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Memory Problems and Other Symptoms After Whiplash Injury

I am a 25 year old male who eats right, works out, and functioned normally before this accident.  About 4 years ago I was playing football and got hit from the side (a whiplash kind of hit).  No loss of consciousness or any problems right away.  Got up and kept on playing.  So next day I remember waking up and everything just seemed fuzzy.  Not dizzy, but out of focus.  I would engage in a conversation with someone and just felt so light headed, almost as if I was going to faint and could not pay attention to what they were saying.  So, time went by feeling this way (light head, fuzzy, trouble focusing) for a few days when I remember just getting the worst headaches of my life.  Could barely go to class.  Went to a doctor, got a CT scan…….everything looks normal and neurologist just kinds of dismisses this to stress/depression/anxiety/ etc.   Time goes on, no luck.  Headache pain decreases but now becomes a dull pressure centralized in my right temple.  Memory and concentration starts to get worse.  Doctor advises a neurological test.  Results: Depression, ADD, Anxiety, and memory problems.  Doctor treats each of the first three conditions (anti-depressants, anxiety pills, concerta, all to no avail.)  So trial and error goes on while my symptoms get worse.  My right eye starts to get blurry  (even though I have 20/20 vision) and colors in that eye starts to become a shade off compared to my left .  I see an eye doctor, everything looks good.  I do have a rare eye disorder (pigmentary dispersion syndrome) however he said this would not be the cause of any of my symptoms.  MRI performed by neurologist with the result brain looks normal, probable mucus cyst or polyp right sinus.  Doctor says that’s normal.  Blood work done, b12 and thyroid good.  Symptoms get worse.  I cannot focus at work, I forget information I knew I learned, have hand shakings, neck jerking, weird sensations in hands and weakness on my entire right side (leg and arm have become less developed compared to my left side even though I am right handed). My right eye has begun to droop slightly,  have neck pain, and have developed sleep apnea, blood shot eyes, and constant stuffiness.  Symptoms have just gotten worse and worse with no relief.  I know it is not depression or anxiety causing these symptoms as I have never felt this way until after the whiplash injury.  I have a great life and it is being consumed by this problem.  I have always been pretty smart and I have a degree in engineering, which is a fairly difficult degree.  I used to get A’s in calculus 3 now I can barely do basic problems from algebra.  Has anyone had any kind of complications like this from a neck/head injury and been diagnosed?  I know I am not making these symptoms up and I try to ignore them, but they persist.  Also, I should mention when I was 15 I had a blow to my right temple where I lost consciousness for a split second but no further complications.  Any help would be appreciated as I am beginning to go crazy over these persisting symptoms.   I have seen three neurologists.  One found that I have sleep apnea, but I have been on a CPAP  consistently for over a year and no improvement in symptoms.  I have gotten allergy shots for a year that do not help fix headaches or stuffiness.  The only thing that I can really find on the internet that may be causing this is "barre-lieou" syndrome, but that does not appear to be an actual "disease" but compilation of symptoms.  I feel as if my right side is just not being supplied with blood (brain included) and that is why I get these symptoms, but a ultra sound of my neck came back normal.  Could a whiplash maybe compress something in my neck that could lead to these symptoms?  Any help would be appreciated, as I am desperate.
Thanks,
Chris
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Best Answer
1530171 tn?1448129593
Hi nucenginner.

Some good suggestions from Foggy.

It is quite a challenge for you, however, don't lose hope.
There are always things that can be done to improve your condition.

Please also look into the following:

1. Methylocobalamin B12 deficiency, which will not show on the mma B12 test.
You need a separate Homocysteine test which indicates Neurological B12 levels (methylocobalamin)

2.  IGF-1 test for low Growth Hormone. Very important !
Deficiencies in this hormone are especially common in patients with moderate (possibly your case, since not much has been detected) to severe traumatic brain injury.
Growth Hormone has many important roles, one of them pertinent to you
is its remarkable function to increase the number of receptors for ALL hormones, throughout the body, thus increasing the body's sensitivity to these hormones, which is particularly useful to prevent the damaging effects of their deficiencies.
It also promotes the regeneration of nerve tissue and it helps extend the longevity of damaged neurons.
Your symptoms are consistent with unresolved hormonal deficiencies.

A brain injured patient, even mildly (subclinical TBI) with low growth hormone may show memory decline and impaired cognitive function,
similar to Alzheimer's Disease.

3. Free T3, Free T4 AND Reverse T3 for proper thyroid function testing.
Standard serum testing only reveals serum levels, not function!

4. Cortisol and DHEA levels.
Look into: Functional Adrenal Stress Profile – BH #201 – Cortisol x 4, 2 averaged DHEA-S by BioHealth Labs.
Note: This is not an endorsement, just FYI for reference purposes.
However, I have personally found these Labs to be efficient, accurate and reliable.
The ongoing biological stress, even if growth hormone levels are fine, will result in Adrenal stress, causing at first a rise in cortisol levels, which cannot be sustained indefinitely, thus resulting eventually in low cortisol levels.
There's an interesting article in the Natural Medicine Journal (June 2010 Vol. 2 Issue 6) titled: The Role of Cortisol in Sleep.

