Neurology Expert Witness On Brain Injury

In Brain Injury and Concussion, neurology expert witness Dr. Richard A. Rubenstein writes:

A small percentage of concussed patients do not recover as expected. Why? Signs of pathology on imaging studies may be the answer (complicated concussion). Especially troublesome are those claimants with no loss of consciousness, a Glasgow Coma Scale Score (GCS) of 15, and little or no post-traumatic amnesia. New research may offer an answer. A small subset of claimants with MRI or CT evidence of abnormality maybe a window into brain function and sequelae of a blow to the head. This cutting edge article offers an explanation for both memory and executive function impairment after a complicated mild traumatic brain injury.

In this observational study, the clinical relevance of abnormal findings on early brain imaging after mild traumatic brain injury (MTBI) is demonstrated. This study shows that abnormal imaging in the acute state determines prognosis in a subset of patients with prolonged symptoms after concussion (complicated concussion).

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