{"id":37825,"date":"2026-03-25T17:24:08","date_gmt":"2026-03-25T21:24:08","guid":{"rendered":"https:\/\/www.hastingsfirm.com\/?p=37825"},"modified":"2026-05-06T11:27:56","modified_gmt":"2026-05-06T15:27:56","slug":"lesiones-cerebrales-traumaticas-en-el-ambito-sanitario","status":"publish","type":"post","link":"https:\/\/www.hastingsfirm.com\/es\/traumatic-brain-injuries-in-healthcare\/","title":{"rendered":"Litigios por lesiones cerebrales traum\u00e1ticas en casos de negligencia m\u00e9dica"},"content":{"rendered":"\n<blockquote class=\"wp-block-quote has-background is-layout-flow wp-block-quote-is-layout-flow\" style=\"border-left-color:var(--wp--preset--color--theme-palette-6);background-color:#f5f5f5;padding-top:15px;padding-bottom:15px\">\n<p><a href=\"https:\/\/hastingsfirm-my.sharepoint.com\/personal\/tommy_hastingsfirm_com\/_layouts\/15\/onedrive.aspx?id=%2Fpersonal%2Ftommy%5Fhastingsfirm%5Fcom%2FDocuments%2FTRH%20Personal%2FTHastings%2FSpeaking%20Eng%2FTBI%20Paper%2FTBI%20Research%2FTBI%20Research&amp;viewid=4535f09d%2D4ddc%2D4e85%2Db6d6%2D6ee3480dab4b\" target=\"_blank\"><strong>Download Supplemental Research and Resources for this Article<\/strong><\/a><\/p>\n<\/blockquote>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_0, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_0[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_0\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_0 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_0[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_0\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_0 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_0[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_0\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading37825_1c4dc1-07_0 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_0\">Traumatic Brain Injury in Healthcare: What Patients and Families Need to Know<\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_1, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_1[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_1\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_1 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_1[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_1\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_1 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_1[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_1\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_1 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_1\">Every year, tens of thousands of Americans die from traumatic brain injury, and hundreds of thousands more are hospitalized. According to the CDC, <a href=\"https:\/\/www.hastingsfirm.com\/patient-fall-in-hospital-attorneys-in-texas\/\" data-type=\"page\" data-id=\"23323\">falls account for nearly half of all TBI-related hospitalizations<\/a>, many of which occur in healthcare settings where they could have been prevented. Despite growing awareness, TBI remains one of the most misunderstood injuries in medicine and in the legal system.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_5, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_5[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_5\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_5 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_5[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_5\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_5 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_5[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_5\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading37825_1c4dc1-07_5 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_5\">What Happens to the Brain During a TBI<\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_6, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_6[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_6\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_6 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_6[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_6\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_6 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_6[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_6\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_6 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_6\">Traumatic brain injury is not a single event. It unfolds in two phases. The primary injury occurs at the moment of impact, when mechanical forces cause damage to brain tissue. The brain, floating in cerebrospinal fluid inside the skull, can strike the skull at the point of impact and then rebound to hit the opposite side. This is known as a coup-contrecoup injury. Direct impact can also cause contusions, torn blood vessels leading to hemorrhage, and diffuse axonal injury, where the shearing forces of impact stretch and tear the nerve fibers that connect different regions of the brain.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_8, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_8[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_8\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_8 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_8[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_8\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_8 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_8[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_8\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_8 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_8\">Diffuse axonal injury is particularly significant because it is the most common pathology in TBI and the primary cause of persistent symptoms, yet it is frequently invisible on conventional imaging like CT scans.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_10, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_10[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_10\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_10 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_10[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_10\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_10 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_10[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_10\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_10 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_10\">The second phase, known as secondary injury, is a cascade of biochemical processes that can cause additional damage over hours to days following the initial trauma. These processes include neuroinflammation, oxidative stress, brain swelling, and progressive degeneration of damaged nerve fibers. Secondary injury explains why some patients appear fine immediately after a head injury but develop worsening symptoms in the days that follow. It also means that timely medical intervention can potentially prevent or reduce additional brain damage.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_12, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_12[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_12\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_12 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_12[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_12\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_12 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_12[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_12\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading37825_1c4dc1-07_12 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_12\">Why &#8220;Mild TBI&#8221; Is Misleading<\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_13, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_13[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_13\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_13 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_13[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_13\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_13 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_13[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_13\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_13 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_13\">The term &#8220;mild traumatic brain injury&#8221; is a medical classification that describes what doctors observe in the first 24 hours after injury. It does not describe what the patient will experience going forward. To a jury or a family member, the word &#8220;mild&#8221; suggests something minor. For many patients living with persistent cognitive problems, personality changes, and an inability to return to work, there is nothing mild about their injury.