What is Contrecoup lesion?

Contrecoup injuries occur when a force strikes one side of the head hard enough to shift the brain in the opposite direction of the injury, and inertia then forces the brain to strike the opposite side of the intracranial cavity, thus causing an injury to the opposite side of the brain from the original trauma.

What are the symptoms of coup?

Symptoms of coup contrecoup brain injury can include:

• Headaches.
• Confusion.
• Dizziness.
• Coma.
• Loss of consciousness.
• Loss of memory.
• Sensitive to light or loud noises.
• Slurred speech.

What is the difference between coup and Contrecoup head injuries?

A coup injury refers to the brain damage that occurs directly under the point of impact. In contrast, a contrecoup injury occurs on the opposite side of the brain from where the head is struck.

What injuries would you expect to see with a patient struck on the forehead?

A contrecoup injury happens at the opposite side of the site of injury, so if you struck your forehead, the brain injury would be at the back of the brain. 1 This happens because the brain is the consistency of firm pudding, and does move within the skull.

Which brain region is the most susceptible to coup contrecoup injury?

As the skull then stops, the brain once again impacts on the internal surface of the skull resulting in damage. Areas most frequently affected are the inferior surface of the frontal lobes and temporal poles 3. An unusual form of contrecoup injury is traumatic lens dislocation of the eye 1.

Can you survive anoxic brain injury?

Severe anoxic brain injury is often fatal. In cases where the injury is so severe that there is no chance of recovery doctors may put in place orders that the patient is not resuscitated in the event of further complications, such as cardiac arrest.

What are the symptoms of diffuse axonal injury?

These symptoms most commonly include a headache. The other post-concussive symptoms can include dizziness, nausea, vomiting, and fatigue. However, patients with a severe diffuse axonal injury may also present with a loss of consciousness and remain in a persistent vegetative state.

Which is worse coup or Contrecoup?

Coup-Contrecoup – injuries are the most severe affecting both sides of the brain. The damage occurs to the side under the impact and the opposite side when the brain strikes the skull. Coup-contrecoup injuries are often misdiagnosed resulting in one area being treated and the other overlooked.

What are symptoms of frontal lobe damage?

Some potential symptoms of frontal lobe damage can include:

• loss of movement, either partial (paresis) or complete (paralysis), on the opposite side of the body.
• difficulty performing tasks that require a sequence of movements.
• trouble with speech or language (aphasia)
• poor planning or organization.

How does Contrecoup impact the brain?

Contrecoup – (pronounced “contra coo”) injuries affect the side of the brain opposite from where the impact occurred. They are often overlooked or misdiagnosed because of their location. Contrecoup occurs when a force or blow causes the brain to strike the side of the skull opposite from the point of impact.

What is the difference between primary and secondary brain injury?

Whereas primary brain injury (focal and diffuse) results from mechanical injury at the time of the trauma, secondary brain injury is caused by the physiologic responses to the initial injury.

Where does a coup and contrecoup injury occur?

A contrecoup injury occurs on the opposite side of the brain from where the impact occurred. Coup and contrecoup injuries are a type of traumatic brain injury that results in the bruising of the brain.

What do you need to know about contrecoup brain injury?

Contrecoup injury is a focal phenomenon and is unlike diffuse axonal injury or brain edema which are diffuse and also result from trauma. This activity reviews the workup of contrecoup brain injuries and describes the role of health professionals working together to manage this condition.

What kind of therapy is available for coup contrecoup?

The CT Speech & Cognitive Therapy App provides both speech therapy and cognitive therapy. Best of all, it’s available in the app. These are a few of the therapies and treatments that may help you overcome the effects of coup-contrecoup brain injuries.

Can a contrecoup injury be caused by deceleration?

The injuries can also be caused solely by acceleration or deceleration in the absence of an impact. Contrecoup injury may be produced by tensile forces.