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.

Continue Reading Growth Hormone Deficiency Following Complicated Mild Traumatic Brain Injury

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).

The American Journal of Preventive Medicine (AJPM) reports that the data show that 2210 occupational TBI deaths occurred between 2003 and 2010. Continue Reading TBI Injuries on Construction Sites

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.

Continue Reading Connecticut Court Upholds Admissibility of DTI

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.

Continue Reading Study Finds Long Term Effect of Mild Traumatic Brain Injury in Children Seven Years Post Injury

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 The North American Brain Injury Society enters into formal affiliation agreement with the International Brain Injury Association

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.

On August 10, 2011, United States Navel Petty Officer KY, age 26, was stopped in traffic on Route 206 in Bordentown, New Jersey, when her vehicle was rear-ended by a Ford 350 pickup operated by Mr. Avisai Pantle-Aguirre and owned by H&H Landscape Management, LLC. The force of the crash spun KY’s vehicle, causing it to collide with the vehicle stopped in front of her.

KY was initially diagnosed with having sustained a concussion and a neck injury. MRI’s of her brain, neck and low back revealed two small lesions in her left parietal lobe, three herniated discs in her neck and a bulging disc in her low back. Continue Reading Petty Officer Awarded $2 Million by Burlington County Jury

BlueCross BlueShield just released its Health of America Report showing that concussion diagnoses have increased 43% from 2010-2015. The rise was particularly marked in children and teens with a 71% rise in diagnosed incidences. Not surprisingly the rate in male patients during the fall season was double that of females. “Connecticut, Pennsylvania and Massachusetts had the highest rates of concussion diagnoses for patients 10-19. The study also reported an increase of 84% in post-concussion syndrome diagnoses with an interesting split–“more females then males ages 20-64 experienced post-concussion syndrome (61.3% vs. 38.7%).”

Some percentage of the increase could be attributed to a growing recognition of the long term impact of concussion, particularly the increased rate of suicide linked to the condition. However, it is disturbing that the concussion diagnoses increased in nearly every state from 2010-2015. The significant change raises questions on causation and indicates the need for more research.

In 2001, Teasdale and Engberg published an article in the Journal of Neurology, Neurosurgery and Psychiatry, entitled Suicide after Traumatic Brain Injury: A Population Study. The researchers reviewed data from Danish hospital admissions covering the years 1979-93 and found that patients who had sustained a TBI had an increased risk of suicide. The authors in that study concluded, “The increased risk of suicide among patients who had an MTBI may result from concomitant risk factors such as psychiatric conditions and psychosocial disadvantage. The greater risk among the more serious cases implicates additionally physical, physiological, and social consequences of the injuries as directly contributing to…suicide.”

In a recent research article, Lauren B. Fisher, et al. evaluated data from a brain injury-focused database, the BI Model Systems National Database, to further evaluate whether or not suicide rates are higher in TBI patients. Using patient health questionnaires detailing self-reported suicide attempts over a period of twenty years, the authors concluded that those who suffer a TBI are indeed at “greater risk for depression and suicidal behavior.” The outcome of the study indicates the need for “routine screening and mental health treatment in this population.”