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	<title>Comments on: Signs to look for in a brain injury case&#160;</title>
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		<title>By: michael phelan</title>
		<link>http://valawyersweekly.com/2010/05/14/signs-to-look-for-in-a-brain-injury-case/comment-page-1/#comment-12876</link>
		<dc:creator>michael phelan</dc:creator>
		<pubDate>Fri, 14 May 2010 23:33:35 +0000</pubDate>
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		<description>According to Dr. Wade, neuropsychologists and lawyers should be looking for &quot;hard&quot; evidence such as skull fracture or brain bleeds, the later of which would be detected by a CT scan without contrast.  He also says mild traumatic brain injuries are too subtle to be detected by CT scans or other diagnostic devices and typically are only detectable by neuropsychological testing, which test various cognitive areas such as memory, concentration, and executive function skills.  Is Dr. Wade advocating for early neuropschological testing of people who suffer concussions?  If not, why isn&#039;t he telling us that it is important to look for changes in neuropsychological function following mTBI?  If one has a brain bleed or mid-line shift detectable on CT scan, one probably has a severe to moderate brain injury,</description>
		<content:encoded><![CDATA[<p>According to Dr. Wade, neuropsychologists and lawyers should be looking for &#8220;hard&#8221; evidence such as skull fracture or brain bleeds, the later of which would be detected by a CT scan without contrast.  He also says mild traumatic brain injuries are too subtle to be detected by CT scans or other diagnostic devices and typically are only detectable by neuropsychological testing, which test various cognitive areas such as memory, concentration, and executive function skills.  Is Dr. Wade advocating for early neuropschological testing of people who suffer concussions?  If not, why isn&#8217;t he telling us that it is important to look for changes in neuropsychological function following mTBI?  If one has a brain bleed or mid-line shift detectable on CT scan, one probably has a severe to moderate brain injury,</p>
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