Diagnosing brain injury in absence of a continuing loss of consciousness, is a matter of triangulating behavioral observations, scientific test results and objective measuring tools for the change in function correlated with brain injury. The most important piece of the diagnostic puzzle is the clinical judgment of a doctor experienced..
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Last week, we talked about the term “invisible injury” as used by the Brain Injury Association, to describe brain injury and its application to discrimination against seizure dogs. That topic transitions to today’s blog about how we identify an “invisible injury”, such as brain injury. So how do we see..
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EDITORS NOTE: Yesterday, we talked about the “invisible injury” nature of brain injury, specifically with respect to public recognition of the role of seizure dogs. I had intended to next write about seeing the invisible, thru following the patterns of the footprints, but have decided to wait for that until..
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I have never been a big fan of the politically correct terms when discussing brain injury, hence my own coining of the term ©Subtle Brain Injury in 1999. See http://subtlebraininjury.com Having served on several boards where all they did was argue about what were the appropriate 30 words to put..
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As I discussed yesterday, if the person is seen the day after the concussion, there is a fertile opportunity to actually test the injured person’s memory formation, to see if they are in an amnestic period. Yet, no where in the Facts for Physicians Toolkit, does it call for a..
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Included in the CDC Facts for Physicians Toolkit, http://www.cdc.gov/ncipc/tbi/physicians_tool_kit.htm but not as conspicuous as I believe it should be is the Acute Concussion Evaluation (“ACE”) Form. Click here to go directly to such form: http://www.cdc.gov/ncipc/tbi/ACE.pdf This form is a major step forward and I wish that it was used comprehensively..
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Most of the focus on changing definition of concussion has come out of concern about concussions in sport. Thru that work, beginning in the early 1990’s, it became standard practice that if an individual suffered a concussion in a sporting event, they should not be allowed to return to competition..
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My last blog focuses the acute symptom of amnesia, the symptom that is now believed to be the most significant predictor of outcome after concussion. However, that is the modern way of looking at concussion, and unfortunately, not even all treatises or commentators on brain injury, are even willing to..
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There is no more important issue for the diagnosis and determination of prognosis after a brain injury than the length and severity of amnesia. Amnesia is defined as the loss of memory for events, both before and after the accident. Loss of memory for events before the accident is called..
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In yesterday’s blog, I talked about the exception to my skepticism about miracle recoveries, years post a coma causing event. The exception is in the cases of “locked in syndrome”. The National Institute of Health contains this definition of Locked-Iin Syndrome: What is Locked-In Syndrome?_Locked-in syndrome is a rare neurological..
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