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HAYES IN THE HOUSE: Acquired brain injury

Sometimes a brain injury is obvious - the sheer force with which soft tissue collides at speed with the hard inside of the skull bruises the brain, leading to a contusion or a haemorrhage that is outwardly invisible.

I know, because almost 40 years ago it happened to me.

Likewise, blunt trauma, where the brain is pulled away from the opposite side of the skull, whilst most often the tragic result of a road traffic accident or assault, can happen on the rugby, football, or hockey field, in the boxing ring or on the racecourse. Repeated incidents can lead to chronic traumatic encephalopathy or what is often known as “punch drunk syndrome”.

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