New York Personal Injury Lawyers

A Delayed Consequence of Head Trauma: Epilepsy

By Dansker & Aspromonte

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July 2, 2024

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According to the U.S. Center of Disease Control and Prevention, 2.3 million adults and nearly 470,000 children have epilepsy in the United States. Epilepsy refers to a tendency to have chronic and recurrent seizures, which are temporary disturbances in brain functioning where nerve cells signal excessively and abnormally. Seizures can last for a matter of seconds or up to several minutes, and they can produce changes in sensation, awareness, or behaviors while also causing involuntary movements.

There are several different types of epilepsy, and while many people are born with the condition, others may develop it later in life as a result of illness, injury, or trauma. A seizure does not always indicate epilepsy, as a single seizure may be the result of a temporary medical condition. Low blood sugar, a high fever, and drug or alcohol withdrawal are all circumstances in which a seizure can be produced. In these situations, there is not usually a need for ongoing epilepsy treatment since there is no underlying medical condition.

If you have experienced a head injury or traumatic brain injury, it is important to visit a doctor right away. Post-traumatic seizures are common within a week of a TBI, and if the seizures continue after a week, you may have developed post-traumatic epilepsy. Likewise, you may not notice symptoms of post-traumatic epilepsy for several months after your head trauma, so it is essential that you know what to look for and when to seek medical attention.

Mind Stream

An Overview of Epilepsy

Each year, doctors diagnose 180,000 people with epilepsy, and about 30% of those patients are children. For about 50% of people who are diagnosed with the condition, an exact cause cannot be identified. There are a variety of factors that are thought to play a role:

  • Genetics. Certain types of epilepsy run in families, so there is a strong genetic influence associated with them. Researchers believe that up to 500 genes may be linked to the condition. Additionally, certain genes could also cause a person to be more sensitive to conditions that trigger seizures.
  • Prenatal injury. While in the womb, babies are very sensitive to brain damage, and this damage could be caused by poor nutrition, a lack of oxygen, or an infection experienced by their mother. Head injuries or a lack of oxygen during birth can also contribute.
  • Brain conditions. Certain brain conditions that cause damage to the brain can also cause epilepsy, including strokes and tumors. For adults over the age of 35, a stroke is the most likely cause of epilepsy.
  • Disease. Certain diseases, including viral encephalitis, meningitis, and AIDS can result in the development of epilepsy, as can abnormal levels of blood sugar, sodium, and other substances in the body.
  • Head injury. Trauma to the head that results from a car accident, work-related accident, or other traumatic event can lead to epilepsy.

Since epilepsy results from abnormal brain cell activity, seizures may affect any process that is coordinated by the brain. Symptoms can include staring spells, confusion, uncontrollable jerking movements, and loss of consciousness and awareness. However, symptoms will vary depending on the kind of seizure, but since most people experience the same variety of seizure during each episode, symptoms should be similar with each seizure.

Most people who are diagnosed with epilepsy are able to control their seizures through the use of medications known as anti-epileptic medication. For others, this medication will reduce the intensity and frequency of the seizures without stopping them completely. However, it can be a complicated process to find the right medication and dosage, and side effects like fatigue, dizziness, decreased bone density, and loss of coordination can all be experienced.

Post-Traumatic Epilepsy

Post-traumatic epilepsy, or PTE, is a recurrent disorder involving seizures that result from a traumatic brain injury (TBI). People with PTE will suffer chronic post-traumatic seizures for more than a week after the initial head injury. It is estimated that PTE accounts for 5% of all epilepsy cases, and not all people who experience a TBI will develop epilepsy. While the connection is not well-understood, certain types of injuries have a higher risk of developing PTE:

  • 65% of people who develop brain injuries as a result of a bullet wound experience seizures.
  • 20% of people who experience “closed head injuries” resulting in a bleed between the skull and the brain have seizures.
  • 35% of people who require at least two brain surgeries after a TBI will experience seizures.

