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The terms traumatic brain injury and head injury are often used interchangeably in the medical literature. [1] Because head injuries cover such a broad scope of injuries, there are many causes—including accidents, falls, physical assault, or traffic accidents—that can cause head injuries.
Other well-known cases of the syndrome include one that occurred in Norway in 1941 after a young woman, Astrid L., suffered a head injury from shrapnel during an air-raid. After apparently recovering from the injury, she was left with what sounded like a strong German accent and was shunned by her fellow Norwegians. [26] [27]
Within the United States, concussions resulting from sports-related injuries indicate that 3.8 million patients sustain this trauma each year. [8] Concussions are a common head trauma with an estimated amount of 16% of children over the age of 10 having already experienced at least one head injury requiring immediate medical attention. [9]
A concussion, also known as a mild traumatic brain injury (mTBI), is a head injury that temporarily affects brain functioning. [9] Symptoms may include loss of consciousness; memory loss; headaches; difficulty with thinking, concentration, or balance; nausea; blurred vision; dizziness; sleep disturbances, and mood changes. [1]
Mechanism-related classification divides TBI into closed and penetrating head injury. [10] A closed (also called nonpenetrating, or blunt) [14] injury occurs when the brain is not exposed. [15] A penetrating, or open, head injury occurs when an object pierces the skull and breaches the dura mater, the outermost membrane surrounding the brain. [15]
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.
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Mild brain injury-related factors that increase the risk for persisting post-concussion symptoms include an injury associated with acute headache, dizziness, or nausea; an acute Glasgow Coma Score of 13 or 14; and having another head injury before recovering from the first. [16]