Traumatic Brain Injury from Bicycle Accidents

Traumatic brain injury (TBI) is the leading cause of death in bicycle accidents. Even with a helmet, the forces involved in a collision can cause devastating brain damage.

Types of Traumatic Brain Injury

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Concussion (Mild TBI)

• Brief loss of consciousness or none

• Temporary confusion

• Headache, dizziness

• Usually recovers within weeks

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Moderate TBI

• Loss of consciousness for minutes to hours

• Persistent confusion

• Physical, cognitive, behavioral changes

• May have lasting effects

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Severe TBI

• Extended unconsciousness or coma

• Significant brain damage

• Life-altering disabilities

• May be permanent

Symptoms to Watch For

Immediate:

• Loss of consciousness

• Confusion or disorientation

• Headache

• Nausea/vomiting

• Dizziness

Days/Weeks Later:

• Memory problems

• Difficulty concentrating

• Mood changes

• Sleep disturbances

• Sensitivity to light/sound

• Personality changes

The Helmet Debate

Helmets reduce severe brain injury risk by about 50%, but:

• They don't prevent all TBI

• Rotational forces still cause damage

• Insurance companies unfairly blame unhelmeted cyclists

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Important: Not wearing a helmet doesn't make the accident your fault.

TBI Case Values

TBI cases often have higher values because:

• Long-term medical care needs

• Lost earning capacity

• Life care planning required

• Significant pain and suffering

• Impact on relationships and enjoyment of life

Proving TBI Damages

- Neurological testing

• Brain imaging (MRI, CT, PET)

• Neuropsychological evaluation

• Life care planning expert

• Vocational expert

• Economist for lost earnings