Dr.Danov Neuropsychologist P.C.
Pediatric and Adult Neuropsychology
        Did you hit your head in the accident?
        Did you feel foggy, dazed or confused right after the impact?
        Do you remember the impact?         
        Can you fully recall the events leading up to and following your accident?
        Have you been experiencing difficulties with memory, attention, or mood following
          your accident?
        Any thinking or processing problems following the accident?
        Do you experience irritability, anxiety, depression, or anger since your accident?
        Have you been told that you are “not the same person” since the accident?
        Any difficulty interacting with family members and others due to accident related TBI?
        Any trouble performing your job responsibilities as a result of difficulties with thinking or
         mood following your accident?
        Did you develop difficulties in performing household duties as result of
         your accident related problems with thinking or mood?

Is it possible to determine if you have sustained a closed head injury (TBI) if you cannot recall the
accident, cannot recall hitting your head in this accident, or your neurological exam and MRI scan
of the brain is “normal” while you still suffer from cognitive injury? Is it possible to find out if you
are suffering from a cognitive injury related to your accident?

At Dr. Danov Neuropsychologist P.C., we examine and treat adults and children who have
developed cognitive problems secondary to a traumatic brain injury (TBI) due to:

        slip and fall accident
        physical attack and blow to your head
        auto collision or motor-vehicle accident (MVA)
        construction accident with injuring your brain in a fall or dropping a heavy object on your
        any work accident involving a brain injury  
        birth trauma with resultant brain injury (traumatic brain injury, TBI, or anoxic brain injury)

We also evaluate individuals who've sustained a stroke, neuro-toxic poisoning, or any other brain
injury as a result of an accident or medical malpractice and negligence.

Traumatic Brain Injury (TBI) is a form of acquired  cerebral injury, which compromises the integrity
of the brain on a structural and functional levels. In the US, about 1.4 million people experience a
TBI, 50,000 die from a TBI, and about 1 million people visit emergency rooms because of a TBI.
Nearly 50% of all TBI cases result from MVA, and nearly 50% involve alcohol use. Falls cause
most of the TBI among the elderly over 75 years of age.

Mild TBI is characterized by confusion, disorientation, dizziness, with or without brief loss of
consciousness. There is a wide range of symptoms associated with mild TBI that may or
may not resolve shortly after the injury. Also, sometimes some symptoms do not surface until
hours or days after the accident. Somatic symptoms of mild TBI include brief loss of
consciousness, headache, dizziness, blurred vision, ringing in ears, fatigue or lethargy, and
changes in sleep. Cognitive symptoms involve confusion, memory loss, decreased
attention, and slow thinking. Some TBI patients may also experience behavioral and
mood changes.

Moderate and severe TBI involves the same symptoms, but may also be associated with
repeated vomiting and nausea, prolonged headaches, loss of consciousness or coma,
slurred speech, impaired coordination, and numbness in the extremities.

Neuropsychological testing provides an objective evidence of brain injury (TBI)
and subsequent cognitive and emotional problems.  Neuropsychological testing
offers objective test results, as opposed to your subjective complaints.
objective test results are essential in accurate documentation of your post- accident cognitive
injury and TBI.  Then by comparing the pattern of these results with your pre- injury abilities, and
correlating these results with the nature of the trauma, neuropsychologist can establish and
confirm a diagnosis of TBI.

Neuropsychological testing is especially helpful when radiological findings (i.e., MRI, CT scans)
are negative, while you continue to experience cognitive problems. These persistent cognitive
problems are attributed to functional abnormalities and micro-lesions in the brain caused by TBI.
For instance, some TBI result in diffuse axonal injury, which affects cerebral perfusion and
metabolism. This can undermine the executive functions, speed of information processing,
working memory, attention, and inhibition. Fronto-temporal regions are particularly susceptible to
TBI and often lead to attention, memory, executive, and emotional control difficulties. Executive
functions include planning, reasoning, decision making, and problem solving, which are essential
to professional, academic, social, and personal functioning.

Conventional MRI and CT scans, however, usually do not detect such subtle brain injury. Thus, a
comprehensive neuropsychological testing is necessary to objectively assess cognitive problems
(i.e., memory and attention loss, slow thinking) following a TBI.

Follow up neuropsychological testing allows you to track the effectiveness of a treatment, as well
as to document permanency of cognitive problems secondary to a TBI. It is very sensitive to mild
memory and thinking problems that might not be obvious in other ways. When memory, thinking,
and attention problems are very mild, neuropsychological testing may be the only way to detect

Neuropsychological testing is routinely utilized to confirm or to rule out traumatic brain injury
known to affect cognitive functions (i.e., concentration, word retrieval, thinking, memory and
attention). If you've sustained a TBI in any accident and are struggling with cognitive problems (i.
e., memory, attention, thinking), neuropsychological testing will objectively measure and
document this brain injury.   

We work closely with your neurologist, internist, psychiatrist, psychotherapist, and pain
management specialists.    
Our evaluations and treatment are private, discrete and thorough, and
provide you with the needed personal comfort, privacy and
confidentiality you deserve during these trying times.
Traumatic Brain Injury in
Professional Football: An
Evidence-Base Perspective
Experts from Johns Hopkins
Medicine hosted a press conference
following a continuing medical
education program on the
epidemiology of head injury in
professional football. This program
was an evidence-based review of
traumatic brain injury in the sport.
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