---
title: 5 Things to Know About Recovering from a Diffuse Axonal Brain Injury
description: A diffuse axonal brain injury is a server injury affecting multiple areas of the brain. Learn five of the most important things to know during recovery.
image: https://www.spinalcord.com/hubfs/Blog-Images/5-Things-to-know-about-diffuse-axonal-brain-injury-min.jpg
---

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# 5 Things to Know About Recovering from a Diffuse Axonal Brain Injury

 Author: [Spinal Cord Team](https://www.spinalcord.com/meet-our-authors)

 Publish Date: November 24, 2020

There are many different kinds of brain injuries that can occur, but some of the worst injuries are the ones that affect multiple areas of the brain. For example, shaken-brain injuries arising from car accidents and other violent impacts have a risk of becoming diffuse axonal brain injuries.

![Brain scans with blog title over it ](https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/5-Things-to-know-about-diffuse-axonal-brain-injury-min.jpg?width=300&name=5-Things-to-know-about-diffuse-axonal-brain-injury-min.jpg)

Here are five questions to ask about diffuse axonal brain injuries:

## **1: What Is a Diffuse Axonal Brain Injury?**

A diffuse axonal brain injury is a [traumatic brain injury (TBI)](https://www.spinalcord.com/blog/questions-for-your-doctor-traumatic-injury) that produces brain lesions in the white matter of multiple areas of the brain—that’s why they’re called “diffuse.” Such injuries should always be considered severe, as they affect several different regions of the brain and may be life-threatening.

## **2: What Are the Symptoms of a Diffuse Axonal Brain Injury?**

One of the challenges of dealing with an axonal brain injury is that these injuries can have different effects that mirror the symptoms of other brain injury types. Specific symptoms may vary greatly depending on which areas of the brain are affected, injury severity, the injured person's overall health, the treatment they receive, and many other factors that even specialist doctors don’t fully understand.

This can make it hard to diagnose the brain injury as being a diffuse axonal brain injury or to pinpoint specific symptoms. So, a doctor will not typically diagnose a condition as a diffuse axonal brain injury without first getting detailed neural imaging of the injury to identify brain lesions.

However, even neural imaging doesn’t always reveal brain lesions on the first try, so it may take repeated imaging scans to fully identify these particular kinds of brain injuries.

## **3: What Causes Diffuse Axonal Brain Injuries?**

A diffuse axonal brain injury is usually caused by violent blows to the head or other events that shake the brain, such as:

- Car accidents
- Sporting injuries (football tackles, head-first impacts with sporting equipment, etc.)
- Falls (particularly those that cause rapid whipping motions of the head)
- Shaken baby syndrome—children are particularly susceptible because their brains are still developing.

Basically, any head injury or whiplash event can cause a brain injury that affects more than one region of the brain.

## **4: Can I Recover Fully?**

For some, recovering from a diffuse axonal brain injury is possible—but there are no guarantees with such injuries. The severity of the brain lesions, which areas of the brain they are in, your treatment, and many other factors can affect whether or not you [make a full recovery](https://www.spinalcord.com/blog/brain-injury-recovery-and-care).

Many who suffer extensive brain injuries such as this may have to struggle with ongoing brain and nervous system issues for the rest of their lives.

## **5: What Should I Do if I Suspect That I or a Loved One Has a Brain Injury?**

If you haven’t already, seek immediate medical attention following a brain injury. If a loved one is injured, DON’T move them unless you absolutely have to—sudden motion may aggravate a brain or spinal injury and make things worse. Advise paramedics about any potential brain or spinal injuries when they arrive.

After the injury has been stabilized, the process of rehabilitation can begin. If you suffer a brain injury, be sure to follow the treating doctor’s instructions as best as you can, and don’t be afraid to ask for help.

If a loved one suffers a brain injury, be there to support them as best as you can. There will be a long period where they’ll have to adjust to their new reality, and you may have to make some adjustments yourself. You may need to help them manage their basic living needs, such as helping with their finances so they don’t fall behind on bills.

Brain injuries of any kind are a serious issue. And, according to [statistics from the CDC](https://www.cdc.gov/traumaticbraininjury/pubs/tbi_report_to_congress.html#:~:text=Each%20year%20an%20estimated%201.5,50%2C000%20people%20die.), “an estimated 1.5 million Americans sustain a TBI” each year. While many do eventually recover from these injuries, an approximate 50,000 people die and 230,000 more are hospitalized for traumatic injuries to the brain every year—and 80,000 or more suffer long-term disabilities because of their injuries.

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Being aware of the risks and effects of severe brain and spinal cord injuries is the first step—one you’ve already taken by choosing to read and learn more about diffuse axonal brain injuries in this blog. To learn more about brain and spinal cord injuries—their effects and their treatments—[please check out some of our other resources](https://www.spinalcord.com/spinal-cord-resources).

**Topics:** Traumatic Brain Injury

### Stay Updated on Advancements On Traumatic Brain & Spinal Cord Injuries

About the Author

#### Spinal Cord Team

 The authors of Spinalcord.com are made up of attorneys, those in the medical field, and survivors of spinal cord injuries or traumatic brain injuries. Learn more about our team of authors including a brief biography that explains how they impact the SCI and TBI community. 

