michael kors black Friday sale Top of pageSingleincident TBIAcute sequelaeMany complications of TBI are evident immediately or soon after the injury.4, 5, 6, 7, 8, 10, 11, 12, 13, 14 Acute posttraumatic sensory, motor and neurocognitive syndromes often occur owing to brain contusions, intracerebral haemorrhage, and axonal shearing. Skull fracture further complicates the pathobiology, leading to direct brain shearing and haemorrhage if the fracture is severe or depressed, and increasing the risk of ischaemia from vasoconstriction precipitated by blood products, seizures and infection. Seemingly mild 'closedhead' TBI, in which the skull is not fractured, can lead to diverse and sometimes disabling symptoms such as chronic headaches, dizziness and vertigo, difficulty in concentrating, wordfinding problems, depression, irritability and impulsiveness.Thinking about and detailing a crisis management plan in advance is of course ideal; getting at