Post-Traumatic Symptoms After Brain Injury - Neurosurgery

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Post-acute sequelae of brain injury?


Hello, doctor.
I apologize for bothering you, but I would like to ask: "I was in a motorcycle accident where I collided head-on with another vehicle that made an illegal left turn.
However, that's not important; I just want to maintain my innocence.
My aftereffects are different from others, and it feels like symptoms are surfacing one by one, such as sudden body tremors and my head shaking slightly from side to side.
To be honest, these symptoms are quite frightening.
What adjectives can I use to describe these symptoms? I am still hospitalized and would like to discuss these symptoms with my current physician.
Additionally, I suffered severe damage to my frontal lobe and left cerebellar hemorrhage, with a Glasgow Coma Scale score of 3, which seemed quite dangerous at the time.
Also, although I usually argue with my family, the frequency has increased, and I often feel it's my fault afterward, understanding where I went wrong.
Could this be related to cognitive issues associated with the frontal lobe? I would appreciate your response.
Thank you!"

Shining Revenge Ghost, 10~19 year old female. Ask Date: 2016/01/15

Dr. Zhang Junwei reply Neurosurgery


Yes, frontal lobe damage can lead to deterioration and changes in memory, cognition, and personality, while cerebellar injury can result in balance issues.

Reply Date: 2016/01/15

More Info


I'm sorry to hear about your situation, and I appreciate your willingness to discuss your symptoms and concerns. After a traumatic brain injury (TBI), such as the one you experienced in your motorcycle accident, it's not uncommon for individuals to experience a range of post-traumatic symptoms. These can vary significantly from person to person, depending on the severity and location of the injury.

Based on your description, the symptoms you are experiencing, such as sudden body jerks and involuntary head movements, could be indicative of several underlying issues. These might include neurological disturbances, which can manifest as tremors or myoclonic jerks. These symptoms can be alarming and may stem from the brain's response to injury, particularly if there has been damage to areas responsible for motor control and coordination, such as the cerebellum, which you mentioned was affected.

Your mention of increased irritability and conflicts with family members is also noteworthy. The frontal lobe, particularly the prefrontal cortex, plays a crucial role in regulating emotions, impulse control, and social behavior. Damage to this area can lead to changes in personality, increased impulsivity, and difficulties in managing emotions. This could explain why you are experiencing more frequent arguments and a heightened awareness of your mistakes afterward. It’s essential to communicate these changes to your medical team, as they can provide targeted interventions to help manage these symptoms.

In terms of describing your symptoms to your healthcare provider, you might consider using terms like "involuntary movements," "tremors," "muscle spasms," or "myoclonic jerks" to articulate what you are experiencing. Additionally, you could describe your emotional state as "increased irritability," "emotional dysregulation," or "impulsivity," which may help your doctors understand the cognitive and emotional challenges you are facing.

As you continue your recovery, it's crucial to have regular follow-ups with your healthcare team, including neurologists and rehabilitation specialists. They can monitor your symptoms, adjust your treatment plan as necessary, and provide therapies that may help improve your motor function and emotional regulation. Cognitive rehabilitation therapy might also be beneficial, focusing on strategies to cope with memory issues, emotional changes, and social interactions.

Moreover, engaging in supportive therapies, such as counseling or support groups, can provide you with a space to express your feelings and learn coping strategies from others who have experienced similar challenges. This holistic approach can significantly aid in your recovery process.

In summary, the symptoms you are experiencing are not uncommon following a severe brain injury, particularly with the involvement of the frontal lobe and cerebellum. It's essential to communicate openly with your medical team about all your symptoms, both physical and emotional, so they can provide the best care tailored to your needs. Recovery from a TBI can be a long and complex journey, but with the right support and interventions, many individuals can regain a significant quality of life.

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