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In a concussive or traumatic brain injury, it is impossible to identify the nature of the brain injury.
 
The post-concussion syndrome diagnosis is based on the presence of symptoms commonly seen after a head injury.
 
These subjective symptoms include: headaches, problems with concentration and memory, dizziness, nausea, visual blurring and irritability.
 
Many post-concussion symptoms are the result of trauma to the vestibular system in the inner ear.
 
Vestibulo-ocular symptoms include: light sensitivity (photophobia), blurred vision, difficulty with sustained visual focusing, problems in reading for more than 15-20 minutes and secondary fatigue and headaches.
 
Vestibulo-balance reflex symptoms include: movement sensitive dizziness, nausea, feelings of disequilibrium and secondary anxiety.
 
Whiplash syndromes following rear-end motor vehicle accidents are often difficult to understand because of unrecognized vestibular system trauma.
 
Patients are typically unable to clearly describe vestibular symptoms, and clinicians need to carry out a carefully structured interview in order to discover problems in this area.
 
Vestibular rehabilitation can often relieve or improve symptoms even years after the injury.
 
 
 
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