Occipital Nupital Cephalogesic Neuralgia
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New studies identify attention-deficit hyperactivity disorder (ADHD) as a risk factor for
prolonged recovery from mild traumatic brain injury/concussion.
Patients with pre-injury attention-deficits took, on the average, many months longer to achieve
recovery from concussion than patients who had no preexisting neurobehavioral disorder.
Studies suggest that head injury patients be carefully screened for the presence of both pre-
and post-injury attention deficits. Similarly, patients who have been taking ADHD therapies in
the form of psychostimulant medications such as Ritalin, Dexedrine, or Adderal may have a
worsening of neurocognitive symptoms as a result of both ADHD and the medications which
tend to exacerbate problems with memory and cognitive functioning. In some cases,
post-concussion patients with ADHD need to change medications to a non-stimulant agent to
achieve maximum results.
In other cases, the mild head injury worsens the manifestations of ADHD even though
there is no significant neuropsychological evidence of brain impairment from head injury.
This is thought to be attributable to the fact that frontal lobe brain functions already
dysfunctional in the ADHD patient closely resemble brain injury symptoms. It has been
long known that males with ADHD are at significant risk for sustaining a brain injury in the
first place and appear to be at greatest risk for prolonged recovery.
Grade 1 (mild): confusion without amnesia; no loss of consciousness--forces a player out of the
game for at least 20 minutes, pending further evaluation.
Grade 2 (moderate): confusion with amnesia; no loss of consciousness--keeps a player out of the
game and practice for at least a week
Grade 3 (severe): loss of consciousness--benches the player for at least a month.
Concussion Is Not Part of the Game! They're called contact sports, but be careful: Too much contact is sometimes dangerous. Concussions can cause permanent brain damage,
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The post-traumatic syndrome is usually associated with:
Post-traumatic headache can be present in many forms:
Headache
Dizziness
Irritability
Lack of concentration
Intolerance to alcohol
Tension-type
Migraine
Occipital neuralgia
Traumatic dysautonomic
cephalalgia.
A concussion can cause confusion and short-term memory loss but not necessarily a loss of
consciousness. The risk of permanent brain damage grows greater with each concussion, particularly
when the damaging blows occur closely to each other, Hergenroeder says. Regardless of the spacing,
however, studies of sport injuries have shown that the chance of receiving a second concussion is four
times greater than that of receiving the first.
The risk of permanent brain damage grows greater with each concussion. Even the mildest of
concussions may cause flu-like symptoms such as dizziness and fatigue for a week. More serious
concussions may lead to irritability and sleep for up to 6 months.
In high school, this may translate to lower test scores and
delinquency. A history of concussions may result in long-term
memory loss, learning disabilities, balance problems, emotional
instability, and, in rare cases, death.
Concussion in sports: Avoiding the Catastrophic 2econd Hit Syndrome.
Post-traumatic stress and other emotional complications often coexist with head
injuries and can aggravate lingering symptoms.
These symptoms may include:
Memory loss
Personality changes
Decreased work/school
productivity
Poor frustration tolerance
and temper outbursts
Changes in sexual
functioning
Poor impulse control
Intellectual decline
Decreased attention and
concentration
Family conflict
Depression and fatigue
Identify subtle deficits that may not have been detected on various other tests such as MRI's, CT scans, or EEGs which are often unremarkable in a mild head injury.
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Memory
Attention and concentration
Language
Intellectual functioning (IQ)
Motor skills
Visuospatial ability
Judgment
Abstract reasoning
Personality functioning
Future challenges and opportunities
Changes in physical, emotional and social needs
Changing roles in relationships and families
Reduction of anger and frustration
Coping with confusion, sadness, and depression
Needs for independence and dependence
Ways of handling stress and tension
Issues of intimacy and sexuality
The demands of work and environment
Physical Aspects
Fatigue
Headaches
Dizziness
Sexuality
Hearing Problems
Vision Problems
Sensory and Metabolic Disturbances
Motor Problems
Seizures
Mental Aspects
Attention and Concentration
Memory
Reasoning, Planning, and Understanding
Speech and Language
Academic Performance
Emotional Aspects
Post injury Reactions
Mood and Behaviors
Psychiatric Disorders
Grieving
Recovering
Introduction
Rehabilitation
Financial Issues
Hypochondriasis Depression Hysteria Schizophrenia.
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In the study of De Benedittis' group, they found that patients with post-traumatic, chronic, tension-type
headache had higher scores on the Minnesota Multiphasic Personality Inventory (MMPI) test in the
following scales:
Vijayan in 1977 described a new form of post-traumatic headache-traumatic dysautonomic cephalalgia-which
results from a soft tissue injury to the anterior neck structures surrounding the carotid vessels. The trauma
was due to either blunt, non-lacerating or stretch injuries. The symptoms included:
Unilateral throbbing headache (ipsilateral to the injury side) Excessive sweating Pupillary dilation Blurred vision Nausea.
