Doctor insights on:
How Can I Treat Post Concussive Syndrome
Time and activity: Unfortunately, the only intervention that has been proven to speed up the recovery time of postconcussive syndrome is light exercise. The best thing to do is stay active as much as possible, and advance your level of activity as tolerated. While there are symptomatic treatments for some aspects of the disease (headache, insomnia, vertigo), they do not help with recovery. ...Read more
It is a syndrome that occurs when the symptoms of concussion are prolonged. These symptoms include decreased concentration, mood issues, sleep disturbance, and attention difficulty. Neuropsychologic testing is important along with the history and physical in order to best determine the severity and possible treatment. It is purported to be due to damage done ...Read more
As common as...: It is as common as a whack on the head. Almost any whack on the head (or sudden turning of the head) can lead to post-concussive syndrome. We used to say that you have to lose consciousness to have a concussion. Now we know that it takes a lot less to have symptoms. If this is you, see your doc right away. ...Read more
Varies in everyone: By definition, post concussion syndrome means the concussion symptoms have been present >6 weeks. If you are referring to PCS, that can take months to go away. If you mean simply symptoms after having the actual concussion, those typically go away in 7-10 days. Either way, rest is crucial. Cognitive (rest from reading, concentrating work, analyzing things) & physical (rest from sports, etc). ...Read moreSee 2 more doctor answers
Prolonged concussion: Symptoms of concussion usually resolve after a week or 2 but can persist. Post concussive syndrome describes symptoms lasting for a prolonged time (many consider 6 weeks or more). Pcs should be managed by a doctor experienced with concussion management and rest from certain activities, medication, and cognitive therapy and counseling can all be helpful. ...Read moreSee 1 more doctor answer
Rest: The best treatment for post concussive syndrome is rest and avoidance of any further potential heavy contact or impact activities that caused it in the first place. I am not aware of anything else that would speed up recovery. Recovery often takes about 2-3 weeks minimum. ...Read moreSee 1 more doctor answer
Post-concussion: No simple answer because the manifestations are so diverse. Common symptoms include headache, dizziness, sleep disruption, irritability, cognitive dysfunction, visual disturbance. Your treatment options are best determined in concert with a physician expert in tbi treatment. Your mix of problems will be unique to you so your treatment needs will be unique to you. ...Read more
Is having post concussive syndrome something to worry about? My wife is upset since my daughter's doctor visit.
Tincture of time: Post concussive syndrome occurs in the weeks and months following a concussion or even a minor head injury. This is usually a constellation of headaches, memory problems and personality changes which are most often self limited and resolve just with passing time. This is not a major illness but can cause significant disruption of a person's life if symptoms are severe enough. ...Read moreSee 1 more doctor answer
Is neuropathy associated with guilain barre syndrome treatable and if so, how do I treat it and relieve the painful symptoms? My neurosurgeon just informed me that I have g.B.S. And had it since may 2011 following a stomach flu i had 2 weeks before my sym
Your : Your case presents a few dilemmas. Gbs is a group of autoimmune diseases targeted at the peripheral nerves and causing acute progressive weakness, usually an ascending paralysis. The history usually entails the following: â€¢upper respiratory or diarrheal disease within previous 1â€“3 weeks in 50â€“70%: c. Jejuni (~40%), cytomegalovirus (13%), epstein-barr virus (10%), mycoplasma pneumoniae (5%), or hiv â€¢dysesthesias (painful tingling), paresthesias (tingling) of the feet and hands are usually the earliest symptoms. â€¢pain is common- especially back pain which can radiate to the legs and not usually associated with myalgias (muscle pain). â€¢gait disorder common in all age groups- this is the most common presentation in children â€¢neck muscle weakness, dysphagia, and dysarthria are predictors of respiratory failure. The physical exam frequently reveals the following: â€¢acute, symmetric, and usually ascending weakness of limbs within days of dysesthesias â€¢areflexia (no reflexes) or hyporeflexia( reduced reflexes) and muscle weakness, decreased position and vibratory sensation â€¢respiratory muscle paralysis 30% if untreated â€¢cranial nerve involvement <50%; usually facial weakness, 10â€“20% ophthalmoparesis (loss of eye movement) â€¢dysautonomia (abnormal autonomic nervous system responses) (50%): labile blood pressure, arrhythmias, ileus (paralysis of bowel function), urinary retention; â€¢miller-fisher variant: ophthalmoplegia, ataxia, areflexia important lab tests â€¢csf: elevated protein and normal white blood cells (wbcs; albuminocytologic dissociation) are characteristic with a normal opening pressure. â€¢emg: this shows a pattern of demyelination with prolonged latencies and a reduced motor compound action potential. The medications usually used are one or more of the following: â€¢immune globulin (ivig) â€¢plasmapheresis or plasma exchange most patients reach the plateau phase within 3 weeks of admission, and muscle strength is expected to improve. The prognosis is: â€¢complete recovery: 50% â€¢some residual disability: 45% â€¢severe permanent disability: 5% hence, the dilemma as you report no improvement and in fact worsening. Furthermore, a lesion within the spinal cord (myelopathy) can present with similar symptoms as the ones you provide. A few pertinent questions to help discern the cause would include whether you have had a lumbar puncture and EMG and what did these results show? I hope this answers your questions. Good luck and well wishes. ...Read moreSee 1 more doctor answer
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