XLNT Brain Concussion Clinic

Concussion Clinic Contact Number:

Annapolis, MD
2114 Generals Hwy.
Annapolis, MD 21401

La Plata, MD
500 Charles Street
La Plata, MD 20646

Concussion Expert Outreach Program Contacts:

Stacie Rector, LAT, ATC
443-975- 5521

Stephanie Guzzo, LAT, ATC
443-975- 5521

Welcome to The Concussion Program at Chesapeake Neurology Associates

You may have sustained a brain injury that may be affecting your sleep, thinking abilities, mood, and ability to function during the day. This program will help you understand the impact of your injury and how you can return to your normal activities as soon as possible.

The Concussion Program involves the following:

  • An initial XLNTbrain Post-Injury computerized test
  • Appointment with the Neurologist or Medical Provider
  • Completion of Daily Symptoms Checklist on XLNTbrain Website
  • Post Injury EEG and VAT testing (please link test name back to page explaining each test)
  • Gradual return to full activity over 5 days progression.
  • XLNTbrain Post Exertion test-taken after you have reached full exertion.
  • New Baseline EEG Testing.
  • Follow-up appointment if needed.

During your first appointment, your provider will discuss your test results, your injury, and any restrictions on your ability to work, drive, attend school, and/or play sports. We will have daily contact with you while you recover. You will compete a Daily Symptom Checklist online every evening by logging into your XLNTbrain account via computer or cell app. (If you do not have Internet access or a cell phone, our office staff will work with you to create a contact system that works best for you). You will receive a packet of information that includes more specific information in relation to your rest and recovery, as well as how to handle increases in symptoms.

Symptoms of a Concussion

A Concussion results from a significant blow to the head. The following Symptoms can range from mile to severe.

  • Headache
  • Altered level of Consciousness (drowsy, hard to arouse, or similar changes)
  • Loss of Consciousness
  • Memory Loss (amnesia) of event surrounding the injury
  • Visual Disturbances (light sensitivity, blurred or double vision)
  • Confusion
  • Disorientation
  • Inability to Focus
  • Nausea/Vomiting
  • Mood Swings
  • Dizziness
  • Slurred/Incoherent Speech
  • Excessive Drowsiness or Inability to Sleep

Emergency Signs 

  • Changes in alertness and consciousness
  • Convulsions
  • Muscle Weakness on One or Both Sides
  • Persistent Confusion
  • Persistent Unconsciousness (coma)
  • Repeated Vomiting
  • Unequal Pupils
  • Unusual Eye Movements
  • Problems Walking


Full recovery is expected from an uncomplicated concussion, although prolonged dizziness, memory loss, decreased mental functioning, irritability, headaches, and other symptoms may occur. The following list outlines complications that may occur:

  • Bleeding in the Brain (Intracerebral Hemorrhage)
  • Brain Injury that results in Physical, Emotional, or Intellectual changes or deficits
  • Re-Injury to the brain by a second Concussion-Second Impact Syndrome
  • Death

Importance of Baseline Testing

Baseline testing is a measurement of the performance of an athlete’s nervous system function taken before the season starts for the purpose of concussion management. The baseline scores provide a reference for comparison for athletes should a concussion injury be suspected. The results of this testing are often used by a healthcare provider as an objective assessment of the extent of such an injury, and whether the effects of the injury persist during recovery. This is relevant to the readiness of the athlete to return to normal activity and gameplay. Using baseline testing in a potentially-concussed athlete is much like using a thermometer to determine if there is a fever in a patient who is ill. The healthcare practitioner uses the information to help determine if an infection is present, and to track recovery. Knowing what the patient's usual temperature when he is healthy makes the measure much more useful.