In order to receive a diagnosis of PTE, a person will need to have a history of trauma to the head with no seizure history before the injury. Experiencing a seizure is the most reliable way to diagnose PTE, but in some cases, it may take months for a seizure to occur after the original injury. In fact, about 20% of people who had experienced a TBI and had a normal EEG three months after the injury were later diagnosed with PTE. However, in order for seizures to be diagnosed as PTE, all other possible causes must be ruled out, such as fluid and electrolyte imbalances and epilepsy from hypoxia.

Epilepsy

Conclusion

There are numerous factors associated with the development of epilepsy. While many people are born with the condition, just because you didn’t have it as a child doesn’t mean that you won’t have epilepsy as an adult. Disease, brain conditions, and head injuries can all result in late-onset epilepsy. Fortunately, medications have been quite successful at preventing or minimizing seizures, so many of the different types of epilepsy are well-controlled once the correct combination of medications has been found.

Post-traumatic epilepsy is one of the most complicated types of epilepsy, and it may be the one that is understood the least. Not all people who experience trauma to the head will develop epilepsy, but the more severe the injury is, the greater the risk of developing epilepsy will be. More people experience seizures immediately after a traumatic brain injury, but if the seizures don’t continue at least a week after the incident, the condition is not necessarily considered to be epileptic.

If you experience a head injury, especially from construction accidents or other workplace incidents, you should seek medical treatment. Help should be sought immediately if you experience sudden drowsiness, a loss of consciousness, confusion, a worsening headache, or vomiting. Likewise, convulsions, problems moving correctly, and dizziness could also be signs of a serious problem. By seeking assistance as soon as possible, you can help to minimize the damage caused by your head injury, and you can also discuss what signs and symptoms to watch out for regarding possible post-traumatic seizures and epilepsy

