Coup and contrecoup injury can occur even in a relatively minor accident. If the head snaps, front to back or side to side, the brain will slam and recoil against the skull. The majority of head trauma hospitalizations are car accident related and classified as minor injuries; that is, no or only momentary loss of consciousness, no major complications, and no intracranial surgery.
- is defined as bruising at both the impact site and the opposite side of the brain
- occurs when the force of the impact causes bruising at the impact site and further bruising on the opposite side of the skull
- can occur individually or together
- are considered a focal injury rather than a diffuse injury
Coup contrecoup is classified as a traumatic brain injury (TBI). In the United States, a traumatic brain injury occurs every 15 seconds and it is one of the leading causes of death for people under the age of 45. The long-term impact of a traumatic brain injury can range from full recovery to a life time of disability. A study by Rebecca Rimel, published by Neurosurgery, addressed disability issues associated with minor head injury. For the parameters of the study, minor head injury was defined as 20 minutes or less of unconsciousness, a Glasgow Coma Scale score of 13-15, and less than 48 hours of hospitalization. The statistics from the study are dramatic.
424 patients who sustained minor head trauma were evaluated 3 months after injury in the following areas:
- history of events since the accident
- assessment of subjective complaints
- objective measures such as employment status
- a neurological exam
- a psychosocial assessment designed for estimating life stress
- a neuropsychological test battery to measure higher cortical function
Of these 424 patients, 79% complained of persistent headaches, and 59% described problems with memory. Of the patients who had been gainfully employed before the accident, 34% were unemployed 3 months later. The most striking observation is the high rate of unemployment in patients 3 months after a seemingly insignificant head injury and the evidence that many of these patients may have, in fact, suffered organic brain damage. (Neurosurgery 9:221-228, 1981)
This study again shows that there is no such thing as a mild brain injury. When a person sustains a brain injury in a car accident, truck accident, motorcycle accident, bicycle accident, or pedestrian accident; their life is forever changed.
There is no way to put a price tag on a coup contrecoup injury. How do you assess value to change in personality, change in ability to concentrate, loss of drive, and permanent disability? It is disheartening to have an injury that total changes your life — and then have people label it as mild or negligible.
If your coup contrecoup injury is the result of an accident, that was not your fault, you do have legal recourse. Our Minnesota Traumatic Brain Injury Lawyers are experts in the area of coup contrecoup TBIs. We will fight for a generous and fair settlement for your injuries. Call 612-362-0000. See our video center for more information on traumatic brain injuries.
