Illinois Accident Lawyer

At The Chicago Law Offices of John Budin we have over 15 years of personal injury and accident litigation experience. We always listen to our clients and do not charge any attorney fees unless compensation is awarded in your case. With a reduced contingency fee we guarantee that our clients always receive the majority of compensation regarding their personal injury or accident claim.
Chicago personal injury attorney from The Law Offices of John Budin has the experience and ability to effectively litigate your case in a court of law, and get you the results and compensation you deserve. We handle cases where an individual has suffered an injury due to the negligence of another party. Some of our practice areas include but are not limited to:
With our years of experience and dedicated office staff of certified paralegals you can be sure that you are in good hands. Phone calls are always returned within 24 hours and we can send a skilled Chicago personal injury lawyer to make home or hospital visits. We have recovered millions of dollars in personal injury compensation and work diligently in ever case to recover you as much compensation as possible.
If you or someone you know has suffered an injury in an accident due to someone else's negligent actions,contact The Chicago Law Offices of personal injury lawyer John Budin. We offer FREE no obligation consultation with a dedicated and aggressive personal injury attorney in Chicago and in any of the surrounding nearby communities. Call today to find out how you can benefit from the experience of a talented personal injury attorney.
The Law Offices of Joe Bornstein is pleased to announce the addition of new attorney, Talia D. Timmins. Timmins specializes in Social Security Disability and rounds out a staff of nine attorneys and over 50 legal professionals.
Attorney Timmins graduated from The George Washington UniversityTemple University Beasley School of Law, and was admitted to the Pennsylvania bar in 2004. Before joining the Law Offices of Joe Bornstein, she practiced for 5 years atGenex Services, Inc. where she specialized in Social Security Disability cases.
Talia is a member of NOSSCR (the National Organization of Social Security Claimants’ Representatives), MTLA (the Maine Trial Lawyers Association), and the Cumberland County Bar Association. Talia volunteers on a weekly basis as a tutor with Literacy Volunteers Greater Portland, a program of LearningWorks. Prior to relocating to Maine, Talia volunteered at MANNA, a Philadelphia organization that delivers meals to people living with life-threatening illnesses.
Attorney Timmons joins a distinguished Social Security Disability law team that has represented over 1,500 Mainers in Social Security Disability Insurance Benefits (SSDIB) and Supplemental Security Income (SSI) claims in over 35 years of practice. On average, our senior attorneys have more than 22 years of experience and are assisted by a support staff of 13 legal professionals dedicated to the practice of Social Security Disability law.
To receive benefits under the SSDIB or SSI programs, you must have a diagnosed physical or mental condition severe enough to keep you from working in any regular paying job for at least 12 months. The Social Security Administration will take into account your medical condition, your age, abilities, training, and work experience in deciding your case.
An initial denial of an application is common, most people go through the appeals process to get a favorable result. Nationally, about two-thirds of all applicants are denied benefits initially. You then have 60 days from the date of your denial to file an appeal. Although you could hire an attorney at any step, the most common time to do so is immediately after the initial denial letter is received. If you’ve been denied benefits, having an experienced attorney to represent you significantly improves the likelihood of a favorable result.
Examples of the ways in which our attorneys assist clients include:
  • Advise and assist in obtaining appropriate medical examinations and treatment.
  • Obtain and carefully review the Social Security file.
  • Seek to reopen prior applications that were abandoned.
  • Prepare the client to testify at the hearing.
  • Protect the client’s right to a fair hearing by objecting to improper evidence and procedures.
  • Cross-examine the expert witnesses at the hearing.