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Un joven chino con discapacidad de desarrollo de 21 años caminaba con algunos amigos después de la escuela cuando salió al cruce de peatones contra la luz y un autobús de la ciudad que estaba girando demasiado cerca de la esquina lo golpeó.
Un ayudante de camarero de 20 años fue atropellado por un automóvil en Ocean Parkway en Brooklyn, lo que lo dejó en coma y con graves lesiones cerebrales.
Esta contable caminaba después del trabajo en Battery Park en el paseo peatonal cuando de repente fue golpeada por una motoneta de la policía que iba a gran velocidad.
Una pasante de teatro de 22 años caminaba por la intersección de la calle 42 y la Novena Avenida en Manhattan cuando fue golpeada por la puerta trasera de un camión que pasaba cuando la puerta abrio volando porque no había sido asegurado correctamente por el conductor.
La Sra. Y-H, pasajera en un tren del metro que descarriló.
Un ayudante de camarero de 20 años fue atropellado por un automóvil en Ocean Parkway en Brooklyn.
Un repartidor en bicicleta de 26 años fue golpeado por una camioneta Dollar Rent-A-Car que iba a gran velocidad en una intersección concurrida, causando múltiples fracturas en el cuello, espalda, brazo y pierna, así como daños cerebrales leves.
Christian, un niño de 4 años, fue llevado al hospital para una reparación rutinaria de párpados caídos. El hospital, en una medida de reducción de costos, había contratado sus servicios de anestesia en quirófano a una corporación que empleaba principalmente enfermeras anestesistas en lugar de médicos capacitados para administrar anestesia.
Un niño sufrió lesiones graves después de caerse mientras corría detrás de su autobús escolar y ser atropellado por las ruedas traseras. Este caso demuestra la habilidad de la firma para obtener compensación en accidentes que involucran autobuses escolares y menores.
Un joven chino con discapacidad de desarrollo de 21 años caminaba con algunos amigos después de la escuela cuando salió al cruce de peatones contra la luz y un autobús de la ciudad que estaba girando demasiado cerca de la esquina lo golpeó.
La Sra. Y-H era una pasajera en un tren del metro que descarriló.
Un ayudante de camarero de 20 años fue atropellado por un automóvil en Ocean Parkway en Brooklyn, sufriendo lesiones graves, incluyendo un coma. Aunque es un caso de peatón, el incidente involucra un vehículo y demuestra la experiencia de la firma en manejar accidentes graves de tránsito.
A pesar del hecho de que este caso fue referido a Dansker & Aspromonte LLP Associates por otro abogado 17 años después de que ocurriera el accidente, se obtuvo un veredicto impresionante a través de una investigación cuidadosa y una preparación incansable.
En uno de los casos más trágicos que ha visto esta oficina, dos madres y sus cuatro adolescentes conducían a una reunión de natación de la escuela secundaria en el New York State Thruway en una camioneta.
Este caso involucró a una niña de 6 años que estaba en una camioneta que fue golpeada por una ambulancia en un choque de varios autos en el Northern State Parkway en Long Island, Nueva York.
Una oficial de la Policía de la Ciudad de Nueva York de 35 años sufrió lesiones graves mientras era pasajera en un automóvil policial en camino a una llamada de emergencia.
Un carpintero de 46 años cayó de una escalera que resbaló en el sitio de trabajo, lo que le causó lesiones significativas. Este caso ilustra la experiencia de la firma en accidentes de equipo defectuoso en entornos de construcción.
Un carpintero de 30 años cayó de una escalera en un sitio de trabajo en una tienda minorista, resultando en lesiones graves. Este caso subraya la capacidad de la firma para asegurar compensación en accidentes de caídas en proyectos de construcción.
Un inmigrante mexicano sin documentación cayó 30 pies desde un andamio en un sitio de construcción, sufriendo lesiones graves al impactar contra el cemento. Este caso demuestra la experiencia de la firma en caídas en el lugar de trabajo, comunes en la construcción.
Un trabajador de construcción sufrió fracturas en el hombro, clavícula, costillas y cadera, además de lesiones internas que requirieron múltiples cirugías. Este caso destaca la habilidad de la firma para manejar lesiones graves en el lugar de trabajo.
Baby S was born with a congenital hip dislocation which was not anyone’s fault. However, malpractice occurred when the doctors and hospital did not recognize the condition after she was born. Their failure to diagnose and properly treat the condition resulted in a slight but permanent deformity.
