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While impact on the brain at the same site of injury to the skull is the coup effect. If the impact causes the head to move, the injury may be worsened, because the brain may ricochet inside the skull causing additional impacts, or the brain may stay relatively still (due to inertia) but be hit by the moving skull (both are contrecoup injuries).
Closed-head injuries are caused primarily by vehicular accidents, falls, acts of violence, and sports injuries. [4] Falls account for 35.2% of brain injuries in the United States, with rates highest for children ages 0–4 years and adults ages 75 years and older. [3] Head injuries are more common in men than women across every age group. [3]
[7] [10] Closed head injury (coup contrecoup) can damage more than the impact sites on the brain, as axon bundles may be torn or twisted, blood vessels may rupture, and elevated intracranial pressure can distort the walls of the ventricles. [7] [10] [11] Diffuse axonal injury is a key pathology in concussive brain injury. [5]
Whether you hit your head due to a fall, bumping into something, during a car crash or while playing a contact sport, it’s important to take it seriously. Not knowing when to seek medical care ...
[12] [13] All traumatic brain injuries are head injuries, but the latter term may also refer to injury to other parts of the head; [14] [15] [16] however, the terms head injury and brain injury are often used interchangeably. [17] Similarly, brain injuries fall under the classification of central nervous system injuries [18] and neurotrauma. [19]
Falling is the action of a person or animal losing stability and ending up in a lower position, often on the ground. It is the second-leading cause of accidental death worldwide and a major cause of personal injury, especially for the elderly. [4]
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E804 Fall in, on, or from railway train; Excludes: Fall related to collision, derailment, or explosion of railway train (E800-E803) E805 Hit by rolling stock; Includes: Knocked down, run over, crushed; injured of killed by railway train or part of it Excludes: Pedestrian hit by object set in motion by railway train (E806.-)