  • Prepare and file a legal brief to the Administrative Law Judge.
  • Respond to requests from the Administrative Law Judge for additional evidence after the hearing.
  • When benefits are awarded, monitor the actions of the Social Security Administration to ensure that all are correctly calculated and paid.
Having an experienced and knowledgeable attorney is often the key to being granted your disability benefits. If your application for Social Security Disability benefits has been denied, don’t give up. Call the Law Offices of Joe Bornstein today for a free and confidential consultation. Pay us a fee only if you win.
With a statewide practice and five convenient offices in Biddeford, Portland, Lewiston, Augusta and Bangor, the Law Offices of Joe Bornstein is proud to help Mainers get the justice they deserve.
The Law Offices of Joe Bornstein – Maine Lawyers Working For Maine People 
Driving during the winter can be dangerous. Roads are slick with snow and ice, and it gets dark early, limiting one’s visibility. And despite the fact that many Mainers have lived in-state for much of their lives and have experience with winter driving, it’s important to refresh oneself on how to best navigate the slippery season.
At the Law Offices of Joe Bornstein, we see firsthand the effects of dangerous winter driving. The results often do not paint the picture of a winter wonderland. But by being careful and following a few winter driving tips, you’ll be much more apt to make it from point A to point B safe and sound.Because with only a few winter storms under our belt, it’s inevitable that Maine has many more to go.
The following is a list of winter driving tips that all Mainers should follow: 
  • Avoid unnecessary driving during storms. If you must travel, allow time for maintenance trucks to plow, salt, and sand the roads.
  • Do not assume that your vehicle can handle all conditions. Even four-wheel drive cars and trucks can encounter trouble on slick roads.
  • Keep at least three times more space than usual between you and the car in front of you. A distance of 10 seconds or more between you and the next car is considered safe.
  • Look ahead to anticipate actions well before they happen. 
  • Use low gears to keep traction, especially on hills and unplowed roads.
  • Do not use cruise control on slick roads.
  • Be careful on bridges, overpasses and infrequently traveled roads, which will freeze first. Even at temperatures above freezing, if conditions are wet, you might encounter ice in shady areas or on exposed roadways. Black ice is commonly found on roads winding around lakes and rivers, in tunnels, on bridges, and in highly shaded areas. 
  • When you find yourself on ice, avoid braking if possible. Try to remain calm if you experience a skid, and look and steer in the direction you want to go. 
  • If you find yourself stuck in snow, do not spin your wheels – this will only make you dig deeper. Instead, turn your wheel side-to-side to clear snow out of the way and then lightly press on the accelerator. If necessary, shovel away snow and put down kitty litter to help with traction. 
  • Keep a charged cell phone and fully stocked winter driving kit in the event of an emergency.
With many more storms in the forecast this winter, it’s important to be prepared in case you find yourself driving in the middle of one. Because after all, snow may look nice covering trees and mountains, but it paints a whole other picture on the road.
And if you’ve been injured in a car accident by the negligence of someone else, call the Law Offices of Joe Bornstein today for a free and confidential consultation. You may be entitled to compensation. In over 35 years, the Law Offices of Joe Bornstein has helped over 15,000 Mainers get the justice they deserve.
The Law Offices of Joe Bornstein is pleased to announce the addition of two new attorneys, David R. Miller and Andrew J. Bernstein. The two lawyers specialize in Social Security Disability law and round out a staff of nine attorneys and 45 legal professionals.
Attorney Miller is an Orono native who graduated from theUniversity of Maine School of Law. He served as Bangor’s Development Coordinator before entering private practice, and joins the Law Offices of Joe Bornstein with an expertise in Social Security Disability law. David is a member of NOSSCR (the National Organization of Social Security Claimants' Representatives), MOSSCR (the Maine Organization of Social Security Claimants' Representatives), MTLA (the Maine Trial Lawyers Association), the Maine State Bar Association, and the Penobscot County Bar Association. Outside of work he enjoys mountain biking and is a member of the Orono-Old Town Kiwanis club.
