Ian Purcell MD PhD Otoneurology
Providers▾
Our team
Carter Copeland, MPAS PA-C Evan Camarillo, PA-C Jake Perkins, MPAP PA-C Touraj Yari, MSPA PA-C
Specialties▾
Conditions we treat
Spatial Disorientation in Aviation / Aerospace Environments Vestibular Disorders Vertigo (BPPV) Meniere’s Disease Viral Neuronitis / Labyrinthitis Nystagmus Gait Ataxia Tinnitus Hearing Loss Orthostatic Hypotension Neuropathy Trigeminal Neuralgia Parkinson's Disease Neuromuscular Disorders Sleep Disorders Cardiac Arrhythmias
Testing▾
Diagnostics
Computerized Dynamic Posturography (CDP) Electroencephalogram (EEG) Electromyography / Nerve Conduction Velocity (EMG/NCV) Epley Omniax Chair TRV Chair DizzyDoctor Vertigo Recording Goggles Videonystagmography (VNG)
Resources▾
Clinic guides
BPPV Characterization Charts Epley Treatment Maneuvers Migraine Cocktail Tinnitus Cocktail All guides →
Educational topics
Benign Paroxysmal Positional Vertigo (BPPV) Dizziness Nystagmus Cupulolithiasis Meniere's Disease Vestibular Migraine The Inner Ear Vestibulo-Ocular Reflex (VOR) Viral Neuronitis & Labyrinthitis Vestibular Rehabilitation Clinic location All resources →
Dr. Purcell▾
About the practice
Dr. Ian Purcell — The Dizzy Doctor DizzyDoctor Around the World Vestibular Rehabilitation
Dr. Patel
Call 858 223 2172
Educational Resources
Post-Concussive Syndrome/Traumatic Brain Injury

Post-Concussive Syndrome/Traumatic Brain Injury (TBI)

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Post-Concussive Syndrome/Traumatic Brain Injury (TBI)
Post-Concussive Syndrome/Traumatic Brain Injury (TBI)

Understanding Post-Concussive Syndrome & Traumatic Brain Injury

Post-Concussive Syndrome (PCS) and Traumatic Brain Injury (TBI) are related neurological conditions that can arise after an injury to the head. PCS typically follows a concussion and involves a set of symptoms that persist long after the initial injury. TBI can range from mild to severe and affects brain function, potentially causing long-term complications or disabilities.

Symptoms of PCS & TBI:

  • Cognitive Impairments: Difficulties with memory, concentration, and executive functions.
  • Physical Symptoms: Headaches, dizziness, fatigue, and noise sensitivity.
  • Emotional and Behavioral Changes: Irritability, anxiety, depression, and mood swings.
  • Sleep Disturbances: Insomnia or sleeping more than usual.

Diagnostic Techniques:

  • Neuroimaging (MRI or CT Scans): To detect structural changes in the brain post-injury.
  • Neuropsychological Assessments: Evaluate cognitive impairments and help differentiate between PCS and other conditions.
  • Balance Testing: Using tools like the Computerized Dynamic Posturography (CDP) to assess how the injury has affected the vestibular system.

Treatment Options:

  • Medication Management: To address symptoms such as headaches, mood disorders, and cognitive dysfunction.
  • Cognitive Rehabilitation Therapy: Helps patients regain lost cognitive functions and manage daily activities.
  • Physical and Vestibular Therapy: Aids in recovery from balance issues and dizziness.
  • Psychological Counseling: Support for emotional and behavioral challenges.

Advanced Diagnostic and Treatment Technologies at Our Clinic:

  • EEG (Electroencephalogram): Monitors brain activity and identifies abnormalities that could influence symptoms.
  • EMG/NCV (Electromyography and Nerve Conduction Velocity): Assesses the impact of TBI on nerve function.
  • Videonystagmography (VNG): Evaluates vestibular health, which is often compromised following head injuries.
  • Vertigo Recording Goggles: Diagnose specific types of balance disorders related to brain injuries.

Living with PCS & TBI:Ongoing management is crucial for living with PCS and TBI, involving:

  • Educational Resources: Helping patients and families understand the condition and its impacts.
  • Lifestyle Modifications: Recommendations to reduce symptoms and support recovery.
  • Support Networks: Connecting patients with community resources and support groups.
Ian Purcell MD PhD
Otoneurology · Vertigo & balance specialists

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7625 Mesa College Drive
Suite 200A
San Diego, CA 92111

Contact

(858) 223-2172
Fax: (858) 533-8397

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