The electroencephalogram (EEG) is a test that has been around a long time. We've all seen patients hooked to a monitor with multiple electrodes taped to their heads. The EEG records overall electrical activity in the brain and is especially useful in evaluating...
There is a common association between Traumatic Brain Injury (TBI) and seizures. Seizures can occur soon after a head injury or months (or even years later). If a patient has more than one seizure, the condition is labeled post-traumatic epilepsy and it carries a...
September 4, 2018: JAMA Pediatrics (Journal of the American Medical Association, Pediatrics) publishes new guidelines on evaluation of mild traumatic brain injury in children. One purpose of this blog is to provide up-to-date expert information on Traumatic Brain...
Approximately 30% of patients with significant head trauma will complain of a significant disruption of sleep. In more significant brain injuries, doctors are often concerned with increased sleeping and altered levels of consciousness. This blog is focused on mild TBI...
I am often asked why traumatic brain injury (TBI)? Why the brain? You are an ophthalmologist, an eye guy. Well, here is a little, but important, lesson in neuroanatomy. The brain stem lies at the base of the brain and is the interface of the spinal cord and the brain....
So I really never understood why whiplash or neck pain would have anything to do with vision. I'm an ophthalmologist, and the main focus of my career for 30 years has been eye disease and eye surgery. I got interested in the effect of Traumatic Brain Injury (TBI) and...
So, one purpose of this blog is to get us to think and have fun. So imagine an animal that beats its head into a tree numerous times with significant force and velocity, every day. The woodpecker has a brain, and it gets slammed around quite a bit, but it adapts to...
What is a Positron Emission Tomography (PET) scan? PET scans have been around for over two decades. A PET scan is like a CT or MRI scan and is an imaging technique that can be used to visualize various parts of the body. The main concern of this blog is related to PET...
So what if I told you a one-page, 28-item questionnaire which takes a patient 30 seconds to one minute to check off could help make the diagnosis of traumatic brain injury (TBI)? And what if I told you a score of 31 or greater indicates a significant visual...
Approximately half of whiplash victims have problems with vision. These are not necessarily patients with head injury or Traumatic Brain Injury (TBI)- these are patients who experience what is termed in medicine "whiplash associated disorder" (WAD). As you know I am...