Category Archives: SPECT Scans Case Study

Case of the Week: James—Iraq veteran

James' brain after numerous concussions

When we created the Change Your Brain, Change Your Life Foundation, we had people just like James in mind. James, an Iraq veteran, is the first person the Change Your Brain, Change Your Life Foundation has sponsored to receive a full evaluation, including brain scans and treatment, at the Amen Clinics. Here is his story.

An Army scout sniper from 2000 to 2005, James spent time in Iraq, Kosovo, Bosnia, Austria, and Poland. During his deployment in Iraq, his vehicle was struck several times by IEDs (improvised explosive devices).

Although James wasn’t wounded from shrapnel, he did experience perforated eardrums and several concussions.

The first one was a mild concussion, according to a doctor in Baghdad, during which he did not lose consciousness.

The second time he experienced a concussion, James did lose consciousness and had blurred vision.

His third head trauma occurred while on base in Baghdad. He fell about 10 feet off the back of a large ammunitions truck and landed on his head. Once again, he had a brief loss of consciousness.

His fourth concussion happened when he was using a sledgehammer on a trailer hitch and it rebounded off the hitch and hit him in the head.

During one of the explosions, one of James’ closest friends was killed.  To this day he still feels guilt, thinking that he was somehow responsible, he should have done something different, or why was he the one to survive and not his friend.  Every year he still gets together with his friend’s family.

“None of these events were fatal to me, but my head’s been through a lot of damage,” he said.

Since then, he has been dealing with a number of issues. Now 28 years old and a personal trainer in Orange County, James has problems with his memory. He had always done well in school, but since returning home, his ability to learn new material has suffered. His ability to listen has also dropped off.

Since about 2003, terrible insomnia has been keeping him awake at night. For about two years, he averaged only about two hours of sleep at night. After returning home, he still had trouble falling asleep and usually couldn’t doze off until 1 or 2 in the morning. Then he would wake up every hour and a half to two hours before getting up around 4 to 5:30 am.

Coffee and energy drinks helped him get through the days when he felt really tired.

James understands very well that sleep impact brain function, and he thinks that might be part of the reason why he has trouble remembering easy things. He thinks it might play a role in his heightened sensitivity to light. If it’s bright outside, it’s really hard for him to function.  This is consistent with a syndrome called the Irlen Syndrome, often seen after brain injuries (see www.irlen.com for more information).

Many other Iraq veterans are dealing with similar symptoms since returning home.

James is very excited that the Change Your Brain, Change Your Life Foundation has sponsored him to receive a full evaluation, including brain scans and treatment, at the Amen Clinics.

“The biggest thing I’m hoping to get out of this brain healthy treatment is better quality of sleep.

And hopefully that will help my memory and cognitive function,” he told us.

His brain scans showed a clear pattern consistent with brain injury, including decreased activity in his prefrontal cortex, left temporal lobe and left occipital lobe.  The temporal lobes are involved in memory and the ability to listen. The prefrontal cortex is involved with attention and planning.

Based on his brain scans and a complete evaluation, we started James on a brain rehabilitation program similar to what we have been using on the players involved in our retired NFL players study.

His treatment consists of supplements geared specifically to enhancing cognitive function, as well as some lifestyle changes. Considering he works in the fitness industry, James already had a fairly brain healthy diet and exercise regimen. But there were some areas he could improve.

For example, he’s drinking less alcohol—no more than two drinks a week. And he’s learning to meditate 30 minutes every day. In addition, he is doing online memory brain trainer exercises for about one hour a week.

After just a few weeks, James was already noticing some positive changes. “My sleeping pattern is more regular now. It’s not as inconsistent as it used to be,” he said.  He recently announced to his co-workers after getting eight hours of sleep that he could cure world hunger.

James is going to be coming back in for a follow-up at the end of August. All of us at the Change Your Brain, Change Your Life Foundation are very excited to see what kind of improvements he will have made and to track his progress. I will keep you updated on James’s progress too.

Finally, I would like to give James my heartfelt thanks for having very graciously offered to allow us to tell his story so that it might help others.

Case of the Week: Chase—addiction

Drug-damaged brain

After years of treating people with addictions, we have found that one of the best ways to break denial is to show someone an image of their brain.

Chase, 18, is the son of a billionaire. He was drinking, smoking pot, taking OxyContin, and doing coke and meth, but was in complete denial about his addiction.

His mother had tried to get Chase into treatment, but he resisted because he didn’t think he had a problem. The mother saw my program on public television and asked if I would meet with her son.

Brain SPECT scans were performed at the Amen Clinics and the images revealed that his brain was very toxic.

When Chase saw the images, he GOT IT immediately. Even though he felt like his drinking and drug use weren’t a problem, the scan proved without a doubt that they were seriously harming his brain.

Chase immediately cut out drinking and stopped doing drugs and has been clean and sober ever since.

If he had never seen the pictures of his brain, he probably would still be in denial and continuing to abuse drugs and alcohol.

It does not always happen so dramatically, but it does enough that I know the scans are often worthwhile.

