At Preston Neurological Center, we offer comprehensive neurological care for a wide range of conditions. Our experienced neurologists and specialized practitioners collaborate to provide personalized treatment plans, cutting-edge diagnostics, and support for optimal recovery and quality of life.
Traumatic brain injury (TBI) is a complex condition that results from a sudden, violent blow or jolt to the head or body, leading to disruption of normal brain function. TBIs can range from mild concussions to severe injuries with long-lasting effects, depending on the force of impact and nature of the injury. At our neurology practice, we specialize in diagnosing, managing, and treating various types of traumatic brain injuries to optimize recovery and improve quality of life for our patients.
TBIs can be caused by various incidents, including:
- Motor vehicle accidents- Falls
- Sports-related injuries (e.g., football, soccer)
- Assaults or physical violence
- Explosions or blasts (common in military personnel)
- Workplace accidentsThe impact can cause the brain to move rapidly inside the skull, leading to bruising, bleeding, or tearing of brain tissue.
This can result in a wide range of symptoms and functional impairments.
- Concussion
A mild form of TBI characterized by temporary loss of consciousness, confusion, headache, dizziness, and memory problems. Most concussions resolve with rest, but repeated concussions can have cumulative effects.
- Contusion
This involves bruising of the brain tissue due to direct impact, which can lead to localized symptoms based on the affected area.
- Coup-Contrecoup Injury
This occurs when the brain is injured at the site of impact (coup) and opposite side of the brain due to rebound effect (contrecoup), leading to widespread damage.
- Diffuse Axonal Injury
This severe type of TBI involves widespread damage to nerve fibers (axons) in the brain, resulting in impaired brain function.
Symptoms of TBI can vary depending on the severity and location of the injury but may include:
- Headache or migraine
- Nausea and vomiting
- Dizziness or balance problems- Sensory changes (vision or hearing disturbances)- Cognitive deficits (memory problems, difficulty concentrating)
- Mood changes (irritability, anxiety, depression)
Diagnosis of TBI involves a comprehensive neurological evaluation, imaging studies (CT scan or MRI), and neuropsychological assessments to assess cognitive function.
Preventing TBI involves practicing safety measures such as wearing seatbelts, using helmets during sports activities, securing fall prevention measures in homes and workplaces, and avoiding risky behaviors that can lead to accidents.
In conclusion, traumatic brain injury is a serious neurological condition that requires prompt diagnosis, comprehensive treatment, and ongoing rehabilitation to optimize outcomes. Our neurology practice is dedicated to providing expert care and support to individuals affected by TBI, helping them regain function and lead fulfilling lives.
Epilepsy is a neurological disorder characterized by recurrent, unpredictable seizures. Seizures occur due to abnormal electrical activity in the brain, leading to temporary disruptions in normal brain function. As a leading neurology practice in Dallas, we specialize in diagnosing, treating, and managing epilepsy to improve the quality of life for our patients.
There are different types of seizures, and the symptoms can vary based on the area of the brain affected:
1. Generalized Seizures
Involve widespread electrical discharges in the brain, affecting both hemispheres. Types of generalized seizures include:
- Tonic-clonic (grand mal) seizures: Characterized by loss of consciousness, muscle rigidity, convulsions, and postictal confusion.
- Absence (petit mal) seizures: Brief episodes of staring or absence, often mistaken for daydreaming.
2. Partial (Focal) Seizures
Occur in specific areas of the brain and can be further categorized into:
- Simple partial seizures: Cause localized symptoms like twitching or sensory changes without loss of consciousness.
- Complex partial seizures: Lead to altered awareness or consciousness, accompanied by repetitive movements or behaviors.
