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case study traumatic brain injury
case study traumatic brain injury
case study traumatic brain injury
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Introduction A tampering rod through the head is how 25-year-old Phineas Gage became the most notable case of Traumatic Brain injury of the 19th century. With more than 1.7 million people each year who sustain an injury, why does this one case become so interesting? The reason behind this is the result of the injury. When Gage had the tampering rod penetrate his skull it completely changed his personality. From a once mild mannered individual to a foul mouth and persistent person, Gage became interesting cases in history. Gage starts us off with our topic of Traumatic Brain Injury (TBI) because in the US there are around 50,000 deaths, 270,000 hospitalizations, and 1.36 million who are treated and released to go home (Alzheimers Organization, 2014). A TBI is defined when an external mechanical force causes brain dysfunction. Causes There are many different causes of traumatic brain injury. When a person falls, gets in an accident, or is hurt while playing sports there is always a possibility of brain injury. “Those aged 75 and older have the highest rates of traumatic brain injury-related hospitalization and death due to falls”. (National Institute of Neurological Disorders and Stroke, 2013) There are three different levels of TBI that doctors are known to classify them as. These include mild, moderate, and severe. A fall of 20 feet (2 stories) onto an unyielding surface for an adult, or a fall of more than 10 feet (2-3 times the height of the child) for a child can cause severe injury in an adult and child. (Mistovich & Karren, 2010) The possibility of having a mild TBI is much more common than to have a severe injury. This does not mean that the injury will not be long lasting. Doctors are able to determine how severe an inj... ... middle of paper ... ...olves pieces being pressed into the brain tissue the other involves a distinct localized injury to the brain; such as from a bullet. Skull fractures called a contusion cause a distinct area of swollen brain tissues mixed with broken blood vessels. When a brain is shaken back and forth within the confines of the skull the injury is called a Countertop. This often occurs in a high-speed car accident and in shaken baby syndrome. This type of injury can also cause injury to the nerves and loss of connections among the nerves called shearing. Contusions can lead to fewer connections in the brain. A hematoma is another type of symptom that someone with a TBI may have. This is when there is heavy bleeding in or around the brain. Works Cited http://www.ninds.nih.gov/disorders/tbi/detail_tbi.htm http://www.alz.org/dementia/traumatic-brain-injury-head-trauma-symptoms.asp
Did you know, that someone suffers from a brain injury every 21 seconds (Haas)? Children get concussions all the time, and most of the time they go unnoticed. The majority of concussions happen when one is playing a sport such as football, hockey, or lacrosse. Many famous athletes have had their careers, even their lives cut short due to concussions. Brain damage and death can result from serial concussions (Schafer). When one suffers from a concussion, one’s brain needs time to recover physically and mentally. Between 2002 and 2006, statistics showed that 52,000 people died from concussions and about 275,000 were hospitalized (Fundukian). Everyone’s recovery process is different (“Injury and Pain Care”). Although concussions seem minor, they are very serious brain injuries that may result in severe damage to one’s brain.
Chronic Traumatic Encephalopathy (CTE) is a neurodegenerative disease attributed to single, sporadic, or repetitive brain trauma, including concussions and subconcussive hits (Baugh et al., 2012; Wortzel et al., 2013). This disease was originally referred to as dementia pugilistica, and nicknamed “punch drunk,” because individuals suffering from this disorder would present symptoms that were similar to someone’s mannerisms while being intoxicated (Wortzel et al., 2013). This “drunken” behavior is thought to be attributed to the cognitive, mood, and behavioral alterations as a result of the repetitive hits to the brain over an extended period of time. Because individuals suffering from this disease are often exposed to conditions that allow them to sustain blows to the head multiple times, the populations most often examined in these studies are athletes (football, boxing, rugby) and/or individuals in the military (McKee et al., 2009). Individuals can be symptom free for several years (Baugh et al., 2012). The onset of symptoms are sometimes seen about eight to ten years after an individual retires from their sport, which roughly equates to someone aged thirty to fifty yeas old (Baugh et al., 2012; Wortzel et al., 2013; Karantzoulis and Randolph, 2013). As with all diseases, symptoms can range from mild to severe. Researchers have found a positive correlation between the number of brain injuries sustained during a length of time playing a sport and the severity of symptoms (McKee et al., 2009).
