Post-Accident Neurological Recovery: Seeking Treatment Options - Neurology

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Dr. Lan has something he would like to inquire about?


I would like to ask the doctor a question.
I was in a car accident on November 22, 2015.
To be honest, I don't remember how the accident happened, as that memory has faded.
I had no external injuries, but I know there was bleeding in my brain, which was managed with medication.
The amount of bleeding was minimal, so there was no need for surgery to remove any blood clots.
Additionally, there was some stretching of the neural pathways in my left brain, which affected my right hand and left leg when I was first discharged from the hospital.
They were not very agile or responsive; I struggled to even hold a spoon and was unable to take care of myself.
However, I have improved significantly and can manage on my own now.
Since the incident, I have been going to rehabilitation every day, and I still continue to do so.
I would like to ask the doctor if there are any medications or treatments available for the stretching of the neural pathways in my left brain.
Currently, I am only taking vitamin B complex.
I am also seeing a traditional Chinese medicine practitioner who is providing me with herbal remedies to help with my recovery.

Additionally, my hearing in my left ear has significantly decreased compared to my right ear.
After an examination at Chang Gung Memorial Hospital, I learned that if my right ear has a hearing level of 70%, my left ear is only at 30%.
My balance is also quite poor; I cannot jog or run quickly, but I can walk slowly without issues.
Therefore, I am not yet able to ride a bike or drive, as I am concerned that my reflexes are not as sharp as they used to be.

When it comes to writing, I can only write slowly, one stroke at a time; if I try to write quickly, it becomes messy.
These are the difficulties I am currently facing, and I hope the doctor can help me with some answers.
Thank you, doctor.

Shaoqi, 20~29 year old female. Ask Date: 2016/05/06

Dr. Lan Shengxing reply Neurology


Dear Shao-Chi, this injury requires some time for rehabilitation.
I'm glad to hear that you're seeing progress in your recovery, but not every condition has a miracle cure.
As you mentioned, these inconveniences are part of the brain's learning process, so you need to take it slow and learn step by step, just like a child learning to walk.
Keep it up!

Reply Date: 2016/05/06

More Info


Post-accident neurological recovery can be a complex and multifaceted process, especially following a traumatic brain injury (TBI) like the one you experienced. Your situation, involving left brain injury and subsequent neurological deficits, requires a comprehensive approach to treatment and rehabilitation.

Firstly, it’s important to understand that the brain has a remarkable ability to heal, but this process can be slow and varies significantly from person to person. The left hemisphere of the brain is primarily responsible for functions such as language, analytical thinking, and motor control on the right side of the body. Given that you experienced a left brain injury, it is not uncommon to have difficulties with motor skills, coordination, and even speech or cognitive functions.


Treatment Options
1. Physical Therapy: Since you mentioned difficulties with motor skills and coordination, continuing physical therapy is crucial. A physical therapist can help you regain strength and improve your balance through targeted exercises. They can also provide you with strategies to enhance your mobility and reduce the risk of falls.

2. Occupational Therapy: An occupational therapist can assist you in regaining the ability to perform daily activities independently. They can work with you on fine motor skills, such as writing and using utensils, and provide adaptive tools to make these tasks easier.

3. Speech Therapy: If you are experiencing challenges with speech or language, a speech-language pathologist can help. They can work on improving your communication skills and addressing any cognitive-communication issues that may arise from your injury.

4. Medication: While there is no specific medication to directly heal nerve damage, certain medications may help manage symptoms. For example, if you experience spasticity or muscle tightness, muscle relaxants may be prescribed. Vitamin B complex is beneficial for nerve health, and continuing this supplementation can support your recovery.

5. Alternative Therapies: You mentioned seeing a traditional Chinese medicine practitioner. Complementary therapies, such as acupuncture or herbal treatments, may provide additional support in managing symptoms and promoting overall well-being. Always consult with your healthcare provider before starting any new treatment.

6. Hearing and Balance: For your hearing loss and balance issues, it may be beneficial to consult an audiologist. They can assess your hearing and recommend hearing aids or other interventions if necessary. Balance training exercises, often included in physical therapy, can also help improve your stability.


Recovery Timeline and Prognosis
Recovery from a TBI can take time, and it’s essential to set realistic expectations. Many individuals experience fluctuations in their recovery, with periods of improvement followed by plateaus. The brain can continue to heal and reorganize itself for months or even years after the initial injury.

Monitoring Progress
Keep a journal of your daily progress, noting improvements and any challenges you face. This can help you and your healthcare team adjust your treatment plan as needed. Regular follow-ups with your neurologist and rehabilitation team are vital to monitor your recovery and make necessary adjustments to your treatment.


Conclusion
In summary, your recovery journey will require a multidisciplinary approach involving physical, occupational, and speech therapy, along with appropriate medical management. Stay committed to your rehabilitation, and be patient with yourself as you navigate this process. Each small improvement is a step towards regaining your independence and quality of life. If you have specific concerns or symptoms that worsen, do not hesitate to reach out to your healthcare provider for further evaluation and support.

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