Epilepsy can have various causes or risk factors, including:- Brain injury or trauma- Stroke or cerebrovascular disease- Brain tumors- Genetic factors or family history- Developmental disorders- Infections such as meningitis or encephalitis- Metabolic disorders- Autoimmune conditions affecting the brain
Diagnosing epilepsy involves a comprehensive evaluation by a neurologist, which may include:
- Detailed medical history and physical examination
- Electroencephalogram (EEG) to record brainwave patterns during seizures
- Imaging studies (MRI, CT scan) to identify structural abnormalities in the brain
- Blood tests to rule out metabolic or infectious causes
The goal of epilepsy treatment is to achieve seizure control while minimizing side effects and improving quality of life. Treatment options include:
- Antiseizure medications (antiepileptic drugs) tailored to the type and frequency of seizures- Ketogenic diet or other dietary therapies for drug-resistant epilepsy.
- Vagus nerve stimulation (VNS) therapy.
- Responsive neurostimulation (RNS) or deep brain stimulation (DBS) for refractory seizures.
- Surgical interventions (e.g., resection, laser ablation) to remove seizure foci in select cases.
Living with epilepsy involves adopting certain lifestyle modifications to reduce seizure triggers and risks:
- Maintaining regular sleep patterns.
- Avoiding alcohol and recreational drugs.
- Managing stress through relaxation techniques.
- Wearing medical alert bracelets or devices- Educating family, friends, and caregivers about seizure first aid.
Our neurology practice in Dallas emphasizes patient education and support to empower individuals with epilepsy and their families. We provide comprehensive education on epilepsy management, medication adherence, and seizure safety. Additionally, we offer counseling and resources to address the emotional and psychological aspects of living with epilepsy.
In summary, epilepsy is a complex neurological disorder characterized by recurrent seizures, which can significantly impact daily life. With proper diagnosis, individualized treatment plans, and ongoing support, our neurology practice is committed to helping patients effectively manage epilepsy and achieve optimal outcomes.
Dizziness and balance disorders are common issues that can significantly impact your quality of life. These conditions can manifest as a sensation of spinning (vertigo), unsteadiness, light-headedness, or a feeling of faintness. At our Dallas neurology office, we specialize in diagnosing and treating a wide range of dizziness and balance disorders to help you regain your stability and confidence.
- Vertigo
A spinning or whirling sensation, often accompanied by nausea and vomiting.
- Imbalance
Difficulty maintaining an upright posture, frequent falls, or a sensation of swaying.
- Light-headedness
A feeling of faintness or as if you are about to pass out.
- Disorientation
Difficulty concentrating, confusion, or feeling off-balance.
These disorders can be caused by various factors, including:
- Inner Ear Issues: Conditions such as benign paroxysmal positional vertigo (BPPV), labyrinthitis, and Meniere’s disease.
- Neurological Disorders: Migraines, multiple sclerosis, or other neurological conditions that affect balance.
- Circulatory Problems: Low blood pressure, heart conditions, or reduced blood flow to the brain.
- Medications: Certain drugs can cause dizziness as a side effect.
- Psychological Factors: Anxiety and panic disorders can contribute to feelings of dizziness and imbalance.
At our Dallas neurology office, we adopt a comprehensive and personalized approach to treat dizziness and balance disorders. Our process includes:
- Thorough Evaluation
We begin with a detailed medical history and physical examination to understand your symptoms and identify potential causes.
- Diagnostic Testing
We may use advanced diagnostic tools such as MRI, CT scans, and vestibular tests to pinpoint the underlying cause of your condition.
- Individualized Treatment Plans
Based on the diagnosis, we develop a tailored treatment plan that may include medications, physical therapy, lifestyle modifications, or specialized exercises.
- Patient Education
We believe in empowering our patients with knowledge. We provide guidance on managing symptoms and preventing future episodes.
- Ongoing Support
We offer continuous monitoring and support to ensure your treatment plan is effective and make adjustments as needed.
- Expertise: Our team of neurologists in Dallas has extensive experience in diagnosing and treating a wide range of dizziness and balance disorders.
- Advanced Technology: We utilize the latest diagnostic and therapeutic tools to provide accurate diagnoses and effective treatments.
- Patient-Centered Care: We prioritize your well-being and work closely with you to develop a treatment plan that fits your unique needs.