Attorney Bernstein is a graduate of Bowdoin College and the University of Maine School of Law, and was admitted to the Maine state and federal courts in 1980. Andy was a litigation partner at Bernstein, Shur, Sawyer & Nelson for 7 years, and has held leadership positions at Unum and Disability RMS, Inc. Andy is a member of the University of Maine School of Law Alumni Board and a Class Agent, and is currently the co-chair of the corporate lawyers section of the Maine Campaign for Justice. Andy is also a past President of Congregation Bet Ha'am, and has been a Cape Elizabeth Little League umpire.
Attorneys Miller and Bernstein join a distinguished Social Security law team that has represented over 1,500 Mainers in Social Security Disability Insurance Benefits (SSDIB) and Supplemental Security Income (SSI) claims in over 34 years of practice. On average, our senior attorneys have more than 22 years of experience and are assisted by a support staff of 11 legal professionals dedicated to the practice of Social Security Disability law.
To receive benefits under the SSDIB or SSI programs, you must have a diagnosed physical or mental condition severe enough to keep you from working in any regular paying job for at least 12 months. The Social Security Administrationwill take into account your medical condition, your age, abilities, training, and work experience in deciding your case.
An initial denial of an application is common, most people go through the appeals process to get a favorable result. Nationally, about two-thirds of all applicants are denied benefits initially. You then have 60 days from the date of your denial to file an appeal. Although you could hire an attorney at any step, the most common time to do so is immediately after the initial denial letter is received. If you’ve been denied benefits, having an experienced attorney to represent you significantly improves the likelihood of a favorable result.
Examples of the ways in which our attorneys assist clients include: 
  • Advise and assist in obtaining appropriate medical examinations and treatment.
  • Obtain and carefully review the Social Security file.
  • Seek to reopen prior applications that were abandoned.
  • Prepare the client to testify at the hearing.
  • Protect the client’s right to a fair hearing by objecting to improper evidence and procedures.
  • Cross-examine the expert witnesses at the hearing.
  • Prepare and file a legal brief to the Administrative Law Judge.
  • Respond to requests from the Administrative Law Judge for additional evidence after the hearing.
  • When benefits are awarded, monitor the actions of the Social Security Administration to ensure that all are correctly calculated and paid.
Having an experienced and knowledgeable attorney is often the key to being granted your disability benefits. If your application for Social Security Disability benefits has been denied, don’t give up. Call the Law Offices of Joe Bornsteintoday for a free and confidential consultation. Pay us a fee only if you win.
With a statewide practice and five convenient offices in Biddeford, Portland, Lewiston, Augusta and Bangor, the Law Offices of Joe Bornstein is proud to help Mainers get the justice they deserve.
The Law Offices of Joe Bornstein – Maine Lawyers Working For Maine People 
The Law Offices of Joe Bornstein – one of Maine’s leading personal injury and disability law firms – is pleased to announce the hiring of its 10th attorney, Ivy L. Frignoca. Attorney Frignoca joins a staff of nearly 60 legal professionals and will head the firm’s trial practice group.
Well versed in the field of personal injury law, Attorney Frignoca received her undergraduate degree from theUniversity of Vermont and her law degree from theUniversity of Maine in 1993. After graduating, Ivy clerked for the Chief Justice of the Maine Supreme Judicial Court before beginning a trial practice.
Frignoca is admitted to the Maine State Bar, federal courts in Maine and Vermont, and the First and Ninth Circuit Courts of Appeal. She is a member of the American Association for Justice, the Maine State Bar Association (MSBA), the Maine Trial Lawyers Association, and the Cumberland County Bar Association. In addition, Ivy has held active leadership roles in the women’s section of the MSBA and is actively involved in her community.
