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Igawa v. Koa House Restaurant2/2/2001
ford Au in a neurological consultation and was diagnosed with temporal lobe epilepsy (TLE). The TLE was treated with the medication Dilantin.
Claimant had multiple hospitalizations in 1977. He was seen at Queen's Medical Center (QMC) during January and February 1977, for TLE secondary to brain trauma and psychosis associated with brain trauma. Claimant was hospitalized at QMC in April 1977 and October 1977, for a depressive reaction, with the TLE noted to be under control.
On April 2, 1981, Claimant reported to Dr. Au that he had been seizure-free for about four years and had taken himself off Dilantin about one year ago. A repeat EEG of April 6, 1981 was normal. After 1981, Claimant did not receive further medical treatment for his 1975 head injury.
3. Claimant was initially treated for his work injury by Dr. Joseph Tsai, his regular physician, for complaints of dizziness and headache. Dr. Tsai noted a small laceration just above Claimant's right eyebrow. Because Claimant continued to complain of headaches, Dr. Tsai ordered a CT scan and referred Claimant to a neurologist, Dr. Jordan Popper.
4. An October 30, 1991 CT scan of the head showed a 1.8 x 2.6 cm. focal area of atrophy in the right frontal lobe.
5. Claimant saw Dr. Popper on November 8, 1991. An EEG of November 12, 1991 was normal. Dr. Popper diagnosed post-concussion syndrome and post-traumatic headaches.
6. Claimant saw Dr. Gordon Trockman of Straub Clinic & Hospital (Straub) for a psychiatric consultation in January 1992. Dr. Trockman reported that Claimant was working at the time and that he was doing well emotionally without depression or anxiety.
Dr. Trockman's subsequent clinical notes reflect that Claimant became very upset at work on April 24, 1992 and walked off the job.
Claimant's boss indicated, however, that Claimant was having behavioral difficulties at work before his work injury and that this was not the first time he had walked off the job. Claimant's employment was eventually terminated.
7. On August 10, 1992 and September 3, 1992, Claimant underwent a neuropsychological evaluation with Robert Anderson, Jr., Ph.D. Dr. Anderson stated that the work accident in October 1992 could not have resulted in a brain injury. The pot weighed only one pound and fell a short distance and there was no loss of consciousness and no post-traumatic amnesia.
According to Dr. Anderson, Claimant was experiencing significant emotional distress and the work injury appeared to be acting as a focus for his emotional distress. Dr. Anderson noted that Claimant had a history of difficulty coping with emotional distress that was due, in part, to his 1975 head injury and was also a contributing factor to his present symptom complex.
8. Claimant was seen by Dr. Kenneth Nakano at Straub for a neurologic consultation on September 24, 1993. Dr. Nakano opined that Claimant had a mild closed head injury and residual post-traumatic headaches as a result of his work injury.
9. Upon Dr. Nakano's referral, Claimant was seen by Dr. Yoshio Hosobuchi of Straub for a neurosurgical consultation on November 3, 1993. Dr. Hosobuchi diagnosed hemorrhagic cyst probably formed post-traumatically secondary to pre-existing cavernous angioma and recommended surgical extirpation of the hemorrhagic cyst and cavernous angioma.
In a request for authorization for surgery dated November 3, 1993, Dr. Hosobuchi attributed Claimant's headache and seizure to the hemorrhagic cyst. Dr. Hosobuchi stated that Claimant may have had a small cavernous angioma in the right frontal lobe, which hemorrhaged as a result of his work i
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