We do know that the more severe the injury, the less likely the person will fully recover. How long a person remains unconscious and how long they remain in the confusional state after that may help to predict how well and how quickly a person will recover.
Keep in mind that these percentages apply across a large group of people recovering from moderate to severe TBI and refer to a time 2 years after injury. For an individual, particularly early in recovery, it is difficult to say if that person will return to work, live independently, require supervision, and so forth. Also, recovery in these areas can still occur after 2 years.
This information is not intended to discourage a person with TBI or family members, but to raise awareness that recovery from moderate-severe TBI is a long road for some people and there can be consequences from the TBI that may require adjustment on the part of the person with the injury and family members.
Giacino, J. The minimally conscious state: definition and diagnostic criteria. Unresponsive wakefulness syndrome: a new name for the vegetative state or apallic syndrome. BMC Med. Department of Veterans Affairs. Disclaimer: The information is not meant to replace the advice of a medical professional. You should consult your health care provider regarding specific medical concerns or treatment. Department of Education grant number HA You can freely reproduce and distribute this content. Include proper attribution.
But you must get permission before using this content in feebased products. Please click the button below to provide feedback. Provide Factsheet Feedback. Skip to main content. TBI Factsheets. Possible stages of recovery In the first few weeks after a moderate to severe brain injury, swelling, bleeding or changes in brain chemistry often affect the function of healthy brain tissue. Some terms that might be used in these early stages of recovery are: Coma: The person is unconscious with eyes closed continuously, does not respond to visual stimulation or sounds, and is unable to communicate or show emotional responses.
Typically, the person can breathe on their own. Their eyes can be open, and they have sleep-wake cycles. Reflexes are functioning. Before you can start rehab, you must get care and treatment for the early effects of TBI. This might include:. Every person's needs and abilities after TBI are different. You will have a rehab program designed especially for you.
Your program is likely to involve many types of healthcare providers. This person is often called your case coordinator. Rehab can take place in various settings. You, your case coordinator, and your family should pick the setting that works best for you. Possible settings include:. You have many options for rehab therapy, and the type of rehab therapy that you need will be determined by your care team. Your care team will assess your needs and abilities. This assessment may include:.
This content does not have an Arabic version. Diagnosis Traumatic brain injuries may be emergencies. Glasgow Coma Scale This point test helps a doctor or other emergency medical personnel assess the initial severity of a brain injury by checking a person's ability to follow directions and move their eyes and limbs.
More Information Brain rehabilitation. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Traumatic brain injury: Hope through research. National Institute of Neurological Disorders and Stroke. Accessed Dec. Traumatic brain injury TBI. American Speech-Language-Hearing Association. Goldman L, et al. Traumatic brain injury and spinal cord injury.
In: Goldman-Cecil Medicine. Elsevier; Traumatic brain injury. Alzheimer's Association. Evans RW, et al. Acute mild traumatic brain injury concussion in adults. Kasper DL, et al. Concussion and other traumatic brain injuries. In: Harrison's Principles of Internal Medicine.
McGraw-Hill Education; Hemphill JC. Traumatic brain injury: Epidemiology, classification, and pathophysiology. Accessed Jan. Weinhouse GL. Hypoxic-ischemic brain injury: Evaluation and prognosis. Accessed Oct.
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