Julio, 16, was an outpatient at the Manhattan Children’s Psychiatric Hospital where he attended school and got psychiatric counseling and supportive therapy every day. The NYC Board of Ed operated the school. One day after school, Julio ran after his bus, which was leaving without him. He slipped and was run over by the back wheels, sustaining severe injuries, including bilateral hip fractures and a shearing injury to his buttocks. Board of Ed rules required that Julio was to be escorted to the bus. The NYCTA denied liability, claiming they weren’t negligent because Julio ran after the bus. The City denied liability because they claimed the school day was over. At trial, both the Board of Ed who had knowledge of Julio’s poor impulse control and was required to put him safely on the bus, and the NYCTA whose bus driver saw Julio running and made no effort to slow or stop the bus were found to be responsible.
Baby Taylor C. – Taylor’s mother had gained over 50 pounds during the pregnancy, was past due, and had a prolonged first stage and second stage of delivery. These are warning signs of an overly large baby. Baby Taylor was 9 lbs. 13 oz. Instead of delivery by C-section, which was clearly indicated, the attending physician elected a natural birth. When the baby was stuck in the pelvic area, excessive force was used to pull her out, injuring the nerves in her neck and causing partial paralysis of her left arm. The condition is known as Erbs Palsy. The case was settled during the trial. Fortunately, Baby Taylor’s injury improved over time.
Ayisha W- A young girl slid down a sliding pond in the playground of an NYC school. The slide was not installed properly and there was a gap between the metal on the side of the slide. As Ayisha slid down, her ring finger went into the gap and the top of it was cut off. The City argued that since it was just the tip of her finger it was not worth much money. At trial, it was proved that Ayisha had a devastating emotional reaction that affected every aspect of her life and self-esteem. The jury agreed.
A 46-year-old carpenter was working on a straight ladder which had been leaned against the wall on a jobsite. He fell when the ladder slipped away from the wall. As a result, he suffered facial injuries and a fractured knee that required surgery. The property owner and general contractor were found to be responsible because Jian S. should have been provided with a more suitable A-frame ladder or scaffolding.
A 30-year-old carpenter who was working at a job site in a retail store fell from a ladder onto both feet. He suffered bilateral calcaneus fractures requiring multiple surgeries.
An undocumented Mexican immigrant working on scaffolding at a construction site fell 30 feet onto the cement. He fractured his skull and vertebrae in his neck and back. It was shown at trial that the company he worked for failed to provide him with a safety line, which would have prevented his fall.
Following a 4- story fall, a construction worker at a West 17th Street construction site in Manhattan recently won a $5.5 million dollar settlement from the general contractor and building owner for failing to provide him with a safe workplace. Defendants had argued that the fall was the result of the 56 year old construction worker’s own carelessness but Dansker & Aspromonte Associates LLP lawyers were able to prove otherwise. As a result of his fall, the construction worker suffered fractures of his shoulder, clavicle, ribs and hip, as well as internal injuries which required multiple surgeries. These injuries required home care which was primarily provided by his wife who also received a payment of $500,000 as part of the settlement. To minimize their own responsibility, the general contractor and building owner claimed that the worker had made an excellent recovery when he had not. In order to prove the case, Dansker & Aspromonte Associates LLP retained 5 separate experts to illustrate the full extent of the worker’s injuries and the disabling effect they would have over the course of his life.
Maria, a housekeeper, was walking across Ocean Parkway in Brooklyn in the crosswalk when she was struck by a school bus and thrown over 25 feet. She sustained severe injuries, including multiple fractures. The bus driver claimed that he had a green light and was travelling at a safe speed. Unfortunately, Mrs. S. could not recall any of the facts of the accident. Our investigator combed the area for witnesses. He found a woman who lived on the sixth floor of an adjacent apartment building. Although she didn’t see the accident, she happened to look out her window and saw Maria’s body lying in the roadway down the street. Using this testimony, our accident reconstruction expert was able to prove that the bus had to be speeding to knock Maria that far from the crosswalk. The case was settled immediately after that testimony.
Our client was a married NYC Parks Department employee. On a snowy night in Staten Island, he was preparing his truck to spread salt on the roadways. He drove the spreader truck to the salt storage yard. As he waited alongside his truck, the operator of a front loader truck used to place the salt in the spreader lost control of the loading bucket. Sadly, he was struck by the bucket, suffered massive injuries and died in the hospital several hours later.
