---
title: Contrasting a Traumatic and Anoxic Brain Injury
description: Know the difference between an anoxic brain injury and a traumatic one? Although they are both injuries affecting the brain, anoxic and traumatic brain injuries have different underlying conditions, symptoms, and prognoses. Learn the similarities and difference between these two brain injury types.
image: https://www.spinalcord.com/hubfs/Anoxic-Brain-Injury-Traumatic-Blog2.jpeg
---

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# Contrasting a Traumatic and Anoxic Brain Injury

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

 Publish Date: December 07, 2020

Most people have heard of concussions, which are a form of [traumatic brain injury](https://www.spinalcord.com/traumatic-brain-injury) (TBI). However, most people are less familiar with another form of brain injury that is known as an [anoxic brain injury](https://www.spinalcord.com/anoxic-brain-injury).

Although accidents or acts of violence can cause both of these injuries, there are many differences between these types of brain injuries, their prognoses, and recovery potential.

A blow to the head causes a traumatic brain injury; an anoxic brain injury is caused by the brain being deprived of oxygen for too long. When the brain is starved of oxygen, its neural cells begin to die in a process known as [apoptosis](https://www.cancer.gov/publications/dictionaries/cancer-terms/def/apoptosis), which is the body’s way of getting rid of peculiar or unneeded cells. This differs from a related brain injury known as [hypoxia](https://www.spinalcord.com/cerebral-hypoxia), which is when the delivery of oxygen to the brain is restricted but not eliminated.

## **Anoxic Brain Injury Causes and Symptoms**

An anoxic brain injury causes a variety of [different causal factors](https://www.swoperodante.com/what-is-an-anoxic-brain-injury/) ranging from health conditions and other natural occurrences to acts of violence to accidents. Some of these causes can include:

- A stroke or transient ischemic attack (TIA);
- Anaphylactic shock or having an allergic reaction;
- Electrocution;
- Extremely low blood pressure;
- Severe pneumothorax or a collapsed lung (if the person is entirely unable to breathe);
- Oxygen deprivation at birth (the umbilical cord can become wrapped around the baby’s neck and cut off blood flow to the brain, or they can become trapped in the birth canal);
- A physical attack or assault, such as being choked or struck in the windpipe;
- Asphyxiation (choking or suffocation); and
- A drug overdose.

No two brains are the same, which means that the amount of time that someone can go without their brain receiving oxygen can differ from person to person. Some of these determining factors include the quality of a person’s brain and cardiovascular health. According to the [Shepherd Center](https://www.shepherd.org/patient-programs/brain-injury/about/types-of-brain-injury/anoxic-hypoxic-brain-injury) in Atlanta, cell death begins within four minutes of the brain’s oxygen supply being eliminated. However, that means that for some people, brain cells will begin to die earlier — as early as one minute.

This means that if you suspect that you or someone you love is suffering oxygen deprivation, get help immediately — every second counts.

### **Anoxic Brain Injury Symptoms**

Symptoms immediately following an anoxic brain injury will vary depending on the area(s) of the brain that are affected by cell death. Some of these immediate symptoms can include:

- [![New Call-to-action](https://no-cache.hubspot.com/cta/default/575040/6691a303-9807-4e8a-9789-024c5b7a9d19.png)](https://cta-redirect.hubspot.com/cta/redirect/575040/6691a303-9807-4e8a-9789-024c5b7a9d19)Feeling dizzy, woozy, or otherwise out of it;
- Changes in behavior or sensory perception;
- Experiencing confusion or disorientation;
- Issues communicating or forming sentences;
- Mood swings or changes;
- Problems speaking or swallowing;
- A headache or seizures;
- Vision problems; and
- Loss of consciousness.

The long-term effects of an anoxic brain injury will vary dramatically depending on the amount of time there is a [lack of oxygen to the brain](https://www.spinalcord.com/blog/what-happens-after-a-lack-of-oxygen-to-the-brain), as well as the area(s) of the brain that are affected. Anoxic brain injury symptoms can manifest in terms of speech capabilities, personality and behavior changes, memory challenges, various psychological symptoms, and unexplained sensations of pain.

## **Causes and Symptoms of Traumatic Brain Injuries**

Traumatic brain injuries differ from anoxic ones in that they are caused by either an external force coming into contact with the head or the head being shaken. These injuries also include the subsequent internal complications that can result, such as swelling, tissue damage, and lack of oxygen to the brain.

