You can evaluate eye movements, and the eye muscles and vision can look fine, but when the brain has to deal with a complex sensory environment, and the mechanisms to compensate have been injured, this can be a terrifying situation. In many patients with persistent symptoms, there is involvement of all three systems (cervical, visual, and vestibular) which lead to sensory confusion or mismatch in the brain. In addition there can be metabolic dysfunction and inflammation that needs to be addressed. This article is a great review of what it is we look at in all of our persistent post concussion patients.
“Seeing stars. Getting your bell rung. A knock on the noggin. In the not-so-distant past, we shrugged off head injuries with quaint euphemisms — a cute way of skirting the seriousness of a traumatic brain injury, or TBI.
These days, the medical world takes TBIs seriously, as we now know that seeing birdies is more dangerous than we ever imagined. The far-reaching and seemingly disparate health effects of TBIs can include cognitive problems, coordination dysfunction, hormonal disruption, digestive issues, and mood disorders. At the same time, we’re learning more about how to treat TBIs and their repercussions.”