Brain injury

Brain injury
Other namesBrain damage, neurotrauma
A CT of the head years after a traumatic brain injury showing an empty space where the damage occurred, marked by the yellow arrow in the bottom left
SpecialtyNeurology, Psychiatry
SymptomsDepending on brain area injured
TypesAcquired brain injury (ABI), traumatic brain injury (TBI), focal and diffuse brain injury, primary and secondary

Brain injury, also known as brain damage or neurotrauma, is the destruction or degeneration of brain cells. It may result from external trauma, such as accidents or falls, or from internal factors, such as strokes, infections, or metabolic disorders.

Traumatic brain injury (TBI), the most common type of brain injury, is typically caused by external physical trauma to the head. Acquired brain injuries occur after birth, in contrast to congenital brain injuries that patients are born with.

In addition, brain injuries can be classified by timing: primary injuries occur at the moment of trauma, while secondary injuries develop afterward due to physiological responses. They can also be categorized by location: focal injuries affect specific areas, whereas diffuse injuries involve widespread brain regions.

The symptoms and complications of brain injuries vary greatly depending on the area(s) of the brain injured, the individual case, the cause of the injury and whether the person receives treatment. People may suffer from headaches, vomit or lose consciousness (potentially falling into a coma or a similar disorder of consciousness) after a brain injury. Long-term cognitive impairment, disturbances in language and motor skills, emotional dysfunction and changes in personality are common.

Treatments for brain injuries include preventing further injuries, medication, physical therapy, psychotherapy, occupational therapy and surgery. Because of neuroplasticity, the brain can partially recover function by forming new neural connections to compensate for damaged areas. Patients may regain adaptive skills such as movement and speech, especially if they undergo therapy and practice.