Anatomy of the brain
What is a MTBI?
What do patients with MTBI suffer from?
Services offered at Polyclinique Center-Ville for MTBI.

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What do patients with MTBI suffer from?

In the case of TBI, the most involved brain lobes are the fronto-parietal, orbito-frontal and anterior and lateral parts of the temporal lobes; hence the following symptoms and disorders may appear:

 

1) Post-concussion physiological Disorder:

• Headache at rest, mild to moderate, overall, pounding type
• Dizziness, nausea, tiredness, drowsiness, sensitivity to light and sound, irritability
• Symptoms caused or exacerbated by levels of physical (and sometimes) cognitive activity

 

2) Post-concussion vestibulo-ocular disorder:

• Mild to moderate headache and eye strain that are usually absent at rest but are caused or exacerbated by prolonged periods of reading, focusing, or in complex visual-spatial environments
• Intermittent blurred vision, diplopia, dizziness, cloudiness, movement sensitivity and difficulty focusing or concentrating
• Intermittent dizziness at certain head positions

 

3) Post-concussion cervical dysfunction:

• Mild to moderate occipital headache, dull pain, caused or exacerbated by activities requiring stabilization or prolonged neck movements
• Neck pain, stiffness, decreased range of motion, dizziness, cloudiness and postural imbalance

 

4) Post-traumatic neuropsychological / psychiatric impact:

• Emotional symptoms such as sadness or depressed mood, nervousness or anxiety, irritability, tiredness and difficulty to sleep
• Cognitive symptoms and deterioration of performance or functioning at school
• Isolated suicidal ideas or worsening of symptoms from a pre-injury psychiatric disorder

 

5) Development of Migraines:

• Paroxysmal attacks of unilateral, severe, throbbing or pulsatile headaches associated with photophobia (light intolerance) and phonophobia (intolerance to noise) and occasional nausea and vomiting.
• Provoked by stereotypical stimuli including bright lights, stress, dehydration, poor sleep and certain foods.
• Headaches last from 4 to 72 hours, after which patients usually have periods of relief.

 

Services offered at Polyclinique Center-Ville for MTBI:

Our approach to assessing and managing patients with MTBI or PCS aims to identify the pathophysiological processes that cause persistent concussion symptoms and to guide personalized rehabilitation programs to target these processes. We are aware of the important role of directing patients to relevant qualified health professionals to their specific post-concussive syndrome profile.

Our multidisciplinary team, consisting of:
ENT – Neurotologist, specialized in vertigo and imbalance
Neurologist, specialized in concussion and migraine
Neuropsychologists, with specific skills in MTBI
Kinesiologist with extensive experience with athletes with MTBI
Physiotherapist, considered a reference for imbalance disorders
Optometrist, offering visual rehabilitation services, as part of the MTBI
Osteopaths, having developed a great expertise in cervical imbalance

will support patients with MTBI, and assist them with reintegration into their workplace or studies.