveling > 110 km/hr successfully breaking my sternum.
Diagnosed with chronic neuropathic pain, PTSD, somatic symptom disorder, depression, anxiety. I suffer from daily headaches, 24x7.
Meds: On prescription medication for neuropathic pain, breakthrough pain, anxiety, depression and sleep disorder.
OTC medications used to try and keep headaches in check: acetaminophen and ibuprofen.
Treatments: Physio (declined since May '14), RMT (declined since Feb '14), Psychiatry CBT (since Nov '13), Pain Clinic Nerve Blocks, Botox and Lidocaine Infusion (since May '14), SLP (since Aug '14), OT (since Sep '14).
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Old 01-10-2015, 12:37 PM #5
Mark in Idaho Mark in Idaho is offline
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Most MRI's are only 1 or 1.5 Tesla. That is not strong enough to see nerves. Even the 3 Tesla MRI's will not show nerves. It takes about 6 Tesla to start to see the finer details. A DTI MRI can be beneficial to a head injury but they are not commonly used.

The cervical MRI will likely be most revealing. Hopefully, the radiologist is a specialist in reading cervical MRI's The subtle cervical injuries common to concussion can be easily ignored by the untrained eye.
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