Teleneurology since 2018

There is nothing mild about an mTBI.

More than half of mild traumatic brain injuries are missed on first presentation. NeuroGlympse combines instrumented ocular motor testing with continuous remote monitoring so the injury is found early — and followed until it resolves.

of mTBI cases went undiagnosed in the ED1
56%
Partner clinic network
Nationwide
Time to same-day testing
0 days

The diagnostic window

Eye movement is the most objective thing we can measure — and it does not last

Oculomotor performance is measurably disrupted after an mTBI, and tracking metrics correspond most closely to clinical symptoms when measured early — within about two weeks of injury.

The three ocular motor domains, intact versus impairedThree columns, each showing an intact trace above an impaired one. Smooth pursuit: intact is a single even sweeping curve, impaired climbs in small catch-up jerks. Saccades: intact holds steady then jumps once accurately to each target, impaired overshoots and needs a corrective movement back. Fixations: intact holds the eye in a tight cluster on the target, impaired drifts across a far wider scatter.Smooth pursuitFollowing a moving targetIntactImpairedSaccadesJumping between fixed targetsIntactImpairedFixationsHolding the eye stillIntactImpaired
Each domain is scored separately. Impaired pursuit breaks into catch-up jerks, impaired saccades overshoot the target and correct back, and impaired fixation drifts away from it — patterns a patient can neither consciously produce nor suppress. Crosshairs mark the intended fixation point.

The typical timeline, without us

  1. Day 0Patient is injured
  2. 2 weeksThe window in which tracking metrics track symptoms most closely
  3. MonthsPatient is finally seen by a neurologist

By the time a specialist sees the patient, the most objective marker of injury may already have normalised — and the care plan is built on recall instead of measurement.

What an assessment measures

Ocular motor testing records three domains separately — smooth pursuits, saccades and fixations — on a cleared recording device. Each is reported with the values measured, the conditions of the session and the interpreting neurologist named.

  • PursuitsHow smoothly the eyes follow a moving target.
  • SaccadesHow accurately they jump between fixed targets.
  • FixationsHow steadily they hold still on one point.

A trace is read against the clinical picture, never reported as a bare number. Known invalidators — poor cooperation, sedating medication, uncorrected vision, prior oculomotor disease — are screened and recorded. How the test works.

Why it matters

A concussion rarely arrives alone

Post-mTBI comorbidity is the rule, not the exception — which is why a single point-in-time scan is not enough.

60%

Headachereported acute post-traumatic headache at 2 weeks (963 of 1594 mild TBI patients)5

33–42%

Depressionperiod prevalence of major depressive disorder within the first year after TBI6

13.5%

PTSDpooled prevalence after mild TBI (95% CI 11.7–15.3)7

8–10%

Anxietygeneralised anxiety disorder at 3–12 months after TBI8

Each figure is stated in the terms its source uses — different studies measure different things over different intervals, and flattening them into one number would imply precision the evidence does not support.

The platform

Diagnosis is the beginning, not the deliverable

Remote therapeutic monitoring turns a one-off report into a longitudinal picture of how the injury actually evolves.

See the whole picture

Continuous monitoring shows how an injury evolves — for better or worse — instead of freezing it at a single visit.

Better care from home

Patients with depression are roughly three times less likely to adhere to treatment and appointments.9 Monitoring meets them where they already are.

Care team review

Clinicians review incoming data to update care plans and assess recovery, escalating to specialists when thresholds are crossed.
Many faint parallel signal traces running across weeks of monitoring; most settle toward a baseline while one diverges sharply upward.
Longitudinal monitoring: most patients trend to baseline. The value is in spotting the one who does not.

Our story

How NeuroGlympse started

A conversation with our founder: a background in biology and technology, the point at which eye-movement diagnostics started to look like the missing measurement in mild brain injury, and what remote monitoring changed about following a recovery.

NeuroGlympse Founder Origin Story. Embedded in privacy-enhanced mode — no tracking cookies are set unless you press play. Watch on YouTube.

More about us

Clinical leadership

Reports are read by neurologists, not algorithms

Ann Conn, MD

Chief Medical Officer & Co-Founder

Fellowship-trained and triple board certified in Neurology, Pain Management and Headache Medicine, with 16 years of experience in interventional pain. Dr. Conn holds a BS in Chemical Engineering, attended medical school at LSU in New Orleans, trained in Neurology at Charity Hospital, and completed her fellowship at LSU. She is a 2020 graduate of the Harvard Medical School Media and Medicine program and serves as President of the Louisiana Society of Interventional Pain Physicians.

References

Every figure on this page traces to a source below, so the claims can be checked rather than taken on trust.

  1. 1.Powell JM, Ferraro JV, Dikmen SS, Temkin NR, Bell KR. Accuracy of mild traumatic brain injury diagnosis. Archives of Physical Medicine and Rehabilitation. 2008;89(8):1550–1555.
  2. 2.Observational study. Association of visual tracking metrics with post-concussion symptomatology. Frontiers in Neurology. 2018;9:611.
  3. 3.Comparative study. Oculomotor, vestibular, and reaction time effects of sports-related concussion: video-oculography in assessing sports-related concussion. Journal of Head Trauma Rehabilitation.
  4. 4.Prospective study. Oculomotor dysfunction may not subside upon clinical resolution of sport-related concussion. Journal of Science and Medicine in Sport.
  5. 5.TRACK-TBI investigators. Prevalence of and risk factors for post-traumatic headache in civilian patients after mild traumatic brain injury. Mayo Clinic Proceedings.
  6. 6.Systematic review and meta-analysis. Predictors of major depression and post-traumatic stress disorder following traumatic brain injury. Journal of Neuropsychiatry and Clinical Neurosciences.
  7. 7.Systematic review and meta-analysis. Post-traumatic stress disorder after civilian traumatic brain injury: prevalence rates. Journal of Neurotrauma.
  8. 8.Longitudinal cohort study. Psychometric evaluation of anxiety, depression, and sleep quality after a mild traumatic brain injury. Behavioural Neurology.
  9. 9.DiMatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine. 2000;160(14):2101–2107.
  10. 10.Systematic review of 89 studies. The relationship between traumatic brain injury and disruptions in heart rate variability. Applied Psychophysiology and Biofeedback. 2024.

This page is educational and is not medical advice. Prevalence figures are presented as the source reports them, including confidence intervals and ranges; a single number would imply more precision than the evidence supports.

We recommend testing anyone with symptoms

Same-day telemedicine appointments, a nationwide clinic network, and a report your care team can actually act on.

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