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Some of the saddest cases that I have worked on have been cases that involved traumatic
brain injuries. These cases are always difficult because not only are these injuries hard to
prove without the aid of very specific and specialized medical testing and testimony, but
because they can go undetected for long periods of time, following the actual injury.
In fact, many times, it isnt even the person who has suffered the injury who will first notice
the changes that it has caused. It will be family and friends who will notice your memory
slipping or that you may not be speaking as fluently as you once did. Worse, it may be your
boss that realizes your work production and accuracy has suddenly dropped.
To understand why this is the case, we first have to have a grasp of how these injuries occur
and what they involve. I will do my best to explain in as simple terms as possible.
Unfortunately, the brain is the last to receive and recover from this sudden change of state.
The result is that the brain floating around in its container of fluid will be moving in the
wrong direction at the wrong time and may actually strike the inside of the skull and become
bruised.
The more sinister possibility is that because the brain is actually made up of two different
types of matter, each with a different density that the two parts of your brain will not move as
one with the resulting shearing action damaging the microscopic nerve connections that tie
the two together this is technically called a diffuse axonal injury.
.This is the damage that is so hard to find because it actually happens at a cellular level and
will not show up on regular radiological exams.