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_15, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_15[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_15\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_15 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_15[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_15\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_15 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_15[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_15\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_15 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_15\">The data supports this. The TRACK-TBI study found that more than 50% of patients who presented with mild TBI and normal CT scans showed evidence of dysfunction six months later. The CENTER-TBI study reported that 38% of CT-negative mild TBI patients had incomplete recovery at three months. These are not rare complications. This is the expected outcome for a significant portion of patients whose initial scans looked normal.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_17, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_17[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_17\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_17 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_17[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_17\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_17 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_17[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_17\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading37825_1c4dc1-07_17 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_17\">How TBI Occurs in Medical Settings<\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_18, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_18[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_18\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_18 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_18[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_18\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_18 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_18[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_18\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_18 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_18\">Traumatic brain injury can result from a range of failures in medical care. The most common include <a href=\"https:\/\/www.hastingsfirm.com\/patient-fall-in-hospital-attorneys-in-arizona\/\" data-type=\"page\" data-id=\"22887\">hospital<\/a> and <a href=\"https:\/\/www.hastingsfirm.com\/falls\/\" data-type=\"page\" data-id=\"16527\">nursing facility falls<\/a>, where providers fail to properly assess fall risk or implement appropriate precautions like bed alarms, supervision, or medication monitoring. Falls are especially dangerous for patients on blood thinners, where even a minor impact can cause life-threatening intracranial bleeding.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_20, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_20[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_20\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_20 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_20[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_20\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_20 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_20[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_20\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_20 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_20\">Medication-related falls are another frequent cause, particularly when sedatives, opioids, or blood pressure medications are prescribed without adequate monitoring or dosage adjustment for elderly patients.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_22, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_22[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_22\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_22 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_22[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_22\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_22 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_22[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_22\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_22 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_22\">Patient drops during transfers, repositioning, or physical therapy represent a distinct category where staff physically lose control of a patient. These cases range from bed-to-wheelchair transfers to newborns dropped during delivery.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_24, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_24[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_24\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_24 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_24[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_24\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_24 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_24[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_24\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_24 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_24\">TBI can also result from a failure to diagnose or a delay in treating complications like expanding hematomas or brain swelling. More than half of mild TBI cases that present to emergency departments go undiagnosed, often because a &#8220;normal&#8221; CT scan is treated as proof that no injury occurred.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_26, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_26[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_26\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_26 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_26[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_26\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_26 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_26[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_26\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading37825_1c4dc1-07_26 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_26\">Proving a Brain Injury: Diagnostic Advances<\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_27, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_27[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_27\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_27 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_27[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_27\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_27 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_27[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_27\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_27 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_27\">For decades, the gap between what TBI patients experienced and what doctors could objectively prove allowed brain injuries to go unrecognized. A normal CT scan was treated as evidence that no injury existed. That gap has narrowed significantly.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_29, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_29[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_29\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_29 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_29[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_29\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_29 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_29[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_29\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_29 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_29\">CT scans remain the first-line tool for identifying surgical emergencies like skull fractures and large hemorrhages, but they were never designed to detect the microscopic white matter damage that causes most TBI symptoms. Conventional MRI offers better resolution but still misses the majority of white matter injury in mild TBI cases.