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Signs to look for in a brain injury case (access required)

Traumatic brain injury cases often turn on the testimony of neuropsychologists who performed a battery of tests on the plaintiff months or years after the injury. But Dr. James P. Wade, a neuropsychologist who often performs such tests, told attendees at the Virginia Association of Defense Attorneys’ spring section meeting that the most important evidence about ...

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  1. According to Dr. Wade, neuropsychologists and lawyers should be looking for “hard” 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’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,

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