Thesis: Concussions affect children and adults of all ages causing physical, emotional and metal trauma to a person and their brain.
e probe its secrets, the more surprises we find.” With the brain being an organ of utmost importance and survival depending upon it, what happens when this valuable organ gets hurt? One of the most notorious brain injury documentations is the case of Phineas Gage. Gage was a railroad worker who was impaled by an iron rod, fracturing his skull and causing extensive frontal lobe damage. As documented by his physician, his personality drastically changed, going from a social and responsible man to negligent and profane and unable to work. This can be explained by examining the type of brain injury that has taken place and the location. There are many types of brain injuries, each with corresponding effects.
Injuries did occur and new rules were written in sports to try to improve safety but scientist still paid little attention to the occurrences until the 1900's (Harrison, Emily A. "The First Concussion Crisis: Head Injury and Evidence in Early American Football." American Journal of Public Health, American Public Health Association, May 2014). The death of a student in 1906 from Harvard college sparked a new sense of reality to many players and doctors, many articles came out about the overwhelming death of the college student and studies were then in place, more for the people who questioned the sport and for the little curiosity of scientist. Concussions were not an important field of study in the beginning of brain research or Neuroscience. These head cases were something very unusual but yet not prevalent enough to go deeper into the main cause of the problem until 2002. A pathologist named Bennet Omalu presented the first real evidence of CTE present in an American Football player named Mike Webster. Webster died at 50 years of age but had looked much older, because he suffered from CTE. When Omalu looked at his brain he saw changes that were very unusual and should not be in his brain at his age. When Omalu wrote about his discovery, he was bashed by many NFL officials and scientist. Doctors assailed his research and retraction
As a result of many deaths of professional athletes through suicide as well as general concern for health, concussion awareness and testing is as high as it’s ever been. Precautions and tests are currently being set up in almost sports in the attempt to diminish the long term effects. Although the symptoms and exact recovery time are still unknown, doctors and researchers are sure that concussions and other forms of head impacts can have long term effects that can present serious issues throughout the rest of these individual’s lives. The risk of potential damage to the brain increases as the number of concussions increase. In the athletics, players deliver and absorb many hits to the head which a primary reason why rules and regulations at a levels of football, for example, are changing to try and decrease the number of concussions received by players and to make the game safer to those who play it. However these head injuries are not just restricted to athletics, roughly three million Americans have brain injuries every year, half of which are considered serious (Dekosky 2010). Also, many of our nation’s brave men and women suffer traumatic head injuries that take months, even years to fully recover from. Though the exact number of concussions in soldiers can be completely accurate, many army officials believe it to be around eighteen percent (Charles 2008).
The temporary symptoms of trauma in these brain structures are slow reduction in motor coordination, smaller amount of control over reflexes, changes in emotion resulting in aggravation and irritability, and lesser number of signals being relayed to the rest of the body from the brain stem. Reasons for symptoms to be present are due to the fiber clusters in the pons being broken, the spinal cord being bent a little with each hit, the cell clumps in the brain stem being lost, and damage to the hippocampus.
Brain trauma also called Traumatic brain injury is an international cause of concern on the health desk. Traumatic brain injury is considered a global epidemic of the twenty first century in the mould of malaria and HIV/AIDS. As one of the leading causes of death and disability in children and adults in their most productive years, it causes major economic and social costs and imposes considerable demands on health service provision. Brain trauma can be classified as mild, moderate or severe depending on whether injury causes unconsciousness, how long the unconsciousness lasts and the severity of the injury. In this paper the writers will closely look at the causal factors of the brain trauma like falls, motor vehicles crashes and traffic related accidents, interpersonal violence, sport and recreational related injuries, anorexia and the effects like Alzheimer diseases, behavioural effects, cognitive effects, perceptual effects and physical effects.