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Occipital Nupital Cephalogesic Neuralgia
Athletes need to get it into their heads that no sports-related concussion is minor.
Second-impact syndrome characteristics:
delayed verbal and motor responses, slurred speech, poor coordination, or nausea that a
concussion can cause.
Such vigilance runs counter to a common tendency to trivialize athletic head injuries as a rite of
passage and to encourage injured athletes to rush back onto the playing field.
Even if a head injury seems minor, a player who returns to the game prematurely risks
re-injury or second-impact syndrome
If a patient sustains a second concussion before full recovery from the initial injury, death
can result. When re-injured, the brain loses its ability to regulate blood flow and becomes
engorged.
High school athletes are at particular risk for this second-impact syndrome the tendency of
athletes to downplay the importance of a concussion.
Disability- A Different Way of ?Being?
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It is important to understand a little about me in order to understand my art. Historians write about
what artists were thinking or trying to convey in their art, and I prefer not to have misconceptions.
Playing the game of football was the most important thing in my senior year of football. I come
from a long line of athletes. It was my passion. Where else is it legal, encouraged, and rewarded
for one to knock the stuffing?s out of another human? ADHD since birth, I loved all sports and
excelled in them. The first concussion was more severe than diagnosed, and the second hit
sealed my fate.
The injury to the brain was permanent. A whole new way of life was about to begin.
One of the hardest things I had to accept was the ?forever? of the injury. It took a year and a half before
the doctor?s informed me I would have to learn to deal with the physical pain, because it was never going
to go away. I was 19 years old. I had already learned to read again and walk with out bumping into things.
Double vision is only an obstacle if you allow it to be one. Eastern meditation and concentrating on things I
could do, instead of what I was no longer unable to do was the key to my sanity.
I could sit in my chair draw and write, so I did. I could edit video footage and create special
effects, so I did. The digital art became more and more my release. Release from the pain,
release from the body that would not allow me the normal physical activity, release from the
stark reality, my world was no longer the one I thought it would be. Emotional frustrations and
fears laid out on the canvas for the entire world to hear, if they know what they are looking at.
It has been 14 years since my second concussion. For the first six years, I would have told
you playing football was worth it. Maturity, or the reality of ?forever? has certainly changed
that viewpoint. Before I explore the present, let?s venture into my past.
?The smell of football is in the air,? Coach Voos would always say, every Friday night. I loved
the game of football. I have often heard, in order to be a good player, it must be in your blood.
I was an excellent player.
From the time I could hold a football, I played it everyday. Sandlot games until we were of age
for school teams. My grandfather did two things with me consistently, everyday he was
physically able. Tossed me a football and taught me route patterns, and art. Both his passions. I
played with conviction, and had a talent for ignoring physical pain.
Everything you do from the sixth grade until your senior year is try to achieve enough skill
and football savvy you can continue to play in college, and then pro.
My senior year had a bumpy start. I tore the ligament in my right knee the first day of
practice. I thought I was finished before I had a chance to leave the gate. Surgery was
performed and to everyone?s amazement, especially mine, I had two ligaments instead of
one. The surgeon came to find my parents and tell them of the strong resemblance to the
ape phylum I possessed. Monkeys have two such ligaments in the knee, and me! Remove
the torn one and I would play again.
One week after surgery, I was hip-sledding 500 pounds in the weight room. I was
ready to play again, I loved the game before, but it had a new meaning for me after I
thought I would never play again. I had a new respect for it. Every down, I played
like it was the last time I would be on a field, feeling the adrenalin, smelling the night
air, hearing the slap of helmets and pads as they collide. I didn?t want to look back
and say, ?hey, I wish I would have run faster, hit harder, or held onto that guy longer.?
Two weeks after surgery, I was on the field again. It was only practice, but I played
like the Heisman trophy was at stake. The Friday night game was high lighted by kids
wearing my jersey number and the promise of the best time of my life. I realized how
many people you play for. It is for the grandfather in the wheelchair, the dad in the
stadium, the neighborhood kids running down close to the field, not just you.
In my three games and a half games my senior year, I made 56 1/2 tackles. I was the third
highest tackler on the team that year.
Football is more than just the score. You win by playing. You lose by quitting. Think of the
greats. Walter Payton, Steve Young, Merle Hodges, Lawrence Taylor, Ronnie Lott, all
played through pain. Maybe it is the very concept of ignoring pain I learned in the sport, that
saves my sanity today.
Injuries Last . . .