A 21-year-old developmentally disabled Chinese boy was walking with some friends after school when he stepped out into the crosswalk against the light and a City bus which was turning a little too close to the corner struck him. The young man had crippling injuries which prevented him from leaving the hospital where he died several months later. Despite the fact that eyewitnesses said the boy stepped into the street against the light, the law reduces an injured person’s share of liability in accordance with their mental capacity. At trial, it was proven through a guidance counselor from his school that he was intellectually comparable to a seven-year-old. Thereafter, the jury determined that this young man was not legally responsible for his actions and awarded 100% in his favor on the liability portion of the trial
In one of the most tragic cases this office has seen, two mothers and their four teenagers were driving to a high school swimming meet on the New York State Thruway in a van. When the driver suspected a flat tire, instead of pulling over onto the shoulder, the mother of two of the children inexplicably stopped the van in the right moving lane of traffic. Within a very short time, the driver of a tanker truck traveling at a steady 65 miles an hour who claimed not to see the stopped van, struck it at full speed, literally cutting the van in half. There were two survivors with grave injuries and four fatalities. We secured the maximum insurance that was available to cover these claims.
Following a 4- story fall, a construction worker at a West 17th Street construction site in Manhattan recently won a $5.5 million dollar settlement from the general contractor and building owner for failing to provide him with a safe workplace. Defendants had argued that the fall was the result of the 56 year old construction worker’s own carelessness but Dansker & Aspromonte Associates LLP lawyers were able to prove otherwise. As a result of his fall, the construction worker suffered fractures of his shoulder, clavicle, ribs and hip, as well as internal injuries which required multiple surgeries. These injuries required home care which was primarily provided by his wife who also received a payment of $500,000 as part of the settlement. To minimize their own responsibility, the general contractor and building owner claimed that the worker had made an excellent recovery when he had not. In order to prove the case, Dansker & Aspromonte Associates LLP retained 5 separate experts to illustrate the full extent of the worker’s injuries and the disabling effect they would have over the course of his life.
Un trabajador de construcción de 50 años estaba montando su bicicleta cuando cayó debido a un defecto en la carretera y sufrió pequeñas fracturas y daños cognitivos leves.
Un trabajador de mantenimiento de 31 años golpeó un sensor de presión de control de tráfico de la ciudad de Nueva York mientras montaba su bicicleta. Debido a un mal mantenimiento del sensor, el trabajador sufrió lesiones graves.
Una mujer y su novio estaban andando en bicicleta cuando entraron en un sitio de excavación sin protección en una zona completamente oscura bajo un paso elevado. La bicicleta de Rhonda cayó en un pozo y su cara se estrelló contra la carretera.
Un repartidor en bicicleta de 26 años fue golpeado por una camioneta Dollar Rent-A-Car que iba a gran velocidad en una intersección concurrida, causando múltiples fracturas en el cuello, espalda, brazo y pierna, así como daños cerebrales leves.
La madre de Taylor había subido más de 50 libras durante el embarazo, estaba atrasada, y tuvo una prolongada primera y segunda etapa del parto.
Una joven madre china por primera vez resultó herida debido a la negligencia médica de los médicos y el personal de lo que entonces era el Hospital Beekman Downtown.
Un bombero de 42 años, que antes había corrido más de 30 maratones, se cortó la pierna mientras luchaba contra un incendio.
Christian, un niño de 4 años, fue llevado al hospital para una reparación rutinaria de párpados caídos. El hospital, en una medida de reducción de costos, había contratado sus servicios de anestesia en quirófano a una corporación que empleaba principalmente enfermeras anestesistas en lugar de médicos capacitados para administrar anestesia.
Un guardia de seguridad resbaló en una superficie helada frente a un edificio propiedad de Metropolitan Life, lo que le causó una fractura de rodilla.
Una asistente de salud en el hogar de 56 años tropezó con un cable expuesto que se extendía desde una cabina telefónica en la plataforma del metro, resultando en una lesión que requirió un reemplazo de rodilla.
Un conductor de servicio se bajó de su vehículo para recoger dinero en el carril de un Burger King cuando cayó a través de una rejilla de alcantarillado rota, resultando en una caída de 4 pies y lesiones significativas.
Un trabajador de construcción indocumentado cayó desde un andamio a 30 pies de altura, impactando contra el cemento y sufriendo lesiones graves. Este caso muestra la experiencia de la firma en caídas graves en el trabajo, que se relacionan con incidentes de resbalones y caídas en entornos peligrosos.
