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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Signs Of TBI, Dizziness, Memory Loss, Anxiety, Depressions. How To Confirm This ?

I have numerous signs of TBI, dizziness, memory loss, anxiety, deppression.... I was injured in a car wreck in Germany back in 1993. I am just now really starting to have these sypmtoms really appear. I have an appt with the VA for a evaluation. What should I ask/request when I am talking to the doc? I don't remember ever having x-rays but I think I would rather have a ct scan, would this be asking for the wrong thing?
Mon, 22 Jul 2013
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  User's Response
HI
Thank for choosing HCM, Look you had accident back in 1993, it is long back now, I and do not think it could be " traumatic " sign and symptoms happened to your brain, more over what exactly happened to you at the time of accident, was your sensorium affected or intact or altered etc. your symptoms is less likely associated with your accident,, still you can discus it with your doctor , have nice day.
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  User's Response
In case you had a significant head injury: meaning, you had loss of consciousness, or severe headache with nausea and/or vomiting for a few days after that or leaking of fluid from you ear/ nose or throat after the accident.

Memory disturbances, anxiety and depression can be seen after head injury - even after several years. They are managed by medications that may help you with at least some of these symptoms.

I suggest you consult a neuropsychiatrist for your problems.
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Psychiatrist Dr. Anjana Rao Kavoor's  Response
Hi.
I am sorry to hear your account and i completely empathize with you on this.
TBI can leave have long term ill effects, particularly on memory, attention and concentration, with anxiety and depressive symptoms and a feeling of dizziness and vertigo long after the actual injury, and though the symptoms appear to be related to the severity of the precipitating injury based on the level of consciousness at 30 minutes after the injury, it can occur even in the absence of any loss of consciousness.

In a large number of TBI cases, the common imaging findings are negative for injury to brain parenchyma. Of course, if there if haemorrhage or fracture of the skull, they could be seen, but not the other more subtle injuries.

X ray is an outdated investigation for TBI. CT brain is indicated in acute stages and for follow up imaging, to see for any residual structural changes in your brain in the last 20 years. A MRI brain scan with functional MRI (if available) would surely give a greater insight into the functionality of the various areas of your brain.
At the same time, guidance towards complete neuropsychological evaluation from a competent clinical psychologist is also advised to assess you clinically and match clinical findings with imaging results.

Hope this helps

Dr. A Rao Kavoor
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Signs Of TBI, Dizziness, Memory Loss, Anxiety, Depressions. How To Confirm This ?

HI Thank for choosing HCM, Look you had accident back in 1993, it is long back now, I and do not think it could be traumatic sign and symptoms happened to your brain, more over what exactly happened to you at the time of accident, was your sensorium affected or intact or altered etc. your symptoms is less likely associated with your accident,, still you can discus it with your doctor , have nice day.