Concussions involve some degree of injury to the brain and are among the greatest dangers of high
school sports. A rough tackle may produce the injury. According to the US Centers for Disease
Control and Prevention, high school sports activities produce about 200,000 concussions per year
Various combinations of concussions sustained during a career could bar an athlete from playing for an entire
season or the rest of his or her high school years. The decision to permanently bench a player can be tough.
"Often, for both the player and the parents, the sport is everything. It's hard to get them to see otherwise,"
Hergenroeder says. "Keeping these players away from the game could cost them a scholarship to college."
Hurt so good?????
How this relates to me, I have a headache every minute of my life.
I have double to triple vision. I react to almost every medication they have tried, or it doesn't work to
relieve the pain. On a scale of one to ten in migraine pain level , I am at a constant seven - eight. My heart
beat is so loud in my ears , I often have difficulty talking on the phone. I went for years throwing up every
single meal. Now I have learned to send it back down , or only eat vegetarian in order to keep food down.
I weigh a whooping 140. I cannot run, exercise, drive, get overly heated, or extremely chilled. This
induces a headache so bad I can't stop throwing up. My only salvation has been art, writing, meditating,
hot tub soaks, and avoiding leaving the house for the most part. Bright light, loud noises, too much
commotion sends me into a headache that keeps me awake for days because I can't go to sleep for the
pounding in my ears. A bad cycle will last for up to six weeks. You can't hold a job in real work force, no
one could count on me showing up. I have had to become self employed, and that is so dependent on how
I feel, I have to be very careful on saying what I can do. My life is in the basement ( six feet underground
) , art, working on the computer, writings, doing web pages, and trying to forget my head is pounding
with force of a car engine revved to the max. I have learned not to feel too sorry for myself. I contacted a
head injury group and they almost laughed. You see, I am not a paraplegic, or quad from this injury. To
them the ability to feel pain is better than the inability to move. I was again just trying to make a little sense
of the madness, a little relief some kind of answer as to why I got injured so bad. Laughter seems to be my
life, funny in that morbid watch- the- car- wreck kind of way . Many people have gotten concussions, but
they don't last like this .The help from all the doctors has been wonderful, I'm telling you . Ever felt every
gland in your body dump? You get all your natural substances at once. I'm am telling -you got to try it .
Nothing is better than your heart and everything else inside feeling like they really are in there and about to
do let's compare it to hmmmm, let me think. I was laying there trembling, freezing but sweating through
my blankets. Hallucinating but in full cognition of my surroundings. Then came the heart fibrillating.
Drug reactions are a blast . The doctor looked at me oddly when I checked my self out and said I'll
just deal with the pain the rest of my life then making it worse by this . Let it be, the ink has never hurt
me like this so I've come to a understanding with my life and what it has to offer . What my limits are
and how many movies and stories I can get out before my body gives out . I've found my pace and
plan to make the rest history . Found articles about ADHD and how hits worsen the BOOM ! I don't
know why but at least this explained a little . Didn't heal shit but at least I can begin to understand the
why . Cause a guy questions his mind sometimes. Especially after so many years of headaches , could
they be psychosomatic? Now this sounds dumb- but you wonder . Then reality of the truth in pain
dismisses that . I push my self at everything. Even things I know my body shouldn't do . Now if you
think a parent bitching at you is bad, have your body get pissed off at you. You black-out and
fall down a lot.
And we haven't gotten into what it does to your mind. I had to retrain my sight to be able to
read, verbally it threw me for a loop, you have to relearn how to pronounce words still to this
day, (some the same over and over) try saying a word and having the record skip or you say
the word above it or below it like in a dictionary . Then you try to write and you know that
their is for theirs but your fingers type there or sense, sense, cents it mixes it up before you
can stop your hand. These are trivial, but frustrating . And the constant shakes, ( that only
human contact take away )
(( wonder if its a energy thing ?)) Plus you can't really go out to eat - no one likes the vomiting kind .
Takes away your company's appetite. So, this has been a little of my life . Eleven years later still hurts
the same. I just deal with it different. I usually don't let people in like this. They just look at me like
something's wrong. But it's hard to relate this kind of pain . Plus you feel that you are just telling
another sad story and we all have them. But but not telling them I guess I am not really letting them in
on the true me , so there you have it. I'll sum it up now, last 14 years constant HEADACHE
-VOMITING - BLURRED VISION - just off the top of my head.
Disabled myself before I was 18.
I learned the hard way, once again. It was just my road. What can I say? I've made peace with what happened. I've dealt with it, I live on. WE ALL DO! MALE EGO- taught me there is no glory in pain I hope this helps to let you understand a little why someone would go back in , again , and again .
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Information I've found related to my injury-.
"The same aggressive, impulsive behavior that may make a good football
player may also be the same foolish behavior that can lead to successive
concussions,"