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Brain Injury

Brain injuries fall into three categories.

  • A closed head injury often occurs as a result of a motor vehicle accident, fall or other trauma to the head. This injury is contained under the skull and its effects may not be visible. The rapid movement of a vehicle accident puts extreme stress on the brain stem, which connects the brain to the spinal cord. A closed head injury can cause physical, intellectual, emotional, social and vocational problems.

  • Open head injuries are penetrating injuries, caused by bullets or other things that enter the brain. Since the injury is often limited to a specific part of the brain, very specific problems often result. For example, an individual may have difficulties forming speech, but be able to write the same words on paper.

  • A third cause of brain injury is loss of oxygen to the brain, which could be the result of a cardiac arrest due to a heart attack or near drowning. In these cases, many brain cells may be affected, which may result in more extensive damage and an overall change in the behavior and personality of the individual. In the case of a stroke, only a portion of the brain cells are destroyed resulting in partial impairment.

Symptoms
Symptoms vary greatly depending on the extent and location of brain damage. Physical disability, impaired speech and learning ability and personality changes are common. Consequences can include:

  • Physical: Seizures; spasticity; vision, hearing, smell and taste loss; speech impairment; headaches; reduced endurance; difficulty with movement; lack of voluntary muscle control; and difficulty with activities of daily living (dressing, eating, bathing).
  • Cognitive: Short- and long-term memory loss; difficulties with concentration, judgment, communication and planning; and spatial disorientation.
  • Psychosocial/behavioral/emotional: Anxiety and depression; mood swings; denial; sexual difficulties; emotional liability; egocentricity; impulsivity and disinhibition; agitation; and isolation.

Last Updated: December 03, 2007