Attorney Frignoca’s trial practice focuses on representing people who have been injured by the negligence of others and on class actions where numerous people have been harmed in similar ways.
With a statewide practice and soon to be six conveniently located offices, the Law Offices of Joe Bornstein is proud to announce the addition of Attorney Ivy L. Frignoca. Ivy joins a group of attorneys who in over 36 years have helped more than 15,000 Mainers get the justice they deserve.
The Law Offices of Joe Bornstein – Maine Lawyers Working For Maine People
The Law Offices of Joe Bornstein is pleased to announce the addition of new attorney, Talia D. Timmins. Timmins specializes in Social Security Disability and rounds out a staff of nine attorneys and over 50 legal professionals.
Attorney Timmins graduated from The George Washington UniversityTemple University Beasley School of Law, and was admitted to the Pennsylvania bar in 2004. Before joining the Law Offices of Joe Bornstein, she practiced for 5 years at Genex Services, Inc. where she specialized in Social Security Disability cases.
Talia is a member of NOSSCR (the National Organization of Social Security Claimants’ Representatives), MTLA (the Maine Trial Lawyers Association), and the Cumberland County Bar Association. Talia volunteers on a weekly basis as a tutor with Literacy Volunteers Greater Portland, a program of LearningWorks. Prior to relocating to Maine, Talia volunteered at MANNA, a Philadelphia organization that delivers meals to people living with life-threatening illnesses.
Attorney Timmons joins a distinguished Social Security Disability law team that has represented over 1,500 Mainers in Social Security Disability Insurance Benefits (SSDIB) and Supplemental Security Income (SSI) claims in over 35 years of practice. On average, our senior attorneys have more than 22 years of experience and are assisted by a support staff of 13 legal professionals dedicated to the practice of Social Security Disability law.
To receive benefits under the SSDIB or SSI programs, you must have a diagnosed physical or mental condition severe enough to keep you from working in any regular paying job for at least 12 months. The Social Security Administration will take into account your medical condition, your age, abilities, training, and work experience in deciding your case.
An initial denial of an application is common, most people go through the appeals process to get a favorable result. Nationally, about two-thirds of all applicants are denied benefits initially. You then have 60 days from the date of your denial to file an appeal. Although you could hire an attorney at any step, the most common time to do so is immediately after the initial denial letter is received. If you’ve been denied benefits, having an experienced attorney to represent you significantly improves the likelihood of a favorable result.
Examples of the ways in which our attorneys assist clients include:
  • Advise and assist in obtaining appropriate medical examinations and treatment.
  • Obtain and carefully review the Social Security file.
  • Seek to reopen prior applications that were abandoned.
  • Prepare the client to testify at the hearing.
  • Protect the client’s right to a fair hearing by objecting to improper evidence and procedures.
  • Cross-examine the expert witnesses at the hearing.
  • Prepare and file a legal brief to the Administrative Law Judge.
  • Respond to requests from the Administrative Law Judge for additional evidence after the hearing.
  • When benefits are awarded, monitor the actions of the Social Security Administration to ensure that all are correctly calculated and paid.
Having an experienced and knowledgeable attorney is often the key to being granted your disability benefits. If your application for Social Security Disability benefits has been denied, don’t give up. Call the Law Offices of Joe Bornstein today for a free and confidential consultation. Pay us a fee only if you win.
With a statewide practice and five convenient offices in Biddeford, Portland, Lewiston, Augusta and Bangor, the Law Offices of Joe Bornstein is proud to help Mainers get the justice they deserve.
The Law Offices of Joe Bornstein – Maine Lawyers Working For Maine People 

