Summary traumatic brain injury tbi is a common and potentially devastating clinical problem because prompt proper management of tbi sequelae can significantly alter the clinical course especially within 48 h of the injury neuroimaging techniques have become an important part of the diagnostic work up of such patients. Patients with significant traumatic brain injury tbi will usually undergo neuroimaging a ct scan of the brain during an emergency room evaluation steve rauchman md specialist in ophthalmological tbi diagnosis. 14 primary traumatic brain injury vs secondary traumatic brain injury according to the american college of surgeons a primary tbi is the brain damage that occurs at the time of impact and produces its clinical effect almost immediately and is refractory to most treatment. Traumatic brain injury or tbi results from external forces that impact the head although shock waves from explosions such as occur in the military may also result in tbi common causes of tbi include head injuries from falls motor vehicle accidents sports related injuries violence or as noted above explosive blasts. Traumatic brain injury tbi has been all over the news and consequently on the minds of americans yet tbi is neither a new problem nor a rare malady tbi ranges from mild tbi concussion
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