Traumatic brain injury (“TBI”) is considered the main cause of hypopituitarism in adults and growth hormone (“GH”) deficiency is the most common pituitary deficit associated with TBI.
According to Cedars-Sinai, even after we stop growing, adults need growth hormone. Growth hormone plays a role in healthy muscle, how our bodies collect fat (especially around the stomach area), the ratio of high density to low density lipoproteins in cholesterol levels, and bone density. In addition, growth hormone is needed for normal brain function.
The construction industry has the greatest number of traumatic brain injuries (TBIs) among U.S. workplaces, according to a recent study conducted by researchers from the National Institute for Occupational Safety and Health (NIOSH).
A Connecticut trial court has upheld the use of diffusion tensor imagining (DTI), denying the defendants’ in limine motion to bar its introduction. In Vizzo v. Fairfield Bedfort, LLC, plaintiff retained Randall Benson, M.D., a behavioral neurologist, to conduct a behavioral neurological evaluation, to administer and interpret a DTI of the plaintiff and correlate it with clinical findings.
The University of Nebraska-Lincoln released a study involving a new equation used to evaluate post-concussion injuries among high school athletes and its corresponding impact on concussion research.
The Nebraska study outlines a new approach for identifying more athletes who play “impaired” on the Immediate Post-Concussion Assessment and Cognitive Testing, or ImPACT. That computerized tool consists of eight subtests that gauge neurocognitive performance. Using the new equation to combine the multiple subtest scores into one evaluative score could make it more difficult for the athlete to “fool” evaluators by providing minimal effort or “sandbagging,” says the recent study.
The Journal of Head Trauma Rehabilitation recently published an article entitled “Emergency Department Evaluation of Traumatic Brain Injuries in The United States, 2009-2010.” The article examined emergency department records from the national hospital ambulatory medical care survey in 2009 and 2010 where traumatic brain injury was evaluated and diagnosed either clinically or with head computed tomographic (CT) scans. A CT scan was performed on 82% of the TBI evaluations. Of those, only 9% had CT evidence of traumatic abnormalities.
The authors concluded the emergency department is the “primary gateway” to the medical system for patients with acute TBIs. However, emergency department evaluations have not been sufficiently described. This national study fills an important void.
At the annual meeting of the Association of Academic Physiatrists, Brad Kurowski, MD, MS, a physician in the division of Physical Medicine and Rehabilitation at Cincinnati Children’ Hospital presented his research on the long term effects of TBI among children.
Using a mouth guard developed by bioengineer David Camarillo and his team the KAM lab at Stanford, the information gained from the mouth guard and its sensors enabled the researchers to recreate what happens to a player’s brain in a millisecond from the collision.
Included in the article is an interactive representation of what happens to one’s brain.
Click here to read the full New York Times article.
It is our pleasure to share with you that after extensive due diligence and thoughtful consideration, the boards of the North American Brain Injury Society (NABIS) and the International Brain Injury Association (IBIA), have voted unanimously to approve a formal affiliation agreement under which NABIS will join IBIA as a special section. This agreement, drafted by Jeffrey Leiter, the long-time outside counsel for both organizations, will allow NABIS and IBIA to deliver significantly enhanced membership benefits to the brain injury professionals that make up both groups. Members of NABIS and IBIA will now have access to a comprehensive set of benefits that combines the strengths of both organizations, providing a more valuable membership experience and the opportunity to be part of a larger and more influential alliance.
Specifically, the full suite of membership benefits now includes: Continue Reading
Brain concussions and the potential for long lasting effects of a mild brain injury are not always obvious to healthcare providers at the time of injury. But recent advances are being made to create tools and tests to assess the potential for long term post-concussion symptoms (PCS) in patients. This is particularly important because recent studies have shown that even mild traumatic brain injuries (TBI) can cause long term healthcare problems.
A recently published study at the University of Cincinnati involved the use of robotic tests to evaluate the risk of long term healthcare problems in ER patients with concussion symptoms. The tests (KINARM Standard Tests) tracked specific body movements and behavior, e.g., evaluating a patient’s “position sense” in relationship to arm movement. The study outcomes showed that the robotic tests, created by BKIN Technologies Ltd. in Canada, were able to “discriminate between subjects who developed post-concussion syndrome and those who did not.” It was evident in performance data that patients with poor results in “visuomotor and proprioceptive” were more likely to suffer from post-concussion syndrome. The short videos below demonstrate how test results differ between a healthy patient and one who has suffered a brain injury.
Currently the KINARM Labs are only available in research, but if additional studies support the results, robotic movement and behavioral tools may soon become available in emergency rooms to help predict long term outcomes for patients with mild traumatic brain injuries.
If you or someone in your family has had a concussive episode or other type of Traumatic Brain Injury (TBI), you should consult an experienced attorney to assess your eligibility for financial assistance from medical or other insurance carriers. Consultations are usually free and services are often offered on a contingency basis.