HOW CAN THE BRAIN BE INJURED? Look for the best Brain Injury Attorney now!

In the United States traumatic brain injury (TBI) is a leading cause of death for persons under age 45. TBI occurs every 15 seconds. Approximately 5 million Americans currently suffer some form of TBI disability. The leading causes of TBI are motor vehicle accidents, falls, and sports injuries. While the brain is by far the most complex object on earth, it is soft and vulnerable with a consistency of firm pudding.


Coup and Contrecoup
Coup - Contrecoup Injury
Two image illustration showing coup caused by the primary impact
and the secondary impact or contrecoup injury.

A concussion is a sudden trauma-induced alteration of the alert state. The person may be unable to concentrate or be confused for a few seconds, or completely lose consciousness and fall down. The brain is capable of recovering from a concussion. How much force is necessary to cause permanent brain damage is under study, and hence still unclear. Over the years, professional boxers suffer permanent brain damage. The force of a professional boxer's fist is equivalent to being hit with a 13 pound bowling ball traveling 20 miles per hour, about 52 g's. Plopping down into an easy chair can generate up to 10 g's. So, it seems that somewhere between 10 and 50 g's is the threshold to permanent brain injury. This does not mean that accelerations over 50 g's have to cause permanent brain damage. Football players are subjected to 200 g's, and Indy race car drivers have been subjected to 80 g's without permanent injury, but they were wearing helmets.

Football players and race car drivers also protect their heads from being whiplashed. Whiplash seems to be particularly damaging to the brain. Woodpeckers smack their heads against trees with 1200 g's of force without suffering brain damage. Part of the reason is that they keep their heads in the plane of their body; the head does not rotate in a "yes-no" manner during the pecking. If there were some way to stabilize the head when driving - akin to wearing a mail suit from the Middle Ages - more people would walk away from automobile accidents without serious brain injury.

The brain is vulnerable to traumatic damage in two ways. The cerebral cortex can become bruised - contused - when the head strikes a hard object (or a hard objects strikes the head). Or, the deep white matter can suffer diffuse axonal injury when the head is whiplashed without hitting a hard object (or being hit by one). In serious whiplash injuries, the axons are stretched so much that they are damaged.

Cerebral contusions tend to occur at the tips of the frontal and temporal lobes where they bang up against the interior of the skull. Diffuse axonal injury occurs more toward the center of the brain where axons are subjected to maximal stretching. Would you like to speak to a brain injury attorney?







Direct Trauma
Any force that penetrates or fractures the skull may cause severe brain injury as destructive shock waves are sent through the brain matter. Displaced fractures of the skull can also push bone into the brain, causing tissue damage.
Would you like to speak to a brain injury attorney?
Direct trauma to the brain can occur when the skull strikes, for example, the floor in a fall accident or strikes a steering wheel in a car accident. Although the skull may not be penetrated or fractured in these types of accidents, the forces imparted to the brain can cause the brain to collide against the inside of the hard skull. When a moving head comes to a quick stop, the brain continues in its movement, striking the interior of the skull. This can cause bruising of the brain (a contusion) and bleeding (hemorrhage). Injury in these types of accidents occurs in parts of the brain closest to the point of impact, quite often the tips of the frontal and temporal lobes. In cases of blunt head trauma the brain can also be injured directly opposite the site of trauma -- on the other side of the brain, an injury known as contrecoup. This injury typically occurs when a moving head strikes a stationary object like the windshield. At impact the brain opposite the site of impact is pulled away from the skull, injuring the brain there.
Would you like to speak to a brain injury attorney?


Indirect Trauma
Medical research has discovered another mechanism of brain injury besides direct blunt trauma to the skull. The well-known phenomenon of the Shaken Baby Syndrome is an example. Severe shaking greatly stretches and damages delicate nerve cells, at times causing very significant injury or even death. In adults, severe whiplash can involve severe forces that may shake or rotate the brain enough to cause permanent brain damage.
Would you like to speak to a brain injury attorney?

Diffuse Axonal Injury
The brain consists of billions of nerve cells located in the gray matter which communicate with distant nerve cells through long nerve fibers called axons, composing the white matter. Severe sudden twisting or torquing of the brain, as occurs in a sudden acceleration/deceleration - whiplash -- accident, can stretch, twist, and damage these delicate axonal fibers. Under the microscope the axonal damage is called Diffuse Axonal Injury (DAI). Although diffuse axonal injury generally results from a severe whiplash injury that renders a patient comatose, recent studies have shown that diffuse axonal injury can also occur - but to a lesser degree -- when there has been only brief loss of consciousness (LOC). Because Diffuse Axonal Injury causes microscopic damage, it cannot be visualized on CT or MRI scans.
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Lateral views showing motion of head
and neck during whiplash injury.

