Ian Purcell MD PhD Otoneurology
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Our team
Carter Copeland, MPAS PA-C Emily Jairam, MHS, PA-C Haleigh Boe, MSPA, PA-C Jake Perkins, MPAP PA-C Melanie Glover, MPAS, PA-C Touraj Yari, MSPA PA-C
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Cardiac Arrhythmias Gait Ataxia Hearing Loss Meniere’s Disease Nerve Pain Neuromuscular Disorders Viral Neuronitis / Labyrinthitis Neuropathy Nystagmus Orthostatic Hypotension Parkinson's Disease Sleep Disorders Tinnitus Trigeminal Neuralgia
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Advanced diagnostics
Vertigo Recording Goggles Videonystagmography (VNG) Computerized Dynamic Posturography (CDP) Vestibular Evoked Myogenic Potential (VEMP)
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Acoustic Schwannomas Cardiac Arrhythmias Cupulolithiasis Dizziness Memory Loss/Dementia Meniere's Disease Migraine Variant Neuromuscular Disorders Normal Pressure Hydrocephalus Nystagmus Orthostatic Hypotension Parkinson's Disease Post-Concussive Syndrome/Traumatic Brain Injury Presbyastasis
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Epley Treatment Maneuvers Migraine Cocktail The Inner Ear Tinnitus Cocktail Vestibulo-Ocular Reflex (VOR)
Dr. Purcell▾
About the practice
About Dr. Purcell Dr. Monali Patel The Dizzy Doctor Around the World Vestibular Rehabilitation
Call 858 223 2172
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Post-Concussive Syndrome/Traumatic Brain Injury

Post-Concussive Syndrome/Traumatic Brain Injury (TBI)

Post-Concussive Syndrome/Traumatic Brain Injury (TBI)
(click to enlarge)

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.
  • Vestibular Evoked Myogenic Potentials (VEMP) and Videonystagmography (VNG): Evaluate 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.
Post-Concussive Syndrome/Traumatic Brain Injury

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Ian Purcell MD PhD
Otoneurology · Vertigo & balance specialists

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

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

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