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Fifty Years After a Concussion, Can Treatment Still Help?

Comments [4]

Dr. Steven Flanagan, BrainLine

Fifty Years After a Concussion, Can Treatment Still Help?

When I was 9 years old, I hit my head on concrete at school playing football during recess. I laid there dazed then got up and went back into school and finished my day. That night I had blurred vision and a headache. I was hospitalized for two weeks, and my mother said I had a blood clot in my brain.

I quit school my sophomore year, have had difficulty holding a job, and have had problems with organization, concentration, focus, and problem solving. I am 59 years old now and sell insurance. I was recently diagnosed with ADD and I am on 10 mg Adderal daily; however, it doesn’t seem to be making much of a difference yet. Could a brain injury like mine as a child have had lasting effects, playing a role in my lifelong difficulties? And 50 years after the fact, am I too late to do anything about it?


A traumatic brain injury may result in lifelong cognitive symptoms, such as difficulty paying attention, concentrating, remembering, organizing, solving problems, etc. When children sustain a TBI, their recovery may appear quite good early on, although cognitive skills that typically begin to mature in adolescence and early adulthood may lag behind or fail to fully develop.

Ideally, people with a TBI who have symptoms related to their injury should receive timely treatments that can either reduce or eliminate the symptoms, or assist in developing compensatory strategies to lessen their effect on daily function.

There are several medications that can improve attention, such as but not limited to Adderall. An additional treatment modality is cognitive therapy. While cognitive therapy should be initiated shortly after a TBI, it is possible that treatment many years afterwards may still be beneficial.


Click here to go to About Ask the Expert.

Steven Flanagan, MD Steven Flanagan, MD is professor and chairman of the Department of Rehabilitation Medicine, New York University School of Medicine, and the medical director of the Rusk Institute of Rehabilitation Medicine, New York University Langone Medical Center.

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Comments [4]

Actually it is everything else that must change: modern life is way too complicated and stressful, if everything were simpler we with brain injury wouldn't struggle so much and the 'normals' would be far happier and less stressed. Silly me, it's not going to happen is it when it suits so many (who profit from things as they are: too complex, keep the access/know-how out of our hands) to make things even more complicated. Lack of control causes stress and breakdown, no wonder 'mental health problems' are on the rise. We are told we're wrong and must change but that isn't true. Easier to blame us though for being different and 'too difficult/demanding.' Cruel.

Nov 10th, 2014 8:44am

I suffered a severe TBI at age 18 (roll-over MVA, skull fracture, emergent neurosurgery, 3 day coma, 7 day post-traumatic amnesia). I was walking and talking by discharge, and no rehab was arranged. At age 47, after several career setbacks, I went through an 8-week holistic cognitive rehabilitation program that transformed me. I am functioning better than I have my whole adult life. Yes, expert cognitive rehabilitation can make huge changes. See givebackorlando.com and givebackla.com for self-therapy techniques to prevent brain-injured moments. Impairments are permanent, but disability is negotiable.

Jan 20th, 2014 12:55am

I really glad you asked that question. I'm 55 and I believe I may have had up to 8 concussions before I was 15. I'm worried about how it is going to affect me in later years. I was never diagnosed but I'm sure I hit my head hard enough on several occasions when I was a child from getting hit by 3 cars to running into things on my bike and even falling off an embankment. I was knocked out a couple of those time and had blood coming out of the corner of my eyes on another. with all the publicity TBI is getting now  I'm starting to worry.

Jan 10th, 2014 9:26pm

For a few persons, the right medicine can help them a little to temporarily pay attention a little easier. It is the right medicine, not the wrong medicine. There are a number of instances (a small number of instances) where coffee - caffeine compounds - noticeable help a few persons (not all persons) pay attention and use their memory better. Caffeine helps them, not Ritalin, Dexedrine, Adderall, etc. In some instances, an anti-epilepsy medicine like phenobarbital or Dilantin can help some (not everyone).

Aug 22nd, 2013 10:39am

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