A second method of how the brain can be injured in high speed velocity change scenarios (a fall from a great height, high speed car accident) is called “Isotropic Stress.” Whereas diffuse axonal injury involves the deforming or stretching of the brain tissue, resulting in tearing, isotropic stress causes damage through a “pulse” or “pressure wave” that moves through the brain at extraordinarily high speeds. The damage is caused by a sudden change in the density of the inside of an individual brain cell. The instant compression causes damage to the internal structures of the brain cells.
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Many of these same types of injuries have been discovered and treated in veterans returning from the Iraq war. They have often been exposed to the proximity blast of explosive charges. The pressure or pulse from the explosion moves through their body and as it move through the brain it causes damage to the cells. Although many of these soldiers look “fine” and have no bleeding, they can and will suffer serious brain injury as a result.
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Because of the large number of veterans injured in this way, lots of research is being done on this type of brain injury at the present time and there should be studies available for an update on this new insight into TBI in mid-2008.
          Would you like to speak to a brain injury attorney?

Hypoxia or Toxic Substance Exposure
The brain is more susceptible to injury through lack of oxygen (hypoxia) than any other part of the body. Hypoxia can occur in conjunction with other injuries (heart attack) or from any other situation where breathing or oxygen intake is impaired. Damage from hypoxia is often seen in the hippocampus, an area of the brain necessary for laying down new memories. Exposure to toxic chemicals (lead, toluene, carbon monoxide, among many others) can also cause brain damage, depending on the level of exposure and the duration of exposure, the combination of which is called the "dose."
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Secondary Types of Brain Injury
In addition to direct neural damage discussed above, injury to the brain can also result as a secondary phenomenon following injury to nonneurologic structures.

  1. Edema - is a swelling of the brain. Swelling of the brain becomes dangerous when the swelling causes a rise in intracranial pressure which prevents blood from entering the skull to deliver glucose and oxygen to the brain. Sustained high intracranial pressure can be relieved through medication, or in more severe cases, by placing a hole in the skull to drain off some of the high-pressure cerebrospinal fluid.
  2. Hematoma - is a collection of blood due to tissue injury or the tearing of a blood vessel. CT scans done at the hospital are particularly effective in detecting brain bleeds. Bleeding into the brain after trauma can occur days after the patient is released from the emergency room. The dura is a tough membrane that covers the entire brain and spinal cord. A blood clot that develops outside the dura, between the skull and dura, is known as an epidural hematoma. A blood clot that develops between the dura and the brain is called a subdural hematoma. Gently resting against the brain itself is a thin, delicate membrane called the arachnoid. Underneath the arachnoid, between the arachnoid and the brain itself, is cerebrospinal fluid bathing and circulating around the brain. Blood leaking into the cerebrospinal fluid is known as a sub-arachnoid hemorrhage.
  3. Hydrocephalus and Hygroma - are collections of fluid in and around the brain. The brain is hollow; the interior cavities, called ventricles, contain cerebrospinal fluid circulating from the ventricles up over the surface of the brain where the cerebrospinal fluid is absorbed. If blood somehow gets into the cerebrospinal fluid and blocks the spinal fluid absorption sites, spinal fluid will back up into the ventricles, enlarging them - a condition called hydrocephalus. If the pressure inside the ventricles becomes excessive (risking damage to the brain), a tube may need to be inserted into the ventricles to relieve the pressure. A hygroma is a localized fluid buildup usually in the subdural space. Again, if pressure in the hygroma presses against the brain, surgery may be necessary to relieve the pressure.
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Intracerebral hemorrhage
Coronal section through the skull reveals a intracerebral hemorrhage. The central large dark area represents the hemorrhage. Note the midline shift.

Epidural hematoma
Coronal section through the skull and brain reveals a epidural hematoma. The dark area in the lower left area is the hematoma. Note the broken blood vessel and the shift of midline structures.

Subdural hematoma
Coronal section through the skull and brain
reveals a subdural hematoma. The dark area in
the upper left area is the hematoma.





DID BRAIN INJURY OCCUR?

