#Concussion pupil test how to#

Often times when kids are acutely symptomatic, they will have trouble with this movement.

She’s not blinking or stopping because she’s having headache or dizziness.

Now as you can see Ava’s performing the horizontal saccades. I want you to look at my fingers left right, left right as fast as you can until it gives you symptoms or I tell you to stop, OK? Go ahead. Now Ava, I want you to hold your head still. This is the smooth pursuit portion of the exam. But when you come to the middle, she locks in nice and solid and there’s no nystagmus in the central gaze.

Just to note, when you track sometimes you can have a few beat of a nystagmus at the end, gaze, like she has here, that’s normal. She’s not blinking or having her eyes water excessively, or complaining of headache or dizziness. She doesn’t have any problems with any symptoms. And as we go faster, she’s able to keep up. As you can see Ava is doing a great job following my finger. Let me know if it gives you any symptoms, otherwise if it doesn’t give you any symptoms, we’ll keep going, OK? All right. And a sign of motion sickness in the car may indicate they may have more of those symptoms after a concussion.Īll right, so Ava I want you to take a look at my finger. We also like to know if there’s any history of motion sickness because of vestibular system can often being effected after concussion. Or if there’s any history in the family, or in Ava, of strabismus, amblyopia, eye surgery, or eye patching for any kind of lazy eye kind of phenomenon. Whether or not she wears glasses, and is nearsighted or farsighted. In particular, we’re also realizing now that it’s important to find out if there’s any visual disturbance in the family. In addition, we like to ask if there’s any history of migraines, anxiety or depression. Because these are some factors that can sometimes complicate the recover. What were her grades before her injury? We also like to find out in her history, or in her family, does anybody have ADHD, dyslexia, or a learning disability. We usually like to find out how she’s done in school prior to this. All right, and were you continuing to do homework?Ĭhristina Master, MD: And how about spending time on your cell phone or a desktop computer?Ĭhristina Master, MD: And how did those make you feel?Ĭhristina Master, MD: OK, have you done any exercise since you had your injury?Ĭhristina Master, MD: OK, and then after resting for a bit at home, did that help you symptoms a little?Ĭhristina Master, MD: OK, in addition to the history of the current concussion, we’d also like to get some past information on her. And that’s when you decided to call and get an appointment to come in. I had a headache and sensitivity to light.Ĭhristina Master, MD: OK, and you were able to finish the game without any problems?Ĭhristina Master, MD: OK, did you go to school the next day?Ĭhristina Master, MD: OK, what happened at school?Īva, Patient: I couldn’t focus, my head hurt.Ĭhristina Master, MD: When did you start to think that you had a concussion?Ĭhristina Master, MD: OK, and at that point did you seek care with anybody else?Ĭhristina Master, MD: OK, all right. She’s completely recovered now, but she’s agreed to help us demonstrate the physical exam and the history that we would be taking to help you identify concussions in your practice.Īll right Ava, so tell me about your last concussion.Īva, Patient: It happened about a month ago.Ĭhristina Master, MD: OK, tell me a little bit about how it happened.Īva, Patient: I was going into a corner with a kid that who bigger than me and he hit me from behind.Ĭhristina Master, MD: OK, and did you have symptoms right away?Ĭhristina Master, MD: OK, when did you start to have symptoms and start to wonder that maybe you had a concussion?Ĭhristina Master, MD: OK, and what were those symptoms?Īva, Patient: I was feeling nausea. She’s one of our patients who’s had a couple of concussions from sports.

#Concussion pupil test how to#

We’d like to share with you a lot of the new information that we’re learning and update you on how to best diagnosis and identify concussions in children in your practice. We see a lot of concussions in children here at The Children’s Hospital and we’re sure that you do as well. I’m one of the sports medicine physicians and one of the co-directors of the Minds Matter Concussion Program here at The Children’s Hospital of Philadelphia.