Traumatic Brain Injury
Also known as: TBI, Head injury, Concussion
Traumatic brain injury occurs when an external force causes damage to the brain, ranging from mild concussions to severe injuries that can result in prolonged unconsciousness or permanent disability. Common causes include falls, vehicle accidents, sports injuries, and violence. The severity of a TBI determines the treatment approach and long-term outlook.
Symptoms
Causes
- Falls, especially in older adults and young children
- Motor vehicle accidents
- Sports and recreational injuries
- Violent assaults including domestic violence
- Blast injuries in military settings
Risk Factors
- Age groups at extremes: young children and adults over 65
- Male sex
- Participation in high-contact sports
- Military service
- History of previous concussions
- Alcohol or substance use
Diagnosis
- Glasgow Coma Scale assessment
- CT scan to detect bleeding, bruising, or skull fractures
- MRI for detailed brain tissue evaluation
- Neuropsychological testing for cognitive function
- Intracranial pressure monitoring in severe cases
Treatment
- Rest and gradual return to activities for mild TBI
- Emergency surgery for bleeding or swelling in the brain
- Medications to manage seizures, pain, and intracranial pressure
- Rehabilitation including physical, occupational, and speech therapy
- Cognitive behavioral therapy for emotional and behavioral changes
- Long-term supportive care for severe TBI
Prevention
- Wearing seat belts and using child car seats
- Wearing helmets during sports and cycling
- Preventing falls with home safety modifications for older adults
- Following concussion protocols in sports
When to See a Doctor
- Any loss of consciousness after a head injury
- Persistent or worsening headache after head trauma
- Repeated vomiting or seizures after a head injury
- Confusion, slurred speech, or unequal pupil size
Frequently Asked Questions
Related Conditions
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