TRAUMATIC BRAIN INJURY
Traumatic brain injury (TBI) can significantly affect many cognitive,
physical, and psychological skills. Physical deficit can include
ambulation, balance, coordination, fine motor skills, strength, and
endurance. Cognitive deficits of language and communication,
information processing, memory, and perceptual skills are common.
Psychological status is also often altered. Adjustment to disability
issues are frequently encountered by people with TBI.
Traumatic brain injuries typically result from accidents in which the
head strikes an object. This is the most common type of traumatic brain
injury. However, other brain injuries, such as those caused by
insufficient oxygen, poisoning, or infection, can cause similar
deficits.
Mild Traumatic Brain Injury (MTBI) is characterized by one or more of
the following symptoms: a brief loss of consciousness, loss of memory
immediately before or after the injury, any alteration in mental state
at the time of the accident, or focal neurological deficits. In many
MTBI cases, the person seems fine on the surface, yet continues to
endure chronic functional problems. Some people suffer long-term
effects of MTBI, known as post concussion syndrome (PCS). Persons
suffering from PCS can experience significant changes in cognition and
personality.
Most traumatic brain injury results in widespread damage to the brain
because the brain ricochets inside the skull during the impact of an
accident. Diffuse axonal injury occurs when the nerve cells are torn
from one another. Localized damage also occurs when the brain bounces
against the skull. The brain stem, frontal lobe, and temporal lobes are
particularly vulnerable to this because of their location near bony
protrusions.
The brain stem is located at the base of the brain. Aside from
regulating basic arousal and regulatory functions, the brain stem is
involved in attention and short-term memory. Trauma to this area can
lead to disorientation, frustration, and anger. The limbic system,
higher up in the brain than the brain stem, helps regulate emotions.
Connected to the limbic system are the temporal lobes which are
involved in many cognitive skills such as memory and language. Damage
to the temporal lobes, or seizures in this area, have been associated
with a number of behavioral disorders. The frontal lobe is almost
always injured due to its large size and its location near the front of
the cranium. The frontal lobe is involved in many cognitive functions
and is considered our emotional and personality control center. Damage
to this area can result in decreased judgment and increased
impulsivity.