What Are the Most Common Examples of TBI?

October 6, 2025 | By The Ye Law Firm Injury Lawyers
What Are the Most Common Examples of TBI?

The most common examples of Traumatic Brain Injury (TBI) range from milder forms like concussions to severe, life-altering conditions like contusions, diffuse axonal injuries, and penetrating injuries. These injuries are often caused by a sudden, external force to the head, such as the impact from a car accident or a serious fall, and can disrupt the brain's normal function in profound ways. 

Learning about the types of injuries you or a loved one may have sustained can empower you to seek the right medical care and understand your options for holding the responsible party accountable.

Key Takeaways: What Are the Most Common Examples of TBI?

  • A Traumatic Brain Injury (TBI) is caused by an external force, like a blow or jolt to the head, that disrupts normal brain function.
  • Common examples of TBIs include concussions, brain contusions (bruising), coup-contrecoup injuries, diffuse axonal injuries (DAI), and penetrating injuries.
  • Motor vehicle accidents, including car, truck, and motorcycle crashes, are a leading cause of TBIs, often resulting from the forceful impact.
  • The symptoms of a TBI can be subtle and may not appear immediately after an accident, sometimes manifesting as cognitive, physical, or emotional changes days or weeks later.
  • Seeking compensation for a TBI involves demonstrating that another party's negligence caused the accident and resulting injury.
  • Damages in a TBI claim can cover medical expenses, lost income, long-term care needs, and non-economic losses like pain and suffering.

Understanding the Spectrum of Traumatic Brain Injuries

A Traumatic Brain Injury is more than just a bump on the head. It’s an injury that affects how the brain works. These injuries exist on a spectrum, from "mild" cases where the effects are temporary to severe cases that can lead to permanent disability or death.

One of the most challenging aspects of a TBI is that it's often an "invisible injury." Unlike a broken bone or a visible wound, a brain injury’s effects might not be obvious to others. A person can look perfectly fine on the outside while struggling with debilitating symptoms on the inside, such as memory loss, chronic headaches, mood swings, or difficulty concentrating. This can be incredibly frustrating for victims and their families, who may feel like no one understands what they are going through.

TBIs are generally classified into two main categories:

  • Closed Head Injury: This is the more common type of TBI. It happens when the head suddenly and violently hits an object, but the skull is not broken or penetrated. The brain collides with the inside of the skull, causing bruising, bleeding, and tearing of nerve fibers. Car accidents and slip and falls are frequent causes of closed head injuries.
  • Penetrating Head Injury: Also known as an open head injury, this occurs when an object pierces the skull and enters the brain tissue. These injuries are typically caused by objects flying through the air in a collision or by direct impact with a sharp object.

Both types of injuries can have devastating consequences, disrupting a person’s ability to work, maintain relationships, and simply enjoy life as they once did.

Common Examples of TBI from Accidents in Seattle and Tacoma

Living in the Puget Sound region, we know how quickly an ordinary day can change. A drive on I-5 during rush hour, a motorcycle ride on a scenic route, or even a walk through a Pike Place Market-area crosswalk can turn into a life-altering event because of someone else's carelessness. Many of these accidents result in specific types of TBIs.

Concussions: The Misunderstood TBI

A concussion is often called a "mild" TBI, but this term can be misleading. There is nothing "mild" about an injury to your brain. A concussion occurs when a sudden impact or jolt causes the brain to move back and forth inside the skull. This movement can stretch and damage brain cells, leading to chemical changes in the brain.

You do not have to lose consciousness to have a concussion. In fact, many people who suffer concussions in car or truck accidents remain awake the entire time.

Symptoms of a concussion can include:

  • Headache or a feeling of "pressure" in the head
  • Confusion or feeling like you're in a fog
  • Dizziness or "seeing stars"
  • Nausea or vomiting
  • Sensitivity to light or noise
  • Difficulty with memory or concentration

These symptoms might not show up right away. It's common for them to develop hours or even days after the initial incident, which is why seeking a medical evaluation after any accident involving a blow to the head is so important.

Contusions and Coup-Contrecoup Injuries

A brain contusion is a bruise on the brain tissue itself. Like a bruise on your skin, it involves bleeding and swelling. These are often caused by a direct, forceful impact to the head. A coup-contrecoup injury is a specific and more severe type of contusion.

