a.       50 year old restrained driver sustained a “ whiplash “ type of injury. She reports a brief loss of memory “ retrograde “ type of amnesia at the time of impact. 

b.      Brain MRI and CT angiogram are unremarkable. MRI  of the cervical spine revealed C 6-7 mild central stenosis and posterior annular tear of disc. EEG was normal.

c.       Neuropsychological testing revealed mild impairment of attention, severely impaired auditory memory for immediate and mild for delayed recall, moderate impairment with visual delay recall, moderate depression.

d.      Clinical problems continue and include a decrease in word finding skills, sense of dizziness, brief episodes of decreased attention “ zoning out “ and a painful feeling of “ pressure in her head “ that is near constant. Headache treatments have been disabling with excess sedation or disequilibrium from medication. Acupuncture continues to be helpful.

e.       Litigation is pending.

f.        SPECT imaging revealed a significant decrease in activity along the left Prefrontal cortex and Parietal lobe bilaterally, focal increase in the Thalamus and lateral Temporal lobe.

g.       Treatment for her head pain as “ headache “ has not been successful. Ongoing acupuncture and analgesic medication is currently prescribed. She has not agreed to take medication for depression.