Traumatic Brain Injury and Alzheimer's

Nevada Brain Injury Law 

We know that repeated traumatic brain injury can lead to Alzheimer's disease.  But did you know that even one traumatic brain injury can as well.  So whether multiple blast injuries, sports injuries or even just one car accident with traumatic brain injury, you could raise the chances of developing Alzheimer's in later years.

Over 1.7 million Americans suffer a traumatic brain injury each year, and beyond the immediate effects, growing evidence demonstrates that a single traumatic brain injury, or TBI, may initiate long term processes that further damage the brain. Boxers call this "punch-drunk" syndrome.

Douglas Smith, MD, professor of Neurosurgery and director of the Center for Brain Injury and Repair at Penn's Perelman School of Medicine states:

"A single traumatic brain injury is very serious, both initially, and as we're now learning, even later in life. Plaques and tangles are appearing abnormally early in life, apparently initiated or accelerated by a single TBI."

If you or someone you know has suffered a traumatic brain injury, be on the look out for symptoms of Alzheimer's later in life.  Even at a younger age than you would otherwise think.

The first symptoms of Alzheimer's disease you may notice are increasing forgetfulness and mild confusion.  Here are some others:

Memory

  • Repeat statements and questions over and over
  • Forget conversations, appointments or events, and not remember them later
  • Routinely misplace possessions, often putting them in illogical locations
  • Eventually forget the names of family members and everyday object

Disorientation and misinterpreting spatial relationships

 Speaking and writing
Those with Alzheimer's may have trouble finding the right words to identify objects, express thoughts or take part in conversations. Over time, the ability to read and write also declines.

Difficulty with Thinking and reasoning

Difficulty Making judgments and decisions

Difficulty Planning and performing familiar tasks

Changes in personality and behavior
Brain changes that occur in Alzheimer's disease can affect the way you act and how you feel. People with Alzheimer's may experience:

  • Depression
  • Anxiety
  • Social withdrawal
  • Mood swings
  • Distrust in others
  • Increased stubbornness
  • Irritability and aggressiveness
  • Changes in sleeping habits
  • Wandering

 If you or someone you know has suffered traumatic brain injury, contact the Titolo Law Office today.

New Treatment for Traumatic Brain Injury

 Currently there are no drugs with which to treat and cure brain injury. Standard treatment is supportive: stabilizing the patient, maintaining other vital functions such as blood pressure and breathing, treating other injuries, minimizing infections, and monitoring swelling.

Blogger David S. Casey writes about a new study.  

A promising new treatment for traumatic brain injury, the first significant advance in 30 years, is now being tested in a large scale, multi-center clinical trial. Over the next three to four years, 17 participating trauma centers in 15 states will enroll more than 1100 patients with severe TBI. Half of the patients with severe head injuries will be given an infusion of the hormone progesterone as well as all standard treatment for TBI; the other patients will be given a placebo infusion, which contains no active agents, and as well as all standard treatment. The study will evaluate the protective effect of the hormone progesterone when it is administered within four hours of the injury. The study is double-blinded, meaning neither patients nor treatment staff will know which infusion the patient receives.

Read more from David S. Casey here.

Brain Injury Association of Nevada

The Brain Injury Association of Nevada, a fully affiliated chapter of the Brain Injury Association of America, is up and running.

Jodi Sabal, Nevada Community Enrichment Program (NCEP) Director, is President.  NCEP is part of Nevada's Aging & Disability Services and Traumatic Brain Injury Rehabilitation. Her efforts in getting the affiliation completed should be applauded.  I know from experience compliance with the parent organization involves many detailed steps.

In my many years of involvement with the Brain Injury Association of America and affiliated State Organizations, invitations to speak at Medical-Legal Conferences around the country, steering planning committees, and other contributions, I noted that Nevada was one of the only states without a Brain Injury Association Chapter.  I am personally excited that we now have one.  I intend to be involved.

The web site for the Brain Injury Association of Nevada can be accessed by clicking the link www.bianv.org.

The Mission of the BIANV is:

The mission of the Brain Injury Association of America, as well as BIAN, is to be the voice of brain injury. Through advocacy, education and research, we bring help, hope and healing to millions of individuals living with brain injury, their families and the professionals who serve them.

 

Chronic Low Back Pain and Cognitive Impairment

 A common legal defense in cases of traumatic injury is that pain complaints, like low back pain, are the source of brain injury symptoms and reported cognitive impairments.  For instance, depression.  And while it is true that chronic or lasting pain can have symptoms that mimic those found with cognitive impairments, those symptoms are often not caused by pain or are at least exacerbated by pain components.

The Journal of Neuroscience recently published a study that supports relief of chronic pain as a precursor to the relief of brain injury symptoms and cognitive impairments.   Those with chronic pain also experience cognitive impairments and reduced gray matter in parts of the brain associated with pain processing and the emotional components of pain, like depression and anxiety.

Traumatic Brain Injury Attorneys must be able to distinguish cognitive impairments caused by organic brain injury from those associated with chronic pain.  A competent Traumatic Brain Injury Attorney works closely with neuropsychologists, neurodiagnosticians, and neurologists.

The Tell-Tale Brain by V.S. Ramachandran

 The Tell Tale Brain

I completed The Tell-Tale Brain: A Neuroscientist's Quest for What Makes Us Human by V.S. Ramachandran.   The preeminent neuroscientist V.S. Ramachandran has, without a doubt, raised the bar in this, his newest book, The Tell-Tale Brain. He states in the preface, "Readers who have assiduously followed my whole oeuvre over the years will recognize some of the case histories that I presented in my previous books, Phantoms in the Brain: Probing the Mysteries of the Human Mind and A Brief Tour of Human Consciousness: From Impostor Poodles to Purple Numbers. These same readers will be pleased to see that I have new things to say about even my earlier findings and observations. Brain science has advanced at an astonishing pace over the past fifteen years, lending fresh perspectives on - well, just about everything. After decades of floundering in the shadow of the "hard" sciences, the age of neuroscience has truly dawned, and this rapid progress has directed and enriched my own work." And what an enriching book this is!

     Ramachandran describes several neurological case studies that illustrate how people see, speak, conceive beauty and perceive themselves and their bodies in 3-D space. He explains the phenomenon of Phantom Limb Pain. He approaches the issues from evolutionary, philosophical, anatomical, psychological, and neurological perspectives.

Watch and hear Dr. Ramachadran describe how mirror neurons formed the foundation of civilization.