There are three main types of brain injuries:

- [Closed head injuries:](https://www.spinalcord.com/closed-head-brain-injury) These account for the majority of brain injuries and occur when the brain is rattled or traumatized inside the skull.
- [Open-wound injuries:](https://www.spinalcord.com/open-wound-brain-injury) These injuries are often life-threatening and occur when a blow to the head occurs that is forceful enough to penetrate the skull.
- [Crushing injuries:](https://www.spinalcord.com/head-trauma-crushing-brain-injury) Much like how they sound, these types of injuries occur when the brain is compressed between two objects. Although rare, these are the most damaging and life-threatening of the TBIs.

These injuries can be caused by a variety of factors, including:

- Automobile accidents;
- Slipping and falling;
- Something falling or being thrown that strikes the head;
- Being shaken violently;
- Sports-related events or activities; and
- Acts of violence.

Much like anoxic brain injuries, time is of the essence when it comes to getting treatment for TBI to maximize recovery potential. Here are a few of the signs to look out for if you suspect that someone you love has sustained a TBI:

### **Traumatic Brain Injury Symptoms**

The signs and symptoms of TBI can range significantly depending on the extent of the injury. However, some of these symptoms can include:

- Blurred vision;
- Confusion or disorientation;
- Lethargy or sleepiness;
- Loss of consciousness;
- Difficulty with cognitive functions (attention, concentration, memory, etc.);
- Vomiting;
- Communication issues (such as slurred speech or the inability to speak coherently)
- Pupil dilation; and
- Seizures.

## **Differences Between Their Prognosis and Recovery**

Research shows that although people [living with traumatic brain injuries](https://www.spinalcord.com/blog/9-things-you-need-to-know-about-living-with-ptsd-a-tbi-or-sci) struggle and face their share of challenges, they also show greater recovery and improvement over time than those who suffer anoxic brain injuries.

Depending on the severity of the injury concerning a TBI, damaged brain cells can begin to function over coming weeks. Physical rehabilitation will most likely be required to stimulate the brain to retrain neurons to replace those that were lost or damaged.

Although it is rare for patients with a severe anoxic brain injury to make a full recovery, many patients with mild anoxic or hypoxic brain injuries are capable of making a full or partial recovery.

The prognosis for any brain injury always depends on factors that are case- and patient-specific. To learn more about traumatic brain injuries, be sure to check out our [free guide by clicking here](https://www.spinalcord.com/the-simplified-guide-to-a-traumatic-brain-injury). [![New Call-to-action](https://no-cache.hubspot.com/cta/default/575040/2596f545-80de-40c9-98e5-f0246b7c3252.png)](https://cta-redirect.hubspot.com/cta/redirect/575040/2596f545-80de-40c9-98e5-f0246b7c3252)

**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. 

[Learn More About the Author](https://www.spinalcord.com/meet-our-authors)

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true

### 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)
- [Prognosis](https://www.spinalcord.com/brain-injury-prognosis-for-tbi-abi)
- [Legal Help](https://www.spinalcord.com/brain-injury-legal-help-get-a-lawyer)

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- [Technology Advancements](https://www.spinalcord.com/sci-technology-advancements)
- [Prevention](https://www.spinalcord.com/spinal-cord-injury-prevention)

### Legal Options

- [Spinal Cord Injury Lawyer](https://www.spinalcord.com/spinal-cord-injury-lawyer)
- [Brain Injury Lawyer](https://www.spinalcord.com/brain-injury-lawyer)
- [Types of Personal Injury Claims](https://www.spinalcord.com/types-of-personal-injury-claims)
- [Where To Start](https://www.spinalcord.com/brain-spinal-cord-injury-lawyer-where-to-start)
- [Local Assistance](https://www.spinalcord.com/florida-personal-injury-claims)

#### [About Us](https://www.spinalcord.com/about-us)

Spinal cord injuries are traumatic for patients and their families. They cause disruptive changes to every aspect of your life and there is a lot of new information to navigate and understand. Our experts have collected everything in one place to help you learn more about your injury, locate doctors and treatment centers, find financial support, and get assistance navigating your next move.

[Learn More About SpinalCord.com →](https://www.spinalcord.com/about-us)

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  "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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