Brain Trauma Injuries

Brain Trauma Injuries

brain-trauma-damageBrain Trauma Injuries – The brain is the most crucial organ of the body. It controls all functions of the body. Therefore, it is essential that it remains protected from trauma. Injuries to the brain can be extremely devastating.

Damage can result in complications that may affect one’s ability to feel emotions, think, converse, and sometimes  result in death. In the United States, it is estimated that 52,000 deaths occurred as a result of traumatic brain injury between 2002 and 2006. (U.S. Department of Health and Human Services Centers for Disease Control and Prevention)

Types of brain injury

From a clinical perspective, brain injuries can be categorized under the following two classifications:

Diffuse Injuries: is the transition from pure physiological dysfunction to anatomical disruption of the brain. These injuries include brain swelling, concussion, and diffuse axonal.

For cases of diffuse injury, only 21% recover well after the first month, another 21% will have survival, 50% end up with moderate to severe deficits, and the remaining 7% are fatal cases.

  1. Mild Concussions are the most common form of diffuse brain trauma damage. They are also completely reversible, meaning no medical attention may be needed. It fortunately does not involve loss of consciousness. However, people who experience mild concussions may also experience confusion, disorientation and amnesia.
  2. Classical cerebral concussions involve loss of consciousness and may include amnesia. Generally speaking, the duration of amnesia indicates the severity of concussions.
  3. Diffuse axonal injury (DAI) is more of a mechanical disruption of the brain in the cerebral hemispheres and subcortical. They involve immediate loss of consciousness that may last for a couple of days or sometimes weeks.

Focal injuries: epidural hematomas, subdural hematomas, intracerebral hematomas and contusions.

  1. Acute subdural hematoma (ASDH) is a focal injury that results from three sources: direct lacerations of cortical and arteries, through the penetration of wounds, large bruise bleeding into the subdural space, and tearing of the veins that bridge the subdural space (which is the most common).
  2. Extradural Hematoma (EDH)  is a continuation to head trauma that does not occur frequently. It is a consequence of skull trauma and not brain injury. In the cases in which this occurs, skull fracture may be found, but is not necessary.
  3. Cerebral contusion is found after head injury takes place. In general, contusion occur at the site of impact, also known as coup contusions; and at isolated sites of impact, known as contrecoup contusions which is more common.
  4. Intracerebral hematomas (ICH) differ from cerebral contusions by CT scans. ICH are homogeneous collection of blood within the cerebral parenchyma. They most frequently occur as a result of sudden acceleration/deceleration of the head. There are other causes such as penetrating wounds and blows to the head which result in depressed fractures

Skull Fractures: do not significantly affect the brain but can cause the need for significant medical intervention.

  1. Comminuted skull fractures occur as a result of severe impacts. They are most likely associated with neutral injury.
  2. Depressed skull fractures is a crushed portion of the skill or a break in a cranial bone. It is called depressed because depression of the bone in toward the brain is depressed.
  3. Basal skull fractures can be very significant as the dura may be torn next to the fracture site.

How Mechanical Brain Trauma Damage Occurs

The folling list represents the common mechanical ways that brain trauma injuty arises in severe car accident injury scenario. In these occurrences, severe trauma occurs to the head, causing the brain damage. It is important to obtain emergency care from a qualified professional for brain injuries, usually a nuerologist, in these scenarios:

  1. Direct contusion of the brain from skull deformation or fracture
  2. Movement against rough interior surfaces of the skull resulting in brain contusion
  3. Reduced blood flow as a result of infarction or pressure
  4. Indirect (contrecoup) contusion of the brain
  5. Stress of tissue produced by motion of the brain hemispheres relative to the skull and each other; and
  6. Rupture of vessels bridging between the brain and dura mater producing subdural hematoma.

Attorneys For Brain Trauma Injuries

Attorneys for brain trauma damage should be consulted immediately because these are serious. TBI is so serious that it can even cause death or severe impairment to enjoy life and earn a livelihood. For these reasons, protecting one’s legal interests against the person who caused the accident and their insurance company is paramount. A delay in obtaining the right representation could limit the ability to prove the facts and circumstances that gave rise to the accident itself. Furthermore, accident injury lawyers who are worth their salt are able to provide excellent guidance on how to move forward under severe stress, and to relieve some of that stress with sage advise.