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In head injury, a coup injury occurs under the site of impact with an object, and a contrecoup injury occurs on the side opposite the area that was hit. [1] Coup and contrecoup injuries are associated with cerebral contusions, [2] a type of traumatic brain injury in which the brain is bruised. Coup and contrecoup injuries can occur individually ...
The interior of the skull has sharp ridges by which a moving brain can be injured. Often caused by a blow to the head, contusions commonly occur in coup or contre-coup injuries. In coup injuries, the brain is injured directly under the area of impact, while in contrecoup injuries it is injured on the side opposite the impact.
A coup injury occurs under the site of impact with an object, and a contrecoup injury occurs on the side opposite the area that was hit. Brain injuries can result from a number of conditions, including: [22] Trauma; multiple traumatic injuries can lead to chronic traumatic encephalopathy.
Due to few random control trials and generally weak evidence, more research is needed to gain a complete understanding of the ideal type and parameters of therapeutic interventions for treatment of acquired brain injuries. [15] For more information on therapeutic interventions for acquired brain injury, see stroke and traumatic brain injury.
Brain injury can occur at the site of impact, but can also be at the opposite side of the skull due to a contrecoup effect (the impact to the head can cause the brain to move within the skull, causing the brain to impact the interior of the skull opposite the head-impact). While impact on the brain at the same site of injury to the skull is the ...
Perhaps the first reported case of personality change after brain injury is that of Phineas Gage, who survived an accident in which a large iron rod was driven through his head, destroying one or both of his frontal lobes; numerous cases of personality change after brain injury have been reported since. [31] [33] [34] [43] [44] [48] [185] [186]
More than 50% of patients who suffer from a traumatic brain injury will develop psychiatric disturbances. [6] Although precise rates of anxiety after brain injury are unknown, a 30-year follow-up study of 60 patients found 8.3% of patients developed a panic disorder, 1.7% developed an anxiety disorder, and 8.3% developed a specific phobia. [7]
In a severe cervical acceleration–deceleration syndrome, a brain injury known as a coup contrecoup injury occurs. A coup contrecoup injury occurs as the brain is accelerated into the cranium as the head and neck hyperextend, and is then accelerated into the other side as the head and neck rebound to hyper-flexion or neutral position.