- Comprehensive Care: From diagnosis to treatment and follow-up, we provide comprehensive care to ensure you achieve the best possible outcomes.
Memory loss refers to a decline in the ability to remember information or experiences. It can range from mild forgetfulness to severe impairment that disrupts daily life. Memory loss can be temporary or permanent and is often associated with aging, but it can also result from various medical conditions and lifestyle factors.
Common symptoms include forgetting recent events or conversations, misplacing items, difficulty recalling names or words, and trouble performing familiar tasks. Severe memory loss may involve significant confusion and disorientation.
- Neurodegenerative Diseases
Alzheimer's disease and other forms of dementia are leading causes of memory loss. These conditions progressively damage brain cells, impairing cognitive functions.
- Stroke and Traumatic Brain Injury
A stroke, which disrupts blood flow to the brain, or a traumatic brain injury from an accident can lead to significant memory impairment. Traumatic brain injuries (TBIs) occur when an external force injures the brain. TBIs can range from mild concussions to severe brain damage. Symptoms can include confusion, amnesia about the event causing the injury, difficulty remembering new information, and problems with attention and concentration.
- Mental Health Conditions
Depression, anxiety, and stress can affect memory and cognitive function. Chronic mental health issues often lead to difficulties with concentration and memory.
- Medications and Substance Abuse
Certain medications, particularly sedatives and some painkillers, can cause memory problems. Substance abuse, especially chronic alcohol abuse, is also a common cause of memory loss.
- Medications
Depending on the cause, medications can help manage symptoms. For example, cholinesterase inhibitors are used to treat Alzheimer's disease, while antidepressants can alleviate memory issues related to depression.
- Therapies
In our Dallas Neurology office we can provide cognitive behavioral therapy (CBT) and other types of cognitive rehabilitation can help improve memory function and coping strategies.
- Lifestyle Modifications Regular physical exercise, a healthy diet, mental exercises like puzzles and reading, and good sleep hygiene can support memory health and potentially slow down memory loss.
- Medications
Depending on the cause, medications can help manage symptoms. For example, cholinesterase inhibitors are used to treat Alzheimer's disease, while antidepressants can alleviate memory issues related to depression.
- Therapies
In our Dallas Neurology office we can provide cognitive behavioral therapy (CBT) and other types of cognitive rehabilitation can help improve memory function and coping strategies.
- Lifestyle Modifications
Regular physical exercise, a healthy diet, mental exercises like puzzles and reading, and good sleep hygiene can support memory health and potentially slow down memory loss.
- Healthy Lifestyle Choices
Engaging in regular physical activity, maintaining a balanced diet rich in fruits, vegetables, and omega-3 fatty acids, and keeping mentally active through learning and social interactions can reduce the risk of memory loss.
- Early Detection and Intervention
Recognizing early signs of memory issues and seeking medical advice promptly can lead to early intervention, which is crucial in managing and mitigating the effects of memory loss.
Traumatic Brain Injury (TBI) occurs when an external force causes brain dysfunction, typically resulting from a violent blow or jolt to the head or body. TBIs can cause a wide range of symptoms, from mild to severe, and can significantly impact memory.
TBIs often lead to short-term memory loss, affecting the ability to retain new information. In severe cases, long-term memory can also be impacted, leading to difficulties recalling past events.
Individuals may experience confusion, difficulty remembering the cause of the injury (amnesia), problems with attention and concentration, and challenges in forming new memories. Memory issues might be accompanied by other cognitive problems, such as difficulty with problem-solving and planning.
Treatment for TBI-related memory loss includes medication to manage symptoms, cognitive rehabilitation therapy to improve memory and cognitive function, and supportive therapies such as physical and occupational therapy to aid in overall recovery.
Long-term management may involve ongoing therapy, lifestyle adjustments, and the use of memory aids and strategies to help individuals cope with memory impairment. Support from healthcare providers, family, and community resources is essential.
