We provide neurological evaluation and treatment, cognitive evaluation and cognitive therapy for multiple neurological problems, including:
Traumatic brain injury and concussions result from a direct blow to the head or rapid acceleration and deceleration of the brain inside the skull such as in a motor vehicle collision. A concussion is a mild traumatic brain injury which can cause subtle brain tissue damage, and which causes a series of neurometabolic changes in the brain which can result in headaches, cognitive difficulty, visual changes, balance difficulty and vertigo, mood changes, and sleep disturbance, among others. Sports-related injuries, falls, and motor vehicle collisions are just a few of the many mechanisms by which a person can suffer a concussion or traumatic brain injury.
Stroke most often occurs when a part of the brain is deprived of blood because of a blood clot or because of a spike in blood pressure. When this occurs, the part of the brain that is deprived of blood will stop working very abruptly, and a person will exhibit neurological deficits such as loss of vision, difficulty speaking, loss of strength or sensation on one side of the body, facial weakness, severe imbalance, or loss of coordination. TIA is a "stroke warning" in which the brain is deprived of blood for a short period of time which is not enough to cause an actual stroke. The same type of symptoms will occur, but they will resolve when blood flow is restored.
Hemorrhage (bleeding) can occur in the brain itself when a blood vessel opens up due to a spike in blood pressure or due to an underlying tumor. Subdural hemorrhage and subarachnoid hemorrhage are other types of hemorrhages which occur outside the brain, in between the meninges (layers between the brain and skull).
Migraine is a common headache disorder which affects millions of people around the world and which tends to run in families. It is typically a throbbing type of headache with pain and pressure behind the eyes, and it commonly involves light and noise sensitivity and sometimes nausea. Some people with migraine have associated neurological symptoms before, during, or after the headache, such as visual changes, vertigo, or changes in sensation or speech.
Alzheimer's dementia is a progressive neurodegenerative disease which involves loss of neurons in the temporal and parietal lobes of the brain, resulting in short-term memory difficulty and ultimately changes in language and behavior. Alzheimer's is one of the most common forms of dementia, affecting millions of people around the world, typically with onset after the age of 65.
There are many types of headache disorders, including migraine, cluster headaches, tension headache, medication overuse headache, and others. Other causes of headache can include idiopathic intracranial hypertension (pseudotumor cerebri), uncontrolled high blood pressure, tumors, and cerebral aneurysm.
Epilepsy is a disorder characterized by unpredictable seizures. A seizure occurs when abnormal electrical activity causes temporary dysfunction in a part of the brain, or synchronously throughout the brain. This can manifest as convulsive (shaking) activity of the body, or non-convulsive activity which can manifest as staring spells, confusion, abnormal smells or tastes, or abnormal movements or behaviors. There are many causes of epilepsy and seizures, and there are currently many medications which can be used to prevent seizures to improve quality of life.
Parkinson's disease is a progressive neurodegenerative movement disorder which results in loss of dopamine-producing neurons in the coordination centers of the brain. This results in tremor, rigidity, slowness of movement and thought, and difficulty coordinating movement. While there is no cure for Parkinson's disease yet, there are medications which can greatly improve symptoms and quality of life.
What is Cognitive Therapy?
Many people who have had concussions or other neurological issues (e.g., stroke, dementia) experience cognitive difficulties. Cognitive impairments may include problems in any of the following areas: attention, memory, new learning, word finding, comprehension, decision making, organization, task completion, problem-solving, planning, or goal setting.
Cognitive rehabilitation therapy at Boulder Neurology and Concussion is tailored to the individual. Through an in-depth clinical interview, the clinician will learn about what you need to be able to do in your daily life and how your symptoms are impacting your ability to perform certain tasks, attend to your responsibilities, and achieve your goals. Our highly experienced and skilled cognitive therapist knows the right questions to ask in order to elicit key information which, in addition to standardized testing, will provide the basis for treatment. A treatment plan with goals specific to your needs will be developed and shared with you. It is important to understand that from this point on it is a team effort, and the best outcomes are reached when there is active participation from both patient and clinician.
340 E 1st Avenue, Suite 300
Broomfield, CO 80020
Phone: (720) 738-8738
Fax: (720) 862-2184