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Cerebral contusion (Latin: contusio cerebri), a form of traumatic brain injury, is a bruise of the brain tissue. [2] Like bruises in other tissues, cerebral contusion can be associated with multiple microhemorrhages, small blood vessel leaks into brain tissue. Contusion occurs in 20–30% of severe head injuries. [3]
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Bruises often induce pain immediately after the trauma that results in their formation, but small bruises are not normally dangerous alone. Sometimes bruises can be serious, leading to other more life-threatening forms of hematoma, such as when associated with serious injuries, including fractures and more severe internal bleeding .
The age groups most at risk for TBI are children ages five to nine and adults over age 80, [9] and the highest rates of death and hospitalization due to TBI are in people over age 65. [140] The incidence of fall-related TBI in First-World countries is increasing as the population ages; thus the median age of people with head injuries has ...
Brain injuries are very hard to predict in the outcome. Many tests and specialists are needed to determine the likelihood of the prognosis. People with minor brain damage can have debilitating side effects; not just severe brain damage has debilitating effects. The side-effects of a brain injury depend on location and the body's response to injury.
Closed-head injury is a type of traumatic brain injury in which the skull and dura mater remain intact. Closed-head injuries are the leading cause of death in children under 4 years old and the most common cause of physical disability and cognitive impairment in young people.
The actual mechanism behind the catastrophic brain swelling is controversial. [23] [24] A second injury during this time is thought to unleash a series of metabolic events within the brain. [25] [better source needed] Changes indicative of SIS may begin occurring in the injured brain within 15 seconds of the second concussion. [26]
Closed head injury (coup contrecoup) can damage more than the impact sites on the brain, as axon bundles may be torn or twisted, blood vessels may rupture, and elevated intracranial pressure can distort the walls of the ventricles. [7] [10] [11] Diffuse axonal injury is a key pathology in concussive brain injury. [5] The visual system may be ...