Over 1.7 million traumatic brain injuries are reported each year. According to reports the leading cause of brain injuries are from falls followed by motor vehicle accidents, and accidents that were a result of being struck by something. Falls account for 32.5% of traumatic brain injuries in the United States. 50% of all child brain injuries are from falling. 61 % of all traumatic brain injuries among adults are 65 years old or older. Traumatic brain injuries are very violent blows or jolts to the head or body that result in the penetration of the skull. Mild traumatic brain injuries can cause brief dysfunction of the brain cells. Serious brain injuries can cause bleeding, bruising, physical damage to other parts of the body and torn tissues. Brain injuries are more prevalent with males rather than females. Causes of brain injuries include:
...severe head injury. Journal of Trauma [serial online]. December 2000; 49(6):1065-1070. Available from: CINAHL Plus, Ipswich, MA. Accessed March 7, 2014.
Traumatic brain injuries or TBIs can be occurred in many circumstances. It usually caused by outside force caused damages to your brain. Traumatic brain injuries mainly occur playing sports or accidents (motorcycle or car). Estimates about half of TBIs are caused by motorcycle crashes. According to an article "Consequences of a Head Injury from a Motorcycle Accident" by Law Office of Julie Johnson, Motorcyclist have four time high risks of severe injuries than other factors. The reason is because motorcycle have less protections comparing to cars. TBIs can cause loss of basic functions and severe brain damages. It is important for motorcyclists to wear helmet and any necessary protections.
Traumatic brain injury or TBI occurs when a child has a head injury that causes damage to the brain. These injuries can be caused from being hit in the head or violently shaken. The results of TBI can change how a person’s brain develops, how they act, move, and think. It can also affect how they learn in school (NICHCY, 2012). TBI can affect the way a child thinks, retains information, attention span, behavior, speech, physical activities (which includes walking), and the way a child learns.
Head trauma accounts as one of most common injuries and the leading cause of mortality among pediatric population [CDC]. The seriousness of identifying clinically-important Traumatic Brain Injury (ci-TBI) following head trauma necessitates the use of Computerized Tomography (CT) scan. Currently, CT scans are used as reference standard of diagnostic modality. This imaging modality is highly sensitive in diagnosing intracranial injuries and classifying patients needing neurosurgical intervention. The neurological manifestations following head trauma range from loss of consciousness to life-threatening injuries. The American Academy of Pediatrics (AAP) identifies Minor Head Injury (MHI) in otherwise healthy children more than 2 years of age as
Gage survived a freak accident, but had to live with the negative consequences. He was never the same again and his skull never fully healed. The damage done to his brain altered his personality for good. Although this was a terrible incident, it lead to many medical and psychological conclusions and provided evidence for the functions of the different parts of the brain. Gage’s skull and tampering iron can be found at the Warren Anatomical Museum at Harvard University School of Medicine (Costandi,
The article in UF Health talks about how brain injury is the most common cause to death from playing sports and to motor vehicle collisions. The physical injuries of sudden onset infections require medical attention, and traumatic injuries can occur sports injuries, falls and multitude other physical injuries (“Traumatic”). The result of severe infections can lead to traumatic injuries. Also, many people are involved with sports; and, many of the athletes gets injured but do not notice. Some of the people who falls all the time can get injuries; and, many of the people who repeatedly falls can lead to traumatic injuries. The article from Life Center mentions that the brain of a human beings controls the body. “It manages many things such as breathing, moving and vision. The brain also controls thinking, emotions and behavior” (Rehabilitation). An injury to the brain affect almost every systems of the body and can affect a person's personality. Each people have different symptoms in every brain injury. People may show problems with memory and show weakness of the muscles. For example, a different type of a traumatic brain injury is an open head injury. Occurs when an object goes through the skull and hits the brain. The cause usually damages specific parts of the body; and, people will have impairments after the injury. The outcome of traumatic brain injury is one of the main effects of untreated