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Stages in Development of Brain Injury. Primary Injury Occurs immediately at the moment of trauma Biomechanical injury resulting from transfer of kinetic injury to scalp, skull and brain. Secondary injury Initiated at moment of injury but do not present clinically until later Progressive
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Stages in Development of Brain Injury • Primary Injury • Occurs immediately at the moment of trauma • Biomechanical injury resulting from transfer of kinetic injury to scalp, skull and brain. • Secondary injury • Initiated at moment of injury but do not present clinically until later • Progressive • Can be prevented or minimized by timely intervention
Clinical Manifestations • Bruising, lacerations and avulsions of scalp – confirmatory of head injury occurrence • Bilateral periorbitalecchymosis (raccoon’s eye), CSF rhinorhea, CSF otorrhea and mastoid bruising (battle’s sign) – indications of basal skull fracture • Headache, brief amnestic episode, lucid interval