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### Spinal Cord Injury

- [Types of Spinal Cord Injuries](https://www.spinalcord.com/types-of-spinal-cord-injuries)
- [Secondary Complications](https://www.spinalcord.com/secondary-complications-after-sci-spinal-cord-injury)
- [Causes](https://www.spinalcord.com/signs-symptoms-of-spinal-cord-injuries)
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- [Prognosis](https://www.spinalcord.com/prognosis-of-spinal-cord-injuries)
- [Legal Help](https://www.spinalcord.com/spinal-cord-injury-legal-help-get-a-lawyer)

### Brain Injury

- [Types of Brain Injuries](https://www.spinalcord.com/types-of-traumatic-brain-injury)
- [Causes](https://www.spinalcord.com/causes-of-traumatic-and-acquired-brain-injuries)
- [Symptoms](https://www.spinalcord.com/traumatic-brain-injury-tbi-symptoms)
- [Prognosis](https://www.spinalcord.com/brain-injury-prognosis-for-tbi-abi)
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- [Prevention](https://www.spinalcord.com/spinal-cord-injury-prevention)

### Legal Options

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- [Brain Injury Lawyer](https://www.spinalcord.com/brain-injury-lawyer)
- [Types of Personal Injury Claims](https://www.spinalcord.com/types-of-personal-injury-claims)
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- [Local Assistance](https://www.spinalcord.com/florida-personal-injury-claims)

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```json
{
  "@context" : "http://schema.org",
  "@type" : "Article",
  "articleBody" : "The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic <A href=\"/spinal-cord-injury\" rel=\"noopener\" target=\"_blank\"><SPAN style=\"font-weight: 400;\">spinal cord injury</SPAN></A>, this bundle of nerves can become bruised, also known as <A href=\"//www.spinalcord.com/blog/contusion-vs.-concussion-understanding-the-difference\">a contusion.</A> Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.</P>\n\n<H2><STRONG>What Is a Spinal Contusion?</STRONG></H2>\n<IMG src=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg\" alt=\"Signs-of-a-spinal-contusion-title-image\" width=\"300\" style=\"width: 300px; float: right; margin: 0px 0px 10px 10px;\" srcset=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=150&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 150w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 300w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=450&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 450w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=600&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 600w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=750&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 750w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=900&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 900w\" sizes=\"(max-width: 300px) 100vw, 300px\"/>\n<P>Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather<I><SPAN style=\"font-weight: 400;\"> unlike</SPAN></I> bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the<A href=\"/blog/contusion-vs.-concussion-understanding-the-difference\" rel=\"noopener\" target=\"_blank\"> “blood must clot to stop the bleeding”</A>a bruise results from contusions also increase cardiovascular risks.</P>\n<P>For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.</P>\n<P>A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of <A href=\"http://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/spinal_cord_compression_134,13/\" rel=\"noopener\" target=\"_blank\">physical symptoms</A> such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.</P>\n<H2><STRONG>Warning Signs of a Serious Spinal Contusion to Watch For</STRONG></H2>\n<P>Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” <A href=\"http://www.healio.com/orthopedics/journals/ortho/2012-1-35-1/%7B7b1ed5f6-d6ca-435e-b69a-dba8a6d7c3c0%7D/spinal-cord-contusions\" rel=\"noopener\" target=\"_blank\">according to Dr. Wong</A>, an orthopedic physician.</P>\n<P>Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” <A href=\"http://www.aans.org/patient%20information/conditions%20and%20treatments/spinal%20cord%20injury.aspx\">(American Association of Neurological Surgeons, 2016)</A>. Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:</P>\n<UL>\n<LI>Spinal shock — or the &quot;loss of feeling or movement below site of injury&quot; <A href=\"http://www.columbianeurosurgery.org/conditions/spinal-trauma/\" rel=\"noopener\" target=\"_blank\"><I>(Columbia University Medical Centre, 2016) </I></A>that can last between hours and weeks</LI>\n<LI>Loss of bladder or bowel function</LI>\n<LI>Difficulty breathing</LI>\n<LI>Muscle spasticity</LI>\n<LI>Difficulty understanding speech</LI>\n<LI>Problems with attention</LI>\n<LI>Memory challenges</LI>\n<LI>Heart rate and blood pressure problems</LI>\n</UL>\n<P>Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.</P>\n<P>Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.</P>\n<P>If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our <A href=\"/the-simplified-guide-to-understanding-a-spinal-cord-injury\" rel=\"noopener\" target=\"_blank\">guide to understanding a spinal cord injury</A>.",
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"description":"The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic spinal cord injury, this bundle of nerves can become bruised, also known as a contusion. Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.

What Is a Spinal Contusion?
Signs-of-a-spinal-contusion-title-image
Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather unlike bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the “blood must clot to stop the bleeding”a bruise results from contusions also increase cardiovascular risks.

For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.

A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of physical symptoms such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.

Warning Signs of a Serious Spinal Contusion to Watch For
Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” according to Dr. Wong, an orthopedic physician.

Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” (American Association of Neurological Surgeons, 2016). Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:

Spinal shock — or the loss of feeling or movement below site of injury (Columbia University Medical Centre, 2016) that can last between hours and weeks
Loss of bladder or bowel function
Difficulty breathing
Muscle spasticity
Difficulty understanding speech
Problems with attention
Memory challenges
Heart rate and blood pressure problems
Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.

Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.

If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our guide to understanding a spinal cord injury.",
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