Brain and Spine Injury Law Blog

Brain and Spine Injury Law Blog

Brain Damage From Mild Traumatic Brain Injury

Posted in Las Vegas Injury Attorney

 Brain Damage has been shown in cases of Mild Traumatic Brain Injury.  Sounds like a little preaching to the choir.

 A new article in the July 16, 2014, online issue of Neurology®, the medical journal of the American Academy of Neurology, discloses findings of brain injured versus non-brain injured individuals.

For the study, 44 people with a mild traumatic brain injury and nine people with a moderate traumatic brain injury were compared to 33 people with no brain injury. All of the participants took tests of their thinking and memory skills. At the same time, they had diffusion tensor imaging scans, a type of MRI scan that is more sensitive than traditional MRI for detecting damage to brain cells and helps map fiber tracts that connect brain regions. The people with brain injuries had their scans an average of six days after the injury. A year later, 23 of those with injuries had another scan and took the cognitive tests again.

Compared to the people with no brain injury, those with injuries had brain damage in brain white matter consisting of disruption to nerve axons, those parts of nerve cells that make up white matter and that allow brain cells to transmit messages to each other.

So goes the myth that "mild" traumatic brain injury has no lasting effects on its victim.

BIAA Sept 2014 Update

Posted in Brain Injury News and Event Update, Las Vegas Injury Attorney, Traumatic Brain Injury (TBI)

The Brain Injury Association of America has requested that I pass along the following Legislative Update.

TBI Act Reauthorization

The United States Senate planned to pass TBI Act Reauthorization this week but further action on the bill will be taken in September. BIAA thanks Sens. Harkin (D-Iowa), Alexander (R-TN), Hatch (R-UT) and Casey (D-PA) for their continued leadership on passing this important legislation to the brain injury community.

Assisted Living TBI Pilot Program Extension

The U.S. Senate overwhelmingly passed a $16 billion overall to the Department of Veterans Affairs Thursday night which included a three year extension to the Assisted Living TBI Pilot Program. Sens. Corey Booker (D-NJ) and Dean Heller (R-NV) introduced the Assisted Living Pilot Program for Veterans with Traumatic Brain Injury Extension Act, S.2607. The AL-TBI Extension Act authorizes the continuation of a critical VA program that provides intensive care and rehabilitation to veterans with complex brain injuries. AL-TBI consists of community-based residential/transitional rehabilitation programs around the country in which veterans are immersed in therapies for movement, memory, speech, and gradual community reintegration. This model of care allows veterans facing similar challenges to live together while receiving 24/7 care, which has yielded impressive results and helped rehabilitate hundreds of veterans from severe injuries that are notoriously difficult to treat. BIAA thanks Sens. Booker and Heller for their leadership and to Congress on extending this vital program to our Veterans with TBI.


Brain Implants to Optimize Memory

Posted in Traumatic Brain Injury (TBI)

The U.S. military is leading a program to develop brain implants to restore memory to veterans who have suffered brain injuries.  The Restoring Active Memory (RAM) program is a project of the Defense Advanced Research Projects Agency (DARPA), the branch of the U.S. Department of Defense charged with developing next-generation technologies for the military. The initiative aims to develop wireless, fully implantable "neuroprosthetics" for service members suffering from traumatic brain injury or illness.


More than 270,000 U.S. veterans have been diagnosed with traumatic brain injury (TBI) since 2000, and the condition affects about 1.7 million civilians in the United States each year, according to DARPA. TBI interferes with the ability to recall memories from before the injury, and also the capacity to form or retain new memories.

Currently, few treatments for TBI-related memory loss exist, but DARPA is trying to change that. Deep brain stimulation, the use of implanted electrodes to deliver electrical signals to specific parts of the brain, has already demonstrated success in treating Parkinson’s disease and other chronic brain conditions. Building on these advances, DARPA is developing new neuroprosthetics to bridge the gap in an injured brain to restore memory function.

There are many different types of memory, but the RAM program will focus on a kind known as declarative memory — knowledge that can be consciously recalled, such as events, times or places.

For example, imagine you need to go to the store. To find it, you need to know where the store is located and what it’s called. A person with a traumatic brain injury often has trouble remembering these basic facts.

The project is being funded by the government and will spill over into the general population as the technology is achieved.

As part of the RAM program, UCLA will receive up to $15 million, and the University of Pennsylvania will receive up to $22.5 million in funding, over a four-year period. In addition, Lawrence Livermore National Laboratory, a federal research facility located in Livermore, California, will receive up to $2.5 million. The funding will depend on whether the institutions meet a series of technical milestones, ranging from recording neural signals to developing the hardware for chronic implants.

Stay tuned for more.

Brain Cells Regenerate and Allow for Memory

Posted in The Human Brain

The official understanding that brain cells do not regenerate has been longstanding.  Therefore, if you lose it, it stays lost.  During my time studying the brain and traumatic and acquired brain injury these many years, I came to appreciate the issue of "reserves" in the brain and the complexity of repeat trauma reducing reserves.

I came across an article in Scientific American, July 2014, entitled Add Neurons Subtract Anxiety. In it, the authors cite the discovery of brain cell regeneration to Joseph Altman in the 1960s.  Studies in the 1990s revealed that certain brain cells regenerate in two areas of the brain: smell and the hippocampus.

