Concussions have been poorly managed in years past. However, new technology and research are driving better treatment options. Advances in science means physicians must continue to learn. Dr. Dane has completed roughly 500 hours of training concentrated in concussion. These 500 hours include both classroom time and grand rounds with Dr. Carrick, the “father of functional neurology.” She is interested in developing more effective treatments for concussions. Examining a patient with a concussion includes comparing subjective findings (patient’s answers concerning their health and symptoms) with Videonystagmography (VNG) findings (gaze, fixation, pursuit, saccade, optokinetic, pupillometry, and consensual light reflex) and with neurological exam findings (cerebellar, cranial nerve, cortical). All of this information are important pieces of the puzzle that allow Dr. Dane to build more effective treatment protocols for the concussed patient. Effective treatments require an accurate diagnosis of what part of the central nervous system is being affected. Moreover, after the level of the lesion has been determined, it is important to know how the site, pathway, or neural integrator is being affected, which determines the function of the aforementioned areas. Injured areas display dysfunction in a number of ways including, but not limited to, hyperfunction, absent function, hypofunction, misfiring, and poor integration.
According to the CDC:
Concussions, also known as mild traumatic brain injuries (MTBI), account for roughly 75% of all traumatic brain injuries each year.
Almost half a million ER visits for TBI are children age 0-14.
Annual estimation of ER visits for TBI related to sports is 173,285.
Due to increased awareness, ER visits for sport-related TBI has increased 60% over the past decade.
Visit the CDC’s “Head’s Up” homepage for more information about sports related TBI and MTBI.
Visit the National Dissemination Center for Children with Disabilities for more information about TBI and MTBI.