Clinical Services
Traumatic Brain Injury & Concussion
Concussion is primarily a clinical diagnosis. CT and MRI are important for identifying certain structural injuries, but normal structural imaging does not exclude concussion or explain every persistent functional symptom.
Clinical Evaluation of Concussion
Persistent symptoms following a head injury — including headache, dizziness, cognitive complaints, visual disturbance, balance problems, and mood changes — may reflect ongoing functional disruption that requires careful clinical evaluation.
Dr. Albright's evaluation is individualized to the patient's history, symptom profile, and clinical presentation. Not every patient requires every component of the evaluation.
Formal neuropsychological testing, advanced imaging, specialty vestibular testing, or other diagnostic procedures may be recommended or referred when clinically appropriate.
Common Presenting Complaints
- Persistent headaches
- Dizziness or balance problems
- Cognitive complaints — attention, memory, processing speed
- Visual symptoms or eye-tracking difficulties
- Sensitivity to light or noise
- Sleep disturbance
- Mood changes or irritability
- Fatigue
Evaluation Components
Mechanism of injury, symptom onset and progression, prior concussion history, and functional impact.
Cranial nerves, motor function, sensory function, reflexes, coordination, cerebellar function, gait, and postural control.
Fixation, smooth pursuits, saccades, convergence, gaze stability, optokinetic responses, and visual-vestibular integration.
Vestibulo-ocular reflex function, positional testing, head-movement sensitivity, and vestibular compensation assessment.
Static and dynamic balance, sensory integration, gait, coordination, and fall-risk indicators.
Standardized symptom inventories and functional assessments appropriate to the clinical presentation.
Screening of attention, processing speed, reaction time, memory, and executive performance when clinically appropriate. Formal neuropsychological evaluation may require referral to a licensed neuropsychologist.
Review of available medical records, imaging, and prior evaluations.
Vestibular, oculomotor, balance, and cognitive rehabilitation recommendations tailored to the patient's findings.
Clinical report addressing findings, functional limitations, and causation opinions when supported by the evidence.
Request a Concussion Evaluation
Contact us to discuss whether a neurological concussion evaluation is appropriate for your situation.
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