I have done specific research in this.
My mom a few years ago was hit by a drunken driver and suffered severe bodily injuries and moderate TBI with dementia-like symptoms, which improved somewhat with supplementation of GH, NDT ,grandulars and herbal supplements, Oh and coconut oil! Extra virgin organic.

Please let me know if you need details.

I hope this helps, however, I must note that my suggestions and comments are not intended as a substitute for medical advice.

Best wishes.
Niko


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Avatar universal
Well, i just followed up with my neurologist.  I talked to him about these concerns and of course he dismissed all of them without any justification.  So i called my general care doctor and he order the HGH and cortisol test, yet he said that he didnt think we would find anything.  My neurologist wants to send me to UVA where they might perform a PET scan to assess blood flow to areas of my brain.  I will update with the results of the tests.  Thank you for your input!
Helpful - 0
1 Comments
Hi man, same problem here, 25 year old business student who speak 4 languages and had a life disrupting whiplash/tbi is burdening me way more than it should. How is your recovery? It would make  me happy to know you recovered fully
Avatar universal
Thank you again for your help.  I meet with my neurologist again tomorrow so I will discuss these tests with him.  I will update you as to what he says.  Thanks!
Helpful - 0
1530171 tn?1448129593
I would suggest you look (If you haven't done it yet) into the" Functional Adrenal Stress Profile – BH #201 – Cortisol x 4, 2 averaged DHEA-S" testing by BioHealth labs* as I mentioned in my first reply to you.
It's a saliva test, which to my opinion is more relevent , as it measures bioabalable unbound cortisol, unlike serum testing which indicates t,otal cortisol as it measures also cortisol bound by blood proteins.

In the standard serum testing for hypothyroid, again it measures total hormone levels which does not relate to thyroid function necessarily.
This can only be established with certainty by testing for free T3, Frre T4 and Reverse T3. Otherwise, one can stay in perpetual medical limbo, pursuing other possibilities in vain, should thyroid dysfunction be indeed the main causative factor.
You probably meant TSH-Thyroid Stimulating Hormone and not TSF, right? It's kind of a  useless test to my opinion if T3 does not make it into the tissues.

Adrenal stress, due to prolonged biological stress goes hand in hand with hypothyroid as secondary (which by the way does not rule out primary hypothyroidism).
It is a default survival mechanism, forcing a low thyroid state, to allow for adrenal recovery.

Should you have any methylation issues or MTHFR gene mutation, you
will be deficient in neurological B12 (methylocobalamin) and Methyfolate, even if your regular B12 and Folate show normal or high levels, when tested.
The standard test for B12 is MMA, however, regarding the aforementioned you need to have a homocysteine test.

You can forgo this, if you elect to do a Methylocobalamin and Methylfolate
supplement trial for a few months and should you experience positive results, then this would be very indicative of methylation issues.
Let me know if you need more details.

I have been on these plus MSM, EVCO (extra virgin coconut oil),
Omega-3 and Undenatured whey protein powder ( precursor to glutathione,the body's master antioxidant), for impoved brain and overall health.
Myself, I've had 2 serious traffic accidents with serious bodily and head injuries, however, you would not be able to tell if you'd meet me now.

Take care.
Niko



Helpful - 0
Avatar universal
Thank you very much for your response.  I am looking into some of these things that you are describing as we speak.  Do you know what any of these tests, espcecially the cortisol levels and dhea levels would show up as on a blood test?  I have had numerous blood tests suchs as CBC with differential and a comprehensive metabolic panel (both of which contain several different kinds of results), but nothing has been out of balance (according to my doctor).  I know I have been tested for B12 and TSF (for thyroid) but I am not sure if I have had these particular versions of the tests that you are naming.  I really appreciate your help and any additional info on what to look for to see if I have had these tests would really be appreciated.
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Avatar universal
Thank you for your response!  I will look into the web page you gave me and i appreciate the help!
Helpful - 0
10389859 tn?1409921868
Thank you Niko. :-)
Helpful - 0
1530171 tn?1448129593
I did not know about the TBI user group and I'm glad you made reference to it,
so now I can direct people there, when it's pertinent to their question(s).

You seem to be knowledgeable and capable to run it.

Best wishes.
Niko

Helpful - 0
10389859 tn?1409921868
I am very sorry to hear about everything you have been through.  Often after an injury like you described, and this being the 2nd one (which means it is accumulative), you can have lasting effects to the brain.  I'm very surprised that the Neurologists have not picked up on this.  Please take a look at the resource links on the User site on this web forum here: http://www.medhelp.org/forums/Traumatic-Brain-Injury-TBI/show/1843

Your symptoms fit many of the post-TBI syndrome.  There are some helpful tips and ways to cope listed there as well; I run the group.

I would suggest that you find a different Neurologist but one that is NOT affiliated with any of the others (a different hospital and possibly a different state) since they cover for each other.  You sustained an injury that is impacting your life, you job and probably your social life and more.  I can understand this.  Let me know if you have any questions.
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