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Suggest Treatment For Dizziness And Headache

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Posted on Fri, 5 May 2017
Question: I feel that I have suffered a concussion,of sorts, I was struck by a plate of steel rising from the ground, I have pain to neck and shoulders and headaches, and feel dizziness, short term memory problems. workmans comp. doc and neurologist says that since I did not hit my head that I did not suffer a concussion. I was not able to convince her that, the upward motion of the plate on my body did damage to my head, the moving energy entered through my leg and whipped my head and neck area. is there a test other that a doctor doing physical touching and reflects testing that can verify damage to brain at any level
doctor
Answered by Dr. Dariush Saghafi (27 minutes later)
Brief Answer:
Examination by Neurologist through 2nd opinion

Detailed Answer:
You may benefit from a visit to another neurologist trained specifically in assessing concussive injuries so that you can explain the sequence of events which will then, help the doctor decide that this was truly a concussion or some other form of trauma. A concussion is when brain trauma is caused by a BLUNT FORCE blow which causes the head to suddenly DEcelerate inside the skull. Sudden acceleration forces typically would not be expected to cause concussions. What determines presence or absence of concussion is more to do with a lapse in brain function at some moment in time as opposed to whether or not the head was actually struck. However, to be fair, the vast majority of what most doctors would define as concussion really does involve a direct blow to the head.

Currently, there is no universally accepted TEST or imaging study that can reliably detect the presence of a concussion....especially if what you're looking for now is a "smoking gun"...with the exception of a CT or MRI of the brain which might show small hemorrhages that are deep within the brain or evidence of "bruising" referred to as cerebral contusions. Outside of these hard core pathologies there's no other test that will identify concussions to the brain....or any organ for that matter. People are working on such tests or even blood tests using biomarkers but to date everything is in an experimental stage and probably won't be ready for commercial prime time for a while.

If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating? Again, many thanks for submitting your inquiry and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 17 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dariush Saghafi (2 hours later)
I have had two serious concussions in the pass. with memory loss, but I have been ok for 30 years, until this incident , the plate is like the rim of a backhoe wide scoop, that lifted under my foot very suddenly. 6inches immediately and then one foot per second. I was dazed. and reeled that all I remember. before the onset of pain throughout my body
doctor
Answered by Dr. Dariush Saghafi (6 hours later)
Brief Answer:
Possible concussion

Detailed Answer:
Again, I would recommend being examined by a neurologist versed in concussion types of injuries and management of TBI (Traumatic Brain Injury) cases. Your additional bit of information builds a little more of a case for a TBI or concussion but there still needs to be a more complete history and certainly a NEUROLOGICAL EXAMINATION checking not only physical but also cognitive capacitation which could show the presence of subtle problems that may be consistent with a concussive type of picture.

If you've had 2 concussions in the past then, any further incidents can injure or damage brain tissue more and more easily so I would advise that going forward...you be very careful how you handle things.

Imaging studies such as CT but better yet, MRI should also be done which could reveal a smoking gun (hemorrhages, contusions) and this would give more credibility to the brain having suffered a concussive type of blow.

If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating? Again, many thanks for submitting your inquiry and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 26 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2473 Questions

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Suggest Treatment For Dizziness And Headache

Brief Answer: Examination by Neurologist through 2nd opinion Detailed Answer: You may benefit from a visit to another neurologist trained specifically in assessing concussive injuries so that you can explain the sequence of events which will then, help the doctor decide that this was truly a concussion or some other form of trauma. A concussion is when brain trauma is caused by a BLUNT FORCE blow which causes the head to suddenly DEcelerate inside the skull. Sudden acceleration forces typically would not be expected to cause concussions. What determines presence or absence of concussion is more to do with a lapse in brain function at some moment in time as opposed to whether or not the head was actually struck. However, to be fair, the vast majority of what most doctors would define as concussion really does involve a direct blow to the head. Currently, there is no universally accepted TEST or imaging study that can reliably detect the presence of a concussion....especially if what you're looking for now is a "smoking gun"...with the exception of a CT or MRI of the brain which might show small hemorrhages that are deep within the brain or evidence of "bruising" referred to as cerebral contusions. Outside of these hard core pathologies there's no other test that will identify concussions to the brain....or any organ for that matter. People are working on such tests or even blood tests using biomarkers but to date everything is in an experimental stage and probably won't be ready for commercial prime time for a while. If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating? Again, many thanks for submitting your inquiry and please let me know how things turn out. Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. This query has utilized a total of 17 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.