This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.
MEDICAL ANIMATION TRANSCRIPT: The brain is the most complex part of the human body. This three-pound organ is the seat of intelligence, database of memories, interpreter of the senses, and the director of all movement. Lying in its bony shell and washed by protective fluid, the brain is also the most fragile organ in the body, with the same texture and consistency as gelatin. Within the brain are over 100 billion nerve cells, called neurons, sending electrical and chemical signals to and from the body. Each neuron has a cell body, a long nerve fiber called an axon, and projections of the cell body called dendrites. Dendrites extend out from the cell body to receive messages from other nerve cells. Axons in the brain connect neurons with each other, which in turn provide extensive interconnections with other brain areas. Because the brain and its nerve cells are so fragile, sudden rapid movements of the head can cause injuries. During one such injury, called coup-contrecoup or acceleration-deceleration injury, the brain bounces back and forth against the bony interior wall of the skull. In high-speed coup-contrecoup injuries, the impact may be violent enough to cause swelling and bruising of the brain tissue called a contusion. However, in cases involving low-speed coup-contrecoup injuries, the resulting damage may not be visible to the naked eye. As the brain moves back and forth within the skull, areas of varying density in the brain slide over each other at different speeds. Axons crossing these junctions experience tremendous shearing forces, causing them to stretch and tear from the cell body. This event is called axonal shearing or diffuse axonal injury. Brain damage can continue to occur for hours or days after the initial injury. Damage to the axons can lead to a breakdown of communication among neurons in the brain. The torn axons quickly degenerate, releasing toxic levels of chemicals called neurotransmitters into the extracellular space. In turn, many of the surrounding neurons begin to die over the next 24 to 48 hours, worsening the initial effects of the injury. Mild to moderate cases of diffuse axonal injury, or DAI, may result in symptoms such as brief loss of consciousness, impaired long-term memory, reduced problem-solving ability, lower social inhibition, and problems with attention and perception. Severe cases of diffuse axonal injury may result in a coma or a persistent vegetative state. In the United States, over 1 million cases of mild traumatic brain injuries, including diffuse axonal injury, are reported each year. Of this number, over 300,000 patients suffer long-term effects from the damage. Computed tomography, or CT, and magnetic resonance imaging, or MRI, are tests that can be performed to check for mild traumatic brain injury. The results of these tests usually show a normal reading. Therefore, doctors must rely on patient history and a clinical exam to diagnose mild traumatic brain injury.
"Thank you for the splendid medical-legal art work you did for us in the
case of a young girl who was blinded by a bb pellet. As a result of your
graphic illustrations of this tragic injury, we were able to persuade the
insurance company to increase their initial offer of $75,000.00 to
$475,000.00, just short of their policy limits.
We simply wanted you to know how pleased we were with your work which, to
repeat, was of superlative character, and to let you know that we would be
more than willing to serve as a reference in case you ever need one. Many
thanks for an extraordinary and dramatic depiction of a very serious injury
which clearly "catapulted" the insurance company's offer to a "full and
fair" amount to settle this case."
Philip C. Coulter Coulter &Coulter Roanoke, VA
"I just wanted to let you know that after several days on trial, I settled
[my client's] construction accident case for $4.5 million. Immediately after
the jury was discharged, I spoke with several jurors who told me that they
really appreciated the medical illustrations for their clarity in dealing
with [my client's] devastating injuries. They also expressed their gratitude
in being able to read from a distance all of the notations without
difficulty. Obviously, the boards were visually persuasive. I am certain
that this contributed to our successful result."
Michael Gunzburg, Esq.
Attorney at Law.
New York, NY
"Whether it's demonstrating a rotator cuff tear, neck movement a few
milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report
represents an instant on-line database of medical illustration for
health-care and legal professionals.
Illustrations can be purchased 'as is' or modified within hours and sent
either electronically or mounted on posterboard. An illustration is worth a
thousand words, as juries perk up and look intently to capture concepts
that are otherwise too abstract. Start with good illustrations, a clear and
direct voice, a view of the jury as 12 medical students on day one of
training, and your expert testimony becomes a pleasure, even on cross
examination. An experienced trial lawyer should also emphasize these
illustrations at the end of trial, as a means of visually reinforcing key
concepts covered.
As a treating physician, I also use these accurate illustrations to educate
my own patients about their medical conditions. The Doe Report is an
invaluable resource, and its authors at MLA have always been a pleasure to
work with."
Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
www.seattlespine.info
"We are extremely pleased with the quality of the medical exhibits and the
timely manner in which they were provided. I will certainly recommend
your company to my business associates who could benefit from your services.
Please tell Brian Wilson [Director of Content Development, Senior Medical
Illustrator] that he did an exceptional job on these exhibits."
Medical Legal Art creates medical demonstrative evidence (medical
illustrations, drawings, pictures, graphics, charts, medical animations,
anatomical models, and interactive presentations) for use during legal
proceedings, including research, demand letters, client conferences,
depositions, arbitrations, mediations, settlement conferences, mock jury
trials and for use in the courtroom. We do not provide legal or medical
advice. If you have legal questions, you should find a lawyer with whom you
can discuss your case issues. If you have medical questions, you should seek the advice of a healthcare provider.