In fact these brain locals and fledgling cells may be involved…

In helping to record memories in a way that distinguishes them as unique, preventing them from blurring, one into the next.  This realization could lead to novel approaches to treating a variety of anxiety disorders, including post-traumatic stress disorder (PTSD), because people who suffer from such conditions have trouble telling the difference between situations that merit fear and those that are innocuous.

High Blood Pressure,Traumatic Brain Injury, and the Brain

Posted in The Human Brain

High Blood Pressure increases the chances of cardiac damage. But new findings reveal High Blood Pressure may also be damaging the brain. As we get older those chances increase.

High blood pressure in middle age plays a critical role in whether blood pressure in old age may affect memory and thinking, research shows. The study found that the association of blood pressure in old age to brain measures depended on a history of blood pressure in middle age. Higher systolic and diastolic blood pressure were associated with increased risk of brain lesions and tiny brain bleeds. This was most noticeable in people without a history of high blood pressure in middle age.

AAJ Baltimore 2014

Posted in Brain Injury News and Event Update, Las Vegas Car Accident Attorney, Las Vegas Injury Attorney, Las Vegas Motorcycle Attorney, Las Vegas Negligent or Inadequate Security Attorney, Las Vegas Truck Accident Attorney, Las Vegas Wrongful Death Attorney, Personal Injury, Resources, Spine Injury, Back Injury, Neck Injury and Bone Injury, The Human Brain, Traumatic Brain Injury (TBI)

I was honored to accept an invitation to make a presentation at this week’s American Association of Justice Annual Convention.  My presentation was on Hotel Security Trends.  The American Association of Justice is the largest grouping of consumer attorneys in the country.  This year’s convention was in Baltimore at the Convention Center.

I am also happy and honored to report that I was elected Secretary of the Traumatic Brain Injury Litigation Group. I was also elected Secretary/Treasurer of the Inadequate Security Litigation Group. It will be an eventful year for me as an officer of these two groups and hopefully my involvement will continue to keep me on the cutting edge of issues related to both groups.

Habits of Neuroscience

Posted in The Human Brain

I was checking out Scientific American June issue, Good Habits Bad Habits. If you have never read an issue of Scientific American I recommend you do.  The publication is full of emerging ideas.  Such is the article on How Habits are Formed.

Researchers are working on how the brain converts new behavior into a routine. They are uncovering the neural mechanisms that underlie our rituals. Habits seem to stand out as clear cut actions, but neurologically, they fall along a continuum of human behavior.

Although habits fall along different parts of the behavior spectrum, they share certain core features. For instance, they are stubborn and hard to undo.  Do you ever experience driving on "auto-pilot?"  You make turns and stops at familiar places without really thinking about it?  Researchers have found clues suggesting that different brain circuits take the lead as deliberate actions become habitual. It is possible that our expanding knowledge could even help people at the severe end of the habit spectrum, providing clues for how to treat obsessive-compulsive disorder, Tourette’s syndrome, fear or post traumatic stress disorder.

As the article says, if you want to condition yourself to jog in the morning, then perhaps you should put out the running shoes the night before so you do not miss them when you wake up the next day. This visual cue could be especially effective if you reward yourself after the jog. Do this on enough mornings and your brain might develop the chunking pattern that you want. By learning more about how our brains establish and maintain routines, we hope we can figure out, say the researchers, how people can coax themselves out of bad habits and into ones they want.

President Obama’s Brain Initiative

Posted in Traumatic Brain Injury (TBI)

The President is behind the new BRAIN Initiative.

The Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Initiative is part of a new Presidential focus aimed at revolutionizing our understanding of the human brain. By accelerating the development and application of innovative technologies, researchers will be able to produce a revolutionary new dynamic picture of the brain that, for the first time, shows how individual cells and complex neural circuits interact in both time and space. Long desired by researchers seeking new ways to treat, cure, and even prevent brain disorders, this picture will fill major gaps in our current knowledge and provide unprecedented opportunities for exploring exactly how the brain enables the human body to record, process, utilize, store, and retrieve vast quantities of information, all at the speed of thought.

As part of the BRAIN Initiative, Scientists at the University of California, San Francisco (UCSF) and Massachusetts General Hospital are leading the effort to devise brain implants to help veterans overcome post traumatic stress disorder or PTSD.

Roughly 2.8 million men and women have served in the wars in Iraq and Afghanistan, and it’s estimated that up to 20 percent of those individuals will suffer from post-traumatic stress disorder upon returning home.

In light of this sobering statistic, the Defense Advanced Research Projects Agency (DARPA) has embarked on a 5-year, $70 million project to develop electronic devices that can be implanted in brains to treat PTSD and other psychological problems faced by military personnel. The new devices would both monitor and stimulate specific neural circuits in order to train the brain to function correctly.

Costs of Crashes

Posted in Las Vegas Injury Attorney

The economic and societal harm from motor vehicle crashes amounted to a whopping $871 billion in a single year, according to a study by the National Highway Traffic Safety Administration.

The study examined the economic toll of car and truck crashes in 2010, when 32,999 people were killed, 3.9 million injured and 24 million vehicles damaged. Those deaths and injuries were similar to other recent years.

Of the total price tag, $277 billion was attributed to economic costs — nearly $900 for every person living in the U.S. that year. Harm from loss of life, pain and decreased quality of life due to injuries was pegged at $594 billion.