Imagine you are in a rear-end collision in Tacoma. The force of the impact snaps your head forward.

  1. Coup Injury: Your brain slams into the front of your skull, causing a contusion at the site of impact.
  2. Contrecoup Injury: The whiplash effect then throws your head backward, causing your brain to slam into the back of your skull, resulting in a second contusion on the opposite side.

This double impact can cause significant damage, leading to long-term cognitive and functional problems that require extensive medical treatment and rehabilitation.

Diffuse Axonal Injury (DAI)

A Diffuse Axonal Injury (DAI) is one of the most severe types of closed head injuries. It doesn't result from a direct blow but from the brain moving and rotating rapidly inside the skull. Think of a T-bone accident at a busy Seattle intersection—the violent side-to-side shaking can cause the brain to lag behind the movement of the skull.

This motion creates shearing forces that stretch and tear the brain's long connecting nerve fibers, called axons. This widespread damage disrupts the brain's ability to communicate with itself and the rest of the body. DAIs often result in a coma and can lead to significant, permanent impairments.

Penetrating Brain Injuries

While less common in typical vehicle accidents, penetrating injuries can still occur. In a serious truck accident, for example, metal shards or other debris can be sent flying, piercing a vehicle's cabin and potentially a victim's skull. In a premises liability case, a person might fall onto a sharp, protruding object. These injuries are medical emergencies and often result in catastrophic, localized damage to the brain tissue they directly contact.

Recovering from any of these injuries is a long and difficult journey, made even harder when you know the accident could have been prevented.

How a Driver's Negligence Causes Life-Altering Brain Injuries

Most TBIs are not just random acts of fate; they are the direct result of someone's negligence. In legal terms, negligence means that a person or entity failed to act with a reasonable level of care, and that failure caused harm to someone else.

In Washington, all drivers have a duty of care to operate their vehicles safely to avoid harming others on the road. When they breach that duty, they can be held accountable.

Common examples of negligence that lead to TBI-causing accidents include:

  • Distracted Driving: A driver texting on their phone while navigating Bellevue traffic takes their eyes off the road for a few seconds—enough time to cause a devastating rear-end collision.
  • Speeding and Aggressive Driving: A driver weaving recklessly through traffic on SR 167 fails to stop in time, T-boning another vehicle and causing the occupants to suffer severe head trauma.
  • Driving Under the Influence (DUI): An intoxicated driver's impaired judgment and slowed reaction times lead to a head-on collision, a common cause of catastrophic injuries like DAIs.
  • Failing to Adjust for Weather: During a rainy Seattle winter, drivers must slow down and increase their following distance. A driver who causes a pile-up by driving too fast for the wet conditions is acting negligently.

It’s not just other drivers. Property owners also have a duty to keep their premises reasonably safe. If a grocery store in Federal Way fails to clean up a spill and you slip, fall, and hit your head, the property owner could be held liable for your resulting TBI. Holding the negligent party accountable is not about revenge; it's about securing the resources you need to rebuild your life.

The Staggering Financial and Personal Costs of a TBI

Brain Scan

A traumatic brain injury can change your life in an instant, and the costs go far beyond the initial hospital bills. The long-term financial, physical, and emotional toll can be overwhelming for victims and their families. This is why pursuing a personal injury claim is often a necessary step toward securing your future.

A successful claim can help you recover compensation, legally known as damages, for a wide range of losses. These damages are typically broken down into two categories.

Economic Damages are the tangible, calculable financial losses you have suffered.

  1. Medical Expenses: This includes everything from the initial emergency room visit and hospital stay to future costs like surgeries, physical therapy, cognitive rehabilitation, prescription medications, and in-home nursing care.
  2. Lost Wages: If your TBI prevents you from working, you can seek compensation for the income you've already lost.
  3. Loss of Future Earning Capacity: For severe TBIs that cause permanent disability, you may be able to recover compensation for the income you will be unable to earn over the course of your lifetime.
  4. Vocational Rehabilitation: This covers the cost of training for a new job or career if your injury prevents you from returning to your previous line of work.

Non-Economic Damages are for the intangible, personal losses that don't have a specific price tag but are just as real and devastating.

  • Pain and Suffering: Compensation for the physical pain and emotional distress caused