Un niño de 16 años fue atropellado por un camión que estaba retrocediendo lentamente y quedó atrapado contra una pared, sufriendo una grave laceración en el bazo, que tuvo que ser removido.
Adjudicado al cónyuge. El Sr. S. era un empleado casado del Departamento de Parques de Nueva York. En una noche nevada en Staten Island, estaba preparando su camión para esparcir sal en las carreteras
En uno de los casos más trágicos que ha visto esta oficina, dos madres y sus cuatro adolescentes conducían a una reunión de natación de la escuela secundaria en el New York State Thruway en una camioneta.
Una pasante de teatro de 22 años caminaba por la intersección de la calle 42 y la Novena Avenida en Manhattan cuando fue golpeada por la puerta trasera de un camión que pasaba cuando la puerta abrio volando porque no había sido asegurado correctamente por el conductor.
Adjudicado al cónyuge. El Sr. S. era un empleado casado del Departamento de Parques de Nueva York. En una noche nevada en Staten Island, estaba preparando su camión para esparcir sal en las carreteras
Adjudicado a la familia. Un hombre de 49 años cayó por el hueco de un ascensor cuando las puertas del ascensor se abrieron, pero la cabina del ascensor estaba en un piso superior.
En uno de los casos más trágicos que ha visto esta oficina, dos madres y sus cuatro adolescentes conducían a una reunión de natación de la escuela secundaria en el New York State Thruway en una camioneta.
Este accidente ocurrió en el Bronx cuando Rafael C. estaba trabajando en un camión de saneamiento. El conductor perdió el control al girar el vehículo.
Una pasante de teatro de 22 años caminaba por la intersección de la calle 42 y la Novena Avenida en Manhattan cuando fue golpeada por la puerta trasera de un camión que pasaba cuando la puerta abrio volando porque no había sido asegurado correctamente por el conductor.Una pasante de teatro de 22 años caminaba por la intersección de la calle 42 y la Novena Avenida en Manhattan cuando fue golpeada por la puerta trasera de un camión que pasaba cuando la puerta abrio volando porque no había sido asegurado correctamente por el conductor.
En uno de los casos más trágicos que ha visto esta oficina, dos madres y sus cuatro adolescentes conducían a una reunión de natación de la escuela secundaria en el New York State Thruway en una camioneta.
Un bombero de 42 años, que antes había corrido más de 30 maratones, se cortó la pierna mientras luchaba contra un incendio.
Un Oficial de la Policía de la Ciudad de Nueva York de 35 años era una pasajera en un automóvil de la policía que iba a una llamada de emergencia.
An undocumented Mexican immigrant working on scaffolding at a construction site fell 30 feet onto the cement. He fractured his skull and vertebrae in his neck and back. It was shown at trial that the company he worked for failed to provide him with a safety line, which would have prevented his fall.
Julio, 16, was an outpatient at the Manhattan Children’s Psychiatric Hospital where he attended school and got psychiatric counseling and supportive therapy every day. The NYC Board of Ed operated the school. One day after school, Julio ran after his bus, which was leaving without him. He slipped and was run over by the back wheels, sustaining severe injuries, including bilateral hip fractures and a shearing injury to his buttocks. Board of Ed rules required that Julio was to be escorted to the bus. The NYCTA denied liability, claiming they weren’t negligent because Julio ran after the bus. The City denied liability because they claimed the school day was over. At trial, both the Board of Ed who had knowledge of Julio’s poor impulse control and was required to put him safely on the bus, and the NYCTA whose bus driver saw Julio running and made no effort to slow or stop the bus were found to be responsible.
Baby Taylor C. – Taylor’s mother had gained over 50 pounds during the pregnancy, was past due, and had a prolonged first stage and second stage of delivery. These are warning signs of an overly large baby. Baby Taylor was 9 lbs. 13 oz. Instead of delivery by C-section, which was clearly indicated, the attending physician elected a natural birth. When the baby was stuck in the pelvic area, excessive force was used to pull her out, injuring the nerves in her neck and causing partial paralysis of her left arm. The condition is known as Erbs Palsy. The case was settled during the trial. Fortunately, Baby Taylor’s injury improved over time.
Ayisha W- A young girl slid down a sliding pond in the playground of an NYC school. The slide was not installed properly and there was a gap between the metal on the side of the slide. As Ayisha slid down, her ring finger went into the gap and the top of it was cut off. The City argued that since it was just the tip of her finger it was not worth much money. At trial, it was proved that Ayisha had a devastating emotional reaction that affected every aspect of her life and self-esteem. The jury agreed.