Traumatic Brain Injury - A Hard Case To Deal With
Just what is Traumatic
Brain Injury, TBI? Also referred to as Acquired Brain Injury
(ABI), traumatic brain injury occurs when a sudden event or
trauma damages the brain in some way. It may be caused by an
accidental blow to the head, or a whiplash injury in the case
of a traffic accident.
The
results of a traumatic brain injury may be a closed head
injury, which means that the skull itself has not been pierced
by any object, or the opposite, an open head injury meaning
that the skull has in fact been penetrated by something, which
then enters the brain tissue.
Even with
a closed head injury, the damage to the brain can be
substantial. During injury the brain may be shaken around
inside the skull causing bruising and damage to the brain
tissue. This means that in the case of any traumatic brain
injury, medical advice should be sought so that brain damage
can be assessed as early as possible, with treatment beginning
as soon as possible.
Anyone
with traumatic brain injury may lose consciousness whether it
be for a few seconds, a few minutes, or in the case of a coma,
days even weeks, or months. The injured may have a headache, or
one may develop over the few days after the traumatic event.
There may be confusion, dizziness, or vision disturbances.
There could be ringing in the ears, fatigue, or a change in
sleeping patterns. These are some of the many symptoms of a
mild traumatic brain injury.
In more
severe cases, TBI may lead to severe headaches that get worse
with time, and may be accompanied by vomiting or nausea. There
may also be a loss of coordination, with weakness of the
extremities. In fact there are many, many problems that can
arise as a result of a traumatic brain
injury.
As
mentioned above, anyone with traumatic brain injury should seek
medical attention as soon as possible, so that the patient can
be stabilized. There is always a concern that the injured may
not be receiving sufficient oxygen, something that the
untrained have no idea about, and of course blood pressure will
need monitoring too. If necessary x-rays of the neck and skull
will be taken to check for fractures in the bones there, and it
may be necessary for imaging of the brain to see the real
extent of the damage.
Treatment
for traumatic brain injury depends on the severity of
degeneration of the brain cells. Medication may be needed, as
may surgery (especially if there is a great deal of swelling in
the brain, surgery may be needed to reduce the pressure),
neuropsychological rehabilitation and possibly even deep brain
stimulation. Neurosurgeons, neurologists and neuropsychologists
are the experts in this field and it is these people who will
create the programs necessary for each individual patient,
helping to teach them skills they no longer have as a result of
their brain injury, or helping them to relearn skills they have
"forgotten" due to their injury.
Reports
indicate that roughly half of patients with severe head
injuries need surgery to remove ruptured blood vessels
(haematomas) or damaged brain tissue (contusions). The
disabilities resulting from traumatic brain injury can be
overwhelming, simply because the brain controls so much of
everyone's life. The senses may become impaired, communication
may become difficult and in severe cases even impossible.
Depression may occur, and there may be personality
changes.
But one
thing to remember, never give up hope. The human body can be
very surprising, and the brain, although damaged irreparably in
one area, may start to compensate for this in another. The best
thing for any traumatic brain injured victim or family is to
have hope. Encouragement can go a long way, and hope should
always be present.
As you
probably realize, traumatic brain injury research is going on
all the time, so that we may learn to understand even more
about our incredible brains. Along with the research comes new
ways to treat the brain injured, so that their futures may be
improved along with the therapies they use.
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