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Brain Injury

Introduction:

Unfortunately, head injuries among our youth are all too common. These injuries account for approximately one hundred hospitalizations annually. The most common modes of injury include motor vehicle accidents, bicycle accidents, falls, sporting injuries, and child abuse. There are certain aspects of brain injury that remain unique to children. For example, it remains difficult to measure brain loss or function in a child since prior academic records, I.Q. scores, and job histories are not as common as with adults. According to studies, children are more susceptible than adults to permanent brain damage even when the forces involved are equivalent.

In children, some neurological deficits after head trauma may not surface for many years after the date of injury. For example, the frontal lobe functions develop relatively late during a child's growth. As a result, the damage from an early injury to the frontal lobe will not be known until the frontal lobe is called upon during the later part of the child's development. Similarly, damage to the reading and writing sections of the brain may be unknown until the child is of school age and shows signs of deficient reading and writing skills. Furthermore, the effects of brain injury in adolescents are often difficult to distinguish from the normal anxiety and behavioral changes that occur as part of adolescent development.

If you believe that your child has suffered brain injury as a result of another person's negligence, contact the Lewis Law Firm at (610) 520-7333.

Definitions:

  • Traumatic Brain Injury (TBI) - An insult to the brain caused by a direct blow to the skull via closed or open head injury
  • Acquired Brain Injury (ABI) - An injury to the brain secondary to trauma, stroke, post surgical complications, and/or certain disease processes (tumors, aneurysms)

Statistics of Traumatic Brain Injury (TBI):

  • Leading killer and cause of disability in children
  • More than 2 million brain injuries occur each year (more than 1 million children)
  • Estimated rate is 100 per 100,000 persons with 52,000 annual deaths
  • Males are 2 times more likely than females
  • TBI is a disorder of major public health significance
  • Mild TBI is under diagnosed
  • 5.3 million Americans are living with brain injury

Causes of Traumatic Brain Injury (TBI):

  • Transportation related injuries
  • Bicycle riding
  • Scooters
  • Sports and recreation
  • Falls
  • Shaken baby
  • Violence

Causes of Acquired Brain Injury (ABI):

  • Tumor
  • Stroke
  • Aneurysm
  • Infections of the brain
  • Near drowning
  • Ingestion of toxic substance

Parts of the Brain:

  • Brain stem
    • Functions in breathing, heart rate, arousal/consciousness, sleep/wake functions, attention/concentration
  • Cerebellum
    • Functions in balance, coordination, skilled motor activity
  • Occipital lobe
    • Vision
  • Parietal lobe
    • Sense of touch, differentiation of size, shape, color, spatial perception, visual perception
  • Temporal lobe
    • Memory, hearing, understanding language, organization and sequence
  • Frontal lobe
    • Initiation, problem solving, judgment, inhibition of behavior, self-monitoring, awareness of abilities and limitations, attention/concentration, organization, mental flexibility, speaking, personality/emotions, motor planning

Brain Injury can be confused with:

  • Mental impairments
  • Physical and other health impairments
  • Learning disabilities
  • Hearing and visual impairments
  • Speech and language impairments
  • Developmental delays
  • Behavioral/emotional problems

Degrees of Brain Injury:

  • Mild brain injury
    • Loss of consciousness is brief, usually a few seconds or minutes
    • Loss of consciousness does not have to occur
    • Scans may appear normal
    • Concussion
      • Symptoms usually experienced within 24 hours:
        • Headache
        • Dizziness
        • Confusion
        • Ringing in ears
        • Nausea
        • Vomiting
        • Vision changes
  • Moderate Brain Injury
    • Loss of consciousness that lasts from a few minutes to a few hours
    • Confusion lasts from days to weeks
    • Physical, cognitive, and/behavioral impairments last for months or may be permanent
  • Severe Brain Injury
    • Coma
    • Persistent vegetative state
    • Physical, cognitive, and behavioral impairments last for months or may be permanent

For even more information on our Brain Injury practice area, click here to view our specific site.

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