Case of the Week—Arnie’s drinking

Arnie's drinking-damaged brain

Lucy, a well respected scientist and entrepreneur in her early fifties from Boston came to see me after selling her company.  Even though she was financially set for life, there was so much stress associated with the sale that she had trouble sleeping, was wracked with anxiety and had obsessive tendencies that she thought she had left behind in her 20s.  As part of our evaluation we performed a set of brain SPECT scans.  Her husband, Arnie, came along and got scanned, in his mind, just to support his wife.  He was just curious.  I looked at her brain and saw the trouble I had expected and recommended a course of treatment.  When I looked at Arnie’s 56-year-old brain it brain looked like he was 80.  I asked him what he was doing to hurt his brain.

“Nothing, Dr. Amen,” he said with a look of disbelief.

“Really?” I said, feeling a little confused as to why his brain looked so bad.  “How much do you drink?”

“Oh, not very much,” he replied.

“What’s not very much,” I asked.  Through the years I have learned to always ask this follow up, clarifying question.

“Oh maybe I have 3-4 drinks a day.”

“Every day?” I said.

“Yeah, every day.  But its never a problem.  I never get drunk.  I have never gotten into trouble with it,” Arnie said with anxiety.

“Why do you drink everyday?” I asked.

“Since my daughter went off to college I have this empty nest thing going on.  The time I used to spend with her, I now spend at a local pub, seeing my friends.  It’s a social time, kind of like the show Cheers.

“Well, you are poisoning yourself,” I said.  “You’re 56 and you’re brain looks like its 80.  If you keep this up, pretty soon your brain is going to look a lot worse, and with comes trouble with everything in your life.”

Arnie was shocked that his brain looked as bad as it did.  As we talked, I could see he was beginning to develop “brain envy.”  After learning about his brain it was clear he wanted his to function better.  I gave him a very specific brain healthy plan that included abstinence from alcohol, regular exercise, mental exercise, vitamins, supplements and fish oil.  Four months later he wrote me saying that he mentally felt like he was 20 years old.  His energy and memory were better, he felt smarter, more articulate.  His work as a business consultant had also improved, and he started writing a book about his work, something he had wanted to do five years earlier, but could never find the time or motivation.

Case of the Week: Jason—bike accident

It was a bike accident that damaged sixteen-year-old Jason’s brain and destroyed his life. Before the collision, Jason was a good student and a kind teenager who had a girlfriend he adored. After the crash, he became very angry and irritable, making it tough for his friends, family, and girlfriend to be around him. His girlfriend couldn”t take his outbursts anymore and broke up with him.

When Jason found out that she had started dating another guy, he flew into a rage. He headed over to her house and when he found her with the “other man,” Jason tied up the new boyfriend and raped his ex-girlfriend. The police showed up and arrested suicidal Jason.

I received a call from Jason’s attorney asking me if we would scan the young man’s brain. His scan showed the effects of trauma from the bike accident, with severe damage to his left temporal lobe, which is involved in temper control. I put Jason on two medications—Depakote and Effexor—to treat the problem, and he improved tremendously. His anger diminished, and he felt remorseful for his actions.

At Jason’s trial, the judge wasn’t interested in hearing about how Jason’s personality and behavior had changed drastically after his bike accident or that he had improved while taking medication. The judge sentenced Jason to eleven years in prison. Like the judge, the prison psychiatrist also didn’t believe that Jason had behavioral issues due to the accident, so he took him off the medications I had prescribed. Four months later, Jason hanged himself in jail.

This tragic story reveals just how harmful head trauma can be. Even though Jason’s injuries were considered “mild” by medical standards, they completely ruined his life and the lives of their loved ones.

Unfortunately, these types of head injuries are far too common. In my practice, I see many people who are troubled by the lasting effects of a brain injury (or two or three). Most of them never notice the link between the injury and the subsequent changes in their lives.

To minimize the consequences, it is absolutely imperative for anyone who has suffered brain trauma to get on a brain healthy program.

Case of the Week: Mary and Katie—identical twins

Mary's healthy brain

Katie's damaged brain

Mary and Katie are identical twins. They share the same genes, the same parents, and the same upbringing. Yet their lives—and looks—are very different.

Mary, who is very fit, is a successful journalist in a long-term happy marriage with three great children.

Katie, who is overweight, barely finished high school, suffered with depression and a bad temper, and went from job to job and relationship to relationship. Their lives and looks are nothing alike.

When I scanned them, Mary had a very healthy brain, while Katie had clear evidence of a brain injury, affecting her prefrontal cortex and temporal lobes. At first, when I talked with the twins together, Katie didn’t remember a head injury.

Then Mary spoke up saying, “Don’t you remember the time when we were ten years old and you fell off the top bunk bed onto your head? You got knocked out and we had to rush you to the hospital.” The injury likely caused Katie to have less brain reserve, which may be why she was always more vulnerable to stress than her sister.

At conception, most of us have the same amount of brain reserve. From that point on, though, many things can boost or reduce our level of reserve.

For example, if your mother smoked marijuana and drank a lot of Jack Daniels while she was pregnant with you, it is likely that she lowered your level of brain reserve. If you fell off the roof as a teenager, were the victim of domestic violence as a child, or abused drugs and alcohol in high school, you probably decreased your own reserve.

Basically, any behavior that harms the brain erodes your brain’s reserve.