A migraine is a neurological disorder characterized by recurrent headaches that range from moderate to severe. The pain is often throbbing and typically affects one side of the head. Symptoms may include nausea, vomiting, and sensitivity to light and sound. Migraines can be triggered by various factors such as hormonal changes, certain foods, stress, and environmental changes. Treatment options include medications, lifestyle changes, and preventive therapies.
Cluster headaches are extremely painful headaches that occur in cyclical patterns or clusters. They are characterized by severe burning or piercing pain on one side of the head, often around the eye. The pain can be accompanied by redness and tearing of the eye, nasal congestion, and restlessness. Cluster headaches are less common than migraines but are considered one of the most painful types of headaches. Treatment involves acute pain relief, preventive medications, and lifestyle modifications.
Trigeminal neuralgia is a chronic pain condition affecting the trigeminal nerve, which carries sensation from the face to the brain. It is characterized by sudden, severe, and electric shock-like facial pain. The pain can be triggered by everyday activities such as eating, talking, or touching the face. Treatment options include medications, injections, and surgical procedures to relieve pressure on the nerve.
Neuropathic pain is a complex, chronic pain state that usually occurs due to injury or dysfunction in the nervous system. It can result from conditions such as diabetes, shingles, multiple sclerosis, and spinal cord injuries. Symptoms include shooting, burning pain, and numbness or tingling sensations. Treatment often involves a combination of medications, physical therapy, and other interventions to manage symptoms.
Peripheral neuropathy refers to the damage of peripheral nerves, which can cause pain, weakness, and numbness, typically in the hands and feet. Causes include diabetes, infections, traumatic injuries, and exposure to toxins. The pain is often described as stabbing, burning, or tingling. Treatment focuses on managing the underlying cause, relieving symptoms, and improving quality of life through medications, lifestyle changes, and supportive therapies
Postherpetic neuralgia is a complication of shingles (herpes zoster) that results in persistent nerve pain after the shingles rash has healed. The pain can be severe and debilitating, described as burning, sharp, or aching. Risk factors include older age and the severity of the shingles outbreak. Treatment includes antiviral medications, pain relievers, topical treatments, and sometimes antidepressants or anticonvulsants.
Occipital neuralgia is a type of headache caused by irritation or injury to the occipital nerves, which run from the top of the spinal cord to the scalp. It results in intense, piercing, or throbbing pain in the back of the head and neck. The pain may be accompanied by scalp tenderness and sensitivity to light. Treatments include medications, nerve blocks, physical therapy, and in some cases, surgery.
Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way the brain processes pain signals. Symptoms often begin after physical trauma, surgery, infection, or significant psychological stress. Treatment is multidisciplinary, including medications, physical therapy, lifestyle changes, and stress management techniques.Complex Regional Pain Syndrome (CRPS)**CRPS is a chronic pain condition most often affecting one limb after an injury or surgery. It is characterized by prolonged or excessive pain and changes in skin color, temperature, and/or swelling in the affected area. The exact cause of CRPS is not well understood, but it is thought to involve abnormal inflammatory or nerve responses. Treatment is usually a combination of medications, physical therapy, and psychological support.
CRPS is a chronic pain condition most often affecting one limb after an injury or surgery. It is characterized by prolonged or excessive pain and changes in skin color, temperature, and/or swelling in the affected area. The exact cause of CRPS is not well understood, but it is thought to involve abnormal inflammatory or nerve responses. Treatment is usually a combination of medications, physical therapy, and psychological support.
At PNC, we believe in fostering a supportive environment where patients feel heard, empowered, and cared for every step of the way. Among other disciplines, our programs include a team of neurologists, neurosurgical consultants, vestibular disorder specialists, neuropsychologists, and neurological specialized nurse practitioners. Our focus on traumatic brain injury (TBI) is approached by a comprehensive multidisciplinary program with excellent outcomes. Whether you're seeking diagnosis, treatment, or ongoing management of TBI, epilepsy, or memory problems, our practice is here to guide you with professionalism, compassion, and unwavering dedication to your neurological health. Welcome to a practice where your well-being is our top priority.