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_31, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_31[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_31\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_31 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_31[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_31\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_31 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_31[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_31\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_31 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_31\">Advanced imaging has changed the landscape. Diffusion tensor imaging (DTI) measures the integrity of nerve fiber connections and can reveal damage that CT and standard MRI cannot detect. Susceptibility weighted imaging (SWI) detects microhemorrhages invisible on conventional scans. Volumetric MRI can track brain atrophy over time.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_33, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_33[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_33\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_33 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_33[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_33\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_33 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_33[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_33\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_33 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_33\">Blood-based biomarkers have also emerged as a diagnostic tool. The FDA has cleared tests that measure proteins released into the bloodstream when brain tissue is injured. These provide objective laboratory evidence that a brain injury occurred, independent of patient-reported symptoms.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_35, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_35[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_35\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_35 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_35[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_35\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_35 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_35[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_35\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_35 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_35\">Neuropsychological testing offers another layer of objective measurement. Standardized test batteries assess specific cognitive functions like memory, processing speed, and executive function. Built-in validity measures detect whether a patient is giving full effort, making it difficult to dismiss results as exaggerated.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_37, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_37[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_37\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_37 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_37[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_37\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_37 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_37[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_37\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_37 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_37\">In 2025, the NIH published the TBI Classification and Nomenclature Initiative, formally recognizing that no single measure, not a GCS score, a CT scan, or any other individual test, can adequately characterize a brain injury. The framework calls for an integrated approach using clinical assessment, imaging, biomarkers, and other factors together.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_39, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_39[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_39\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_39 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_39[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_39\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_39 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_39[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_39\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading37825_1c4dc1-07_39 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_39\">Building a Complete Picture<\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_40, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_40[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_40\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_40 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_40[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_40\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_40 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_40[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_40\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_40 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_40\">No single diagnostic tool tells the full story of a traumatic brain injury. The most complete understanding comes from combining multiple lines of evidence: advanced imaging showing structural damage, neuropsychological testing documenting cognitive deficits, clinical records establishing the mechanism and timeline, and testimony from family members, coworkers, and friends who can describe the real-world changes they have witnessed.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_42, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_42[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_42\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_42 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_42[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_42\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_42 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading37825_1c4dc1-07_42[data-kb-block=\"kb-adv-heading37825_1c4dc1-07_42\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading37825_1c4dc1-07_42 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading37825_1c4dc1-07_42\">Recent research has also shown that TBI is not a one-time event with a fixed recovery timeline. Longitudinal studies published in 2025 found that certain biomarkers associated with brain injury remained elevated for nearly a decade after the initial trauma, suggesting that injury-related processes continue long after a patient may appear clinically recovered. The emerging understanding is that TBI is a chronic, evolving condition with long-term implications for health and quality of life.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Este art\u00edculo se basa en la ponencia del abogado Tommy Hastings titulada \u2019Comprensi\u00f3n y litigaci\u00f3n de las lesiones cerebrales traum\u00e1ticas: la perspectiva del demandante\u201c, presentada en la conferencia \u201dAdvanced Medical Torts 2026\u00bb del Colegio de Abogados del Estado de Texas. Ofrece una visi\u00f3n general accesible sobre qu\u00e9 es una lesi\u00f3n cerebral traum\u00e1tica, c\u00f3mo se produce en entornos m\u00e9dicos y c\u00f3mo la ciencia moderna ha cambiado la forma en que se diagnostican y se demuestran estas lesiones.<\/p>","protected":false},"author":6,"featured_media":37830,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"none","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_seopress_analysis_target_kw":"","_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","wpa_legal_name":"Brady D. Williams","wpa_legal_bio":"Brady D. Williams is a nationally recognized medical malpractice attorney\r\nwho has spent his career handling high-stakes litigation for injured\r\npatients and families across the country. Licensed in both Texas and\r\nCalifornia, Brady draws on experience from hundreds of resolved medical\r\ncases to break down complex legal and medical topics for the people who\r\nneed that information most. 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