Concussion Evaluation San Diego's Leading Center for Functional Neurology

Our Concussion Evaluation Explained

The modern approach to concussion involves evaluation of several key systems in the brain. After pathology has been ruled out, such as a brain bleed, a functional doctor should be consulted to address neurological deficits and associated symptoms.

Concussion Evaluation 1

Vestibular System

The vestibular system involves the inner ear and associated brainstem nuclei that help your brain process where your head is in space. This delicately calibrated system can send incorrect signals to the brain, resulting in tight neck muscles and dysequilibrium.

Concussion Evaluation 2

Ocular System

90% of brain injured patients are expected to have at least one eye movement disorder. A standard eye exam only checks your eyes’ physical health and ability to focus on stationary objects. It doesn’t measure dynamic vision skills such as eye movement and coordination.

Concussion Evaluation 3

Autonomic System

The brainstem's control of the autonomic nervous system can be altered during a concussive force. This system controls the automatic functions of the body: heart rate, blood pressure, blood flow, digestion, and the balance between sympathetic and parasympathetic states.

Concussion Evaluation 4

Proprioceptive System

Concussions are often caused by whiplash injuries (hitting your head is not required). Damage to the ligaments and muscles in the neck can cause alterations in the feedback signals from the joints of the spine back up to the brain.


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