---
title: Are There More Traumatic Brain Injuries from Motorcycle Accidents?
description: Are there more traumatic brain injuries from motorcycle accidents? The answer is more complicated than you may think.
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---

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# Are There More Traumatic Brain Injuries from Motorcycle Accidents?

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

 Publish Date: December 07, 2020

![Are-There-More-Traumatic-Brain-Injuries-from-Motorcycle-Accidents-Blog-IMG.png](http://www.spinalcord.com/hubfs/img/Are-There-More-Traumatic-Brain-Injuries-from-Motorcycle-Accidents-Blog-IMG.png)

A[ traumatic brain injury](https://www.spinalcord.com/traumatic-brain-injury) (TBI) occurs when a blow, bump, jolt, or some other injury to the head leads to damage of the brain. Each year, millions of people in the United States suffer from traumatic brain injuries according to the[ National Institutes of Neurological Disorders](https://medlineplus.gov/traumaticbraininjury.html).

Of those, more than half of the cases are a result of motor vehicle accidents. The[ National Highway Traffic Safety Administration](https://crashstats.nhtsa.dot.gov/Api/Public/Publication/812148) (NHTSA) said, “Per vehicle mile traveled, motorcyclist fatalities occurred 26 times more frequently than passenger car occupant fatalities in traffic crashes.” Based on this statistic alone, it would stand to reason that there are more traumatic brain injuries from motorcycle accidents compared with motor vehicle accidents not involving a motorcycle. However, let’s explore the subject further to get to the heart of the matter.

## The Silent Epidemic

Traumatic brain injuries are often referred to as the "silent epidemic" because TBI cases can be so challenging to prove. Many traumatically brain injured accident victims appear normal; most speak well, and don't display obvious signs of a[ brain injury](https://www.spinalcord.com/traumatic-brain-injury-acquired-brain-injury). Even medical classifications for TBI are misleading. Most people are diagnosed with "mild" traumatic brain injury, but this is a medical classification only. It doesn't mean the disabilities and impairments that may be attributed to a TBI are also mild.

The only protection a motorcyclist has from the outside elements is their helmet. A[ report from the NHTSA](https://crashstats.nhtsa.dot.gov/Api/Public/ViewPublication/811208) found that helmeted motorcyclists were significantly less likely to experience facial and head injuries, as well as traumatic brain injury, when compared with non-helmeted ones in the event of an accident. The human brain is incredibly susceptible to damage from the forces generated by a typical motor vehicle accident. Since not wearing a helmet effectively leaves the head completely unprotected, the head has no barrier to those forces generated, leaving the brain vulnerable to traumatic injury.

Motorcycle owners are warned repeatedly about the importance of wearing a helmet to prevent injuries in the event of a collision. In some states it is even illegal to go without one. On the other hand, in the states where the motorcycle owner has the option to not wear a helmet, some choose not to.

Common complaints amongst bikers for lack of a helmet include, but aren't limited to:

-       Helmets are annoying
-       They don't look cool
-       Vision or hearing is impaired

Regardless of the reasoning, not wearing one is asking for trouble. The primary cause of death from motorcycle accidents is traumatic brain injury, caused by the head's direct impact with the pavement after being ejected from the motorcycle. Although motorcycle accidents can cause internal bleeding and damage to other parts of the body, it is head injuries that cause the majority of fatalities. In other words, wearing a helmet is a motorcyclist's best chance of avoiding death, or at the very least permanent disability,[ during an accident](https://www.spinalcord.com/blog/what-to-do-after-a-car-accident).

Aside from the insinuation that most motorcycle[ accident injuries](https://www.spinalcord.com/blog/10-startling-car-accident-statistics) are caused by the motorcycle rider's lack of protective headgear, motorcycle accident analysts are also attributing the rise of traumatic brain injury cases to the more prevalent congestion on freeways and streets. This coupled with the fact that more than 40 percent of motorcyclists killed in motor vehicle traffic crashes were not helmeted as of 2013, makes it that much more important, perhaps now more than ever, for motorcyclists to wear their helmets.

## Treating TBIs

Traumatic brain injuries are among the most difficult medical emergencies to treat. The human brain is a complex and delicate organ, consuming a large portion of the body's blood supply. Ruptured blood vessels in the skull can be difficult to safely isolate and repair during emergency surgery. If the blood supply is reduced, brain death occurs very quickly in the regions affected, leading to permanent loss of function if the patient survives.

Many people who die from traumatic brain injuries are killed not by blood loss, but by pressure. Serious head injuries can result in brain swelling and a dramatic increase in pressure inside the skull, which is enough in itself to cause extensive brain damage. Doctors treating head injuries can reduce the risk of death by relieving the pressure, but with brain injuries, there are no guarantees.[ A patient's chances of surviving](https://www.spinalcord.com/brain-injury-prognosis-for-tbi-abi), let alone recovering without disability, are small.

Bottom line, traumatic brain injury from motorcycle accidents is more likely without a helmet. While an accident with a helmet may still result in minor head injuries, such as a[ concussion](https://www.spinalcord.com/concussion), helmets are far sturdier than the human skull alone. By absorbing the impact, helmets may greatly reduce the chances of a fatal head injury.

[![Traumatic Brain Injuries CTA](https://no-cache.hubspot.com/cta/default/575040/c91ab555-190d-475f-8487-93fcc2505942.png)](https://cta-redirect.hubspot.com/cta/redirect/575040/c91ab555-190d-475f-8487-93fcc2505942)

**Topics:** Accidents, Traumatic Brain Injury

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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)
- [Symptoms](https://www.spinalcord.com/types-of-spinal-cord-injuries)
- [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)
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- [Technology Advancements](https://www.spinalcord.com/sci-technology-advancements)
- [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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```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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