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Restlessness, anxiousness and anger after an accident. EEG and scan results came normal. Reason?

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Practicing since : 2008
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My Son, aged 23 met with a road accident in August 2012.
Fell on the back on the head, could not remember the incident or events for a week prior to the accident.
Visited a clinic that night and took a scan. Was discharged after 4 hours as it showed normal.
Continued living in France till XXXXXXX 2013, nothing showed up but was getting anxious.
Returned to India, All was well for a month but began to show restlessness, anxiousness and anger.
Visited the Homeopath in April 2013, was advised to do a scan again. Report showed Normal again.
Behavior was getting worse, then visited (Neuro / Psychiatrist) in XXXXXXX 2013.
EEG was done on XXXXXXX 4, 2013. But it did not show any events.
Started on Depakote and Nexito plus it had eased for a week or so but started again.
Video EEG done on July 17, some events were recorded.
Not react well with medication Lobazam had to stop after a few days.
These attacks of anger are were frequent now and interfere with studies and sleep.
Please advice.
Posted Thu, 14 Nov 2013 in Brain and Spine
Answered by Dr. Anjana Rao Kavoor 1 hour later
Brief Answer:
Please find detailed answer below

Detailed Answer:
Thanks for writing in to us.

I have read through your query in detail.

Your son might be having features of post concussion syndrome which is a mild degree of brain injury. There is no sign of injury on Brain scans. The condition can cause a variety of symptoms: physical, such as headache; cognitive, such as difficulty concentrating; and emotional and behavioral, such as irritability.

Mild traumatic brain injury can lead to deficits in 5 general areas: (1) short-term memory impairment, (2) slowed processing speed, (3) impaired executive function, (4) disrupted abilities of attention and concentration (which likely contributes to the deficits noted in the first 3 categories), and (5) emotional dysregulation.

For most people with post-concussion syndrome are able to recover with rest and minimizing stress.

Most health care providers will also treat symptoms of post-concussion syndrome. For example, migraine or pain medications may be prescribed for those with headache. A specialist such as a neurologist and/or psychiatrist may also be involved to treat mental health symptoms associated with post-concussion syndrome. Antidepressants and psychotherapy may be recommended.

Following are the main areas on which treatment is focused:
•Psychological support
•Behavior modification
•Cognitive rehabilitation
•Family or network intervention

Hope your query is answered.
Do write back in case of doubts.

Dr.A.Rao Kavoor
Above answer was peer-reviewed by
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