Traumatic Brain Injury - Part 1 - Dr. Robert Kohn, Neurologist

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Uploaded by on Jan 25, 2011

Brain Injury treatment clinic http://www.braininjuryclinic.com. Traumatic Brain Injury, an insightful presentation by world reknown Neurologist Neuropsychiatrist, Dr Robert Kohn, http://www.drrobertkohn.com/

Dr. Robert G. Kohn, 649 Ridgeview Dr. McHenry, IL 60050 Ph: (815) 344-7951

TRANSCRIPT: Hi, I'm Doctor Robert Kohn, I'm a practicing Neurologist, I am also trained in Psychiatry. My presentation for you today is about mild traumatic brain injury. I hope you enjoy the talk and learn something. What is a mild traumatic brain injury? What is a brain injury? Well, the facts that surround a brain injury? Who gets a brain injury? Who is at risk for a brain injury? I have slides put together and I'm going to share with you one of my lectures from The Brain Injury Association of Illinois this past October. I hope you enjoy it.
The topic today is on mild traumatic brain injury. I like the image of a lighthouse because, of course, because going from light to darkness, or dark to light, serves as a metaphor to illuminate things that we can't quite see. Anyone who has gone through a transition from an injury to healing certainly can relate to that. What is Mild Traumatic Brain Injury? Well, "Mild" came about based on the description from the Glasgow Coma Scale. The Glasgow Coma Scale was a scale that was put together to evaluate risk factors for survival, based out of Glasgow, Scotland and published in the Lancet. It does not refer to the devastation or the on-going difficulties you might expect that occur after an injury, but it serves as a useful predictor of what percentage of people will recover and what the spectrum of presenting science might be.
So, I list on this slide that there is a duration of altered consciousness, or loss of consciousness, or change of consciousness but it shouldn't extend beyond thirty minutes. After an injury, there is a forgetful period. It shouldn't last more than 24 hours. The Glasgow Coma scale is based on three measures. Each measure has different stages within it to evaluate; Eye-opening, Response to Verbal Requests, and Motor Movements.
If we think about a concussion as a sub-category of a Mild Brain Injury, we can see that with a concussion, altered consciousness, loss of balance, headaches, those are the spectrum of some of the symptoms that result from an external force that injured the skull, the neck, the back of the head, the scalp, directly or indirectly. It usually results from a blast injury or a rapid change in acceleration or deceleration. There is an overlap with a concussion and symptoms that last beyond a concussion called a Post-Concussion Syndrome. What actually happens inside the brain is thought to be different, mechanically, than what occurs with a more severe injury or a moderate injury.
So what is a concussion? And, is a concussion part of a brain injury? And what do we mean by a Traumatic Brain Injury? Well, I'm going to share four cases; A Football Player, A Healthy Worker who had a motorcycle accident, A Lady who fell, and another case that all involve Traumatic Brain Injury.
In the news recently with all of the concussions, this is a picture of (Jay) Cutler, (Chicago Bears NFL Football Player), going down earlier this month. And this (football) player, Hillenmeyer, was taken off the football team because of his concussion and his stance on risk for dementia and significant cognitive changes. This came more recently (new photo slide) in the (Chicago) Tribune, this is a picture that shows the contact forces in football which range from 20 to 50 G-forces. But males playing football isn't the only sport. The injury rate with girls playing soccer is higher than injury rate of boys playing soccer or basketball. Those are some of the sports that are more at risk for a concussion.

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Uploader Comments (DrRobertKohn)

  • Excellent presentation on a very important topic!

  • @nurse523 - Thank you for finding the time to comment. I hope that you can share the link with your friends and if interested view the remaining 7 videos. R

  • Dr. Kohn does a great job as a Neurologist explaining Brain Injury and Concussions. Thanks for the helpful information and helping everyone understand Brain Injury.

  • @JJWoolums you sound like you have lots of experience working with patients that have TBI's - do you know Dr. Kohn?

  • Informative video. Thank you, Dr. Kohn.

  • @iVideoWeb wow; unbelieveable photos of skiiing and wakeboarding. Thanks.

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All Comments (13)

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  • Good video on brain injury, which unfortunately, happens every once in a while to friends in the sports I love.

  • Thanks for the information about brain injury, doctor.

  • This is explanation is wonderful for TBI ( Traumatic Brain Injury ) I love the fact he specialize in Behavioral, Neurology, Neuro Psychiatry on Brain injury.

    Dr Kohn has treated my brother for a Serve TBI the past 7 months and my brother and he is becoming a new man again. With all the signs of a Mild Traumatic Brain injury

  • football

    

  • An excellent discussion of an important topic --- should be of interest to everyone as we are all at risk!

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