Spotlight Video | Neurotrauma: What to Know | Minoo Shams-Moorkani, MD

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Understanding Neurotrauma: Head and Spine Injuries

Neurotrauma refers to injuries affecting the head and spine, often caused by sudden impacts such as falls, vehicle accidents, or assaults. These injuries range in severity from mild concussions to life-threatening traumatic brain injuries (TBI) and spinal cord damage. The Neurotrauma Program at Mount Sinai Health System specializes in diagnosing and treating all types of neurotrauma.

Head Trauma: Causes and Effects Head trauma can result from falls, blunt force impacts, or penetrating injuries. The severity varies, from mild concussions to severe TBIs that may cause prolonged unconsciousness. Conditions such as skull fractures, hematomas, and cerebrovascular injuries can impact brain function, requiring specialized medical care.

Types of Head Trauma Treated

  • Concussion and mild-to-severe TBI

  • Skull fractures and craniofacial trauma

  • Brain hemorrhages and contusions

  • Traumatic cerebrospinal fluid leaks

Spinal Trauma: Risks and Implications Spinal trauma affects the spinal column and spinal cord, often leading to pain, weakness, or paralysis. These injuries may occur from high-impact accidents or sudden forceful movements. Depending on the severity, patients may experience temporary or permanent neurological impairments.

Types of Spinal Trauma Treated

  • Spinal cord injuries

  • Fractures of the cervical, thoracic, and lumbar spine

  • Spinal dislocations and ligamentous injuries

  • Traumatic disc herniation and instability

Diagnosis and Treatment Approaches Patients with neurotrauma often require emergency evaluation through CT scans, MRIs, and neurological assessments. The Glasgow Coma Scale helps assess brain injury severity, while cognitive and physical evaluations determine functional impairments.

Treatment varies based on injury severity. Mild cases may require monitoring and rehabilitation, while severe injuries may need surgical intervention, including:

  • Craniotomy and hematoma evacuation

  • Spinal decompression and fusion

  • Minimally invasive spine stabilization

Rehabilitation and Recovery Many individuals with mild neurotrauma recover fully, though some may experience lingering symptoms. Severe injuries may require long-term rehabilitation, including physical, occupational, and neuropsychological therapies. Mount Sinai’s Rehabilitation Center offers nationally recognized programs for spinal cord and traumatic brain injuries, providing comprehensive support for recovery.

If you or a loved one experiences neurotrauma, seeking prompt medical attention is crucial. Early diagnosis and specialized care can significantly improve outcomes and quality of life.

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