Microscopic Damage to Axons
The microscopic damage can be caused by:
“The delayed consequences of primary injury have only recently begun to be understood. These are various events that have been triggered by the primary injury and include neurobiological processes involving cellular dysfunction such as free radical formation, receptor mediated mechanisms, calcium and inflammation mediated damage.”
Source:(Graham, Gennarelli, Greenfield’s Neuropathology, © 1996, Arnold, page 197.)
Understanding Subtle Brain Injury
The concussions that disable, are almost always more symptomatic at 24 hours, than at the 2-4 hour time frame when injured persons are evaluated in the emergency room. Brain injury symptoms escalate over the first 24 hours, because brain injury involves a cascade of events. It is critical that if you are still symptomatic the day after your injury, go back to the same Emergency Room, don’t wait for a doctors appointment. It is critical that the Emergency Room personnel see that the symptoms still persist or have gotten worse.
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