Seizures After Brain Injuries

Michigan brain injury lawyers often represent clients who suffer post-traumatic seizures. These are from all types of trauma, including car accidents, motorcycle accidents, and slip and falls. Understanding the problem and its affects on the patient is important in providing the best representation to the client.

Seizures that occur in relation to head injury can be classified as Immediate (or Impact), Early (within several days to weeks of the injury), or Late (months to years after the injury, after recovery to the best expected level of function).

Head injuries can be broadly classified based on extent of injury (mild, moderate, or severe) and on the type of injury suffered (missile or “penetrating” trauma, and closed or “blunt” trauma). Mild injury generally refers to the absence of injury to the brain or damage to the skull, and few neurologic signs. The classification of type of injury can be a little confusing, because blunt trauma (e.g. a blunt object, like a bat, striking the skull, or the skull striking a blunt object, like a fall onto the pavement), can produce ‘open’ head injuries with skull fractures and the entrance of skull fragments or foreign bodies into the cranial cavity. The exact mechanism of injury is not always known, but is critical in understanding the extent and manner of brain injury.

Acceleration-deceleration and rotational forces, associated with blunt trauma, penetrating trauma, and the effect of rapid movement of brain matter against the skull’s interior, can cause shearing injuries, to blood vessels and nerve fiber tracts.

As with all epileptic conditions, a proper diagnostic work-up is essential. The treatment of post-traumatic epilepsy is often complicated by the fact that there may be more than one area of focal brain injury, and thus more than one area capable of generating epileptic discharges. Certainly, the best treatment rationale begins with prevention. The proper use and application of helmets and seatbelts significantly reduces the risk of head trauma, associated with sports-related, bicycle, motorcycle, and motor vehicle accidents.

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