Unfortunately, there are no medically accepted criteria that can predict permanent brain damage from a particular trauma. The factors doctors take into consideration, however, include the following. Keep in mind that normal findings on the tests below do not necessarily mean that no brain injury occurred.
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Loss of Consciousness (LOC) - loss of consciousness means loss of conscious awareness. Hence, loss of consciousness can range from being briefly dazed to several days of coma. Focal head trauma - a bullet - can permanently damage an entire cerebral hemisphere without loss of consciousness, but in blunt head trauma loss of consciousness is usually, but not always, necessary to permanently damage the brain. Generally speaking, the longer a period of unconsciousness, the more severe the injury. Medical providers at the scene of an accident tally up a "Glasgow Coma Scale" of the patients neurologic status, which can range from a low of 3 (deeply comatose) to a normal value of 15. The Glasgow Coma Scale is helpful in predicting a patient's ultimate outcome -- the lower the score the worse the outlook.
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Post Traumatic Amnesia (PTA) - loss of memory for events prior to the injury (retrograde amnesia) and events following the injury (anterograde amnesia) frequently occur after head injury. In general, a patient with longer periods of post traumatic amnesia tends to have more of a severe injury. Studies have shown that individuals are not good at estimating their own length of amnesia (Gronwall 1980). Therefore, family members should make note of any anterograde or retrograde amnesia and track its improvement.
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Concussion - a concussion is an alteration of conscious awareness after head trauma. The collection of symptoms following a concussion is called the postconcussion syndrome (PCS), and include dizziness, nausea, vomiting, headache, disorientation, forgetfulness, irritability, depression, mood swings, insomnia, and loss of libido. Most cases of PCS resolve after a few months, but approximately 20% of cases can involve longer term problems.
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Encephalopathy - a disturbance of brain function indicating something is wrong with both sides of the brain's gray matter. Signs of encephalopathy include stupor, confusion, memory loss, inattention, agitation, and inappropriate aggression. An encephalopathy after head trauma only means the brain is not functioning properly. It does not necessarily mean the dysfunction is permanent.
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Focal Neurologic Signs - signs that allow a doctor to conclude that a specific part of the brain is not functioning.
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Seizure - nerve cells communicate with one another electrically and chemically. One nerve sends an electrical discharge along its axon to stimulate another distant nerve. The actually stimulation is done chemically. When the electrical discharge reaches the end of the axon, the electricity causes the axonal tip to spit a chemical "neurotransmitter" at receptor sites on the next nerve cell. All this takes place in a nice orderly fashion. A "grand mal" seizure occurs when every nerve cell in the brain rapidly fires electrical discharges at one another. The resulting chaos causes the patient to lose consciousness, fall down, and convulse. The same uncontrolled discharges in a focal area of the brain may cause the patient to experience or do what function that focal area normally controls. Such "focal" or "partial" seizures may manifest as recurrent bouts of numbness, fear, anxiety, a forced memory, jerking of a limb or face, lip smacking, sudden staring spells, or inability to speak.
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PERL - medical personnel commonly test an individual with a head injury to see if the Pupils are Equal and Reactive to Light (PERL). Unequal pupils or unreactive pupils in a comatose patient after a head injury can signify a dangerous rise in intracranial pressure due to swelling, hematoma, hydrocephalus, etc. Urgent lifesaving surgery is often necessary to relieve the elevated pressure.
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There has been a hypothesis that a person struck in the head who suffers facial fractures may have decreased injury to the brain because of the fracture being a "shock absorber" to the brain. However, a recent study (Martin R.C. 2002) showed that the outcome of those with facial fractures verses non-fractures was the same. The presence of fractures of the face does not favor a better outcome.
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A study from 2002 (Mosenthal, A.C. 2002) confirmed what was previously believed in regard to the outcome of the elderly with traumatic brain injury. The mortality rate from TBI is higher in the geriatric population at all levels of head injury. There outcome at the time of hospital discharge is worse. This outcome is independent of any other co-factor such as age or other disease.
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