CORONAVIRUS UPDATE: What We Are Doing to Protect Our Clients

Articles Tagged with concussion

Traumatic brain injury is a common cause of permanent disability in patients who have had a serious automobile accident. The injury can affect mood, speech, mobility, vision and hearing. The part of the brain affected by trauma determines what kind of injury the patient has.

Some people have serious problems with agitation and aggression following a severe traumatic brain injury. The part of the brain affected can be the frontal lobe or the limbic system deeper in the brain. The trauma causes the damaged areas of the brain to make too many or too few neurotransmitters, resulting in changes in behavior.

Two studies were done to look at various aspects of basilar skull fractures in children. These are fractures through the inferior part of the brain that are associated with raccoon’s eyes and battle signs, which are areas of bruising around the eyes and behind the ears, respectively. Basilar skull fractures can be seen on CT scan of the brain and skull and often do not include any kind of intracranial injuries. The first study was a retrospective review of charts of patients that were discharged from the emergency room or from the hospital with a diagnosis of basilar skull fracture. Each patient had a clinical sign or x-ray evidence of a basilar skull fracture. There was a subgroup of patients with a normal neurological signs and a Glasgow coma score of 15 that had simple basilar skull fractures.

There were 239 patients in the study. A hundred and fourteen patients or 48 percent had simple basilar skull fractures. This group of simple fractures had vomiting at a rate of 6 percent and a meningitis rate of 1 percent. There were no cases of intracranial hemorrhages and no patients with simple basilar skull fractures needed any kind of surgery. The researchers concluded that some patients with simple skull fractures (basilar) may not need to be hospitalized.

Riding a motorcycle is inherently dangerous. Not only is it a small and easily hidden vehicle on a road with large vehicles on it, but motorcycles have no protection around the rider and a fall, even without a collision, can lead to serious injury.

The main consequence of motorcycle accidents include head injuries such as concussion or traumatic brain injury resulting in coma and death, leg fractures, particularly tibia and fibula fractures, pelvic fractures, rib fractures and internal injuries.

In the last decade, there has been a significant change in who rides motorcycles. Fewer young people are owning motorcycles, while the number of motorcyclists who are older than 40 years of age has increased substantially. While motorcyclists who are older tend to drive more safely and tend to have less reckless driving, they are still getting into accidents and are suffering more morbidity and mortality when compared to younger people.

Older people in motorcycle accidents have a greater degree of thoracic injuries when compared to the young. They suffer from an increase in multiple rib fractures, collapsed lung, lung contusions and cardiac contusions when compared to young people. They also suffer from more head injuries, such as skull fractures and traumatic brain injury. Pelvic fractures are more common in older people, who also suffer from femur fractures, tibia and fibula fractures and internal injuries to the abdomen.

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