Dura Diffuser
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Types and Severity of Traumatic Brain Injuries (TBIs)
A traumatic brain injury (TBI) is the result of external force to your brain, which causes temporary or permanent neurological dysfunction. TBIs vary in severity from mild to moderate and can range from a mild concussion to a permanent, vegetative state.
There are two major types of traumatic brain injuries: penetrating and closed head injuries.
Penetrating Injuries
If you suffer a penetrating injury, a foreign object such as a bullet or bone fragment has pierced your dura mater, the thick, durable membrane closest to your skull. The result is damage to a specific area(s) of your brain. This focal or localized damage occurs along the route the object has traveled into your brain. If you suffer a perforating head injury, the object passes through your head and leaves an exit wound.
Symptoms of a penetrating injury will vary depending on the portion of your brain that is damaged. Head injuries caused by penetrating trauma are serious medical emergencies and may cause permanent disability, even death.
Closed Head Injuries
A closed head injury most commonly results from a blow to your head. Car accidents, violence, falls, or any sudden violent motion that causes your brain to knock against your skull can lead to a closed head injury. This type of brain injury is different from a penetrating injury because there is no object that penetrates your brain. Closed head injuries can be diffuse, which means that they affect cells and tissues throughout the brain. They can also be focal, meaning that the damage occurs in one localized spot.
Like penetrating injuries, closed head injuries can range from mild to severe. There are two types of closed head injuries: primary and secondary.
Primary Brain Damage
Primary brain damage occurs at the moment of trauma and may include:
- Contusions and bruises: This condition typically occurs directly under the point of impact. Contusions and bruising may also develop where the force of the blow has banged your brain against the bony ridges inside your skull.
- Skull fracture: The breaking of your skull.
- Hematomas and/or blood clots: These injuries occur between your skull and your brain. They can also happen inside your brain.
- Lacerations: The tearing of your brain can happen on the front (frontal) or side lobes (temporal). Lacerations can also occur on your brain's blood vessels, as the force of the trauma can cause your brain to rotate across the hard ridges of your skull, which causes the tearing.
- Nerve damage (diffuse axonal injury): This can arise from a cutting force that damages the nerve cells in the connecting fibers of your brain.
Secondary Brain Damage
Secondary brain damage evolves over time. It may not be diagnosed until weeks, even months after the trauma. Because this injury develops after the accident, it can be difficult to diagnose. Some of the symptoms and warning signs of a secondary brain injury include:
- Brain swelling (edema)
- Abnormal blood coagulation
- Increased pressure inside of the skull (intracranial pressure)
- Lung changes or breathing problems
- Abnormally high or abnormally low blood pressure
- Epilepsy
- Intracranial infection
- Cardiac changes
- Fever
- Hematoma
- Low sodium
- Anemia
- Excessive or too little carbon dioxide
About the Author
If you or a loved one has suffered a brain injury, please visit the website for Virginia brain injury lawyers Kalfus & Nachman, serving the Norfolk, Portsmouth, Virginia Beach, Hampton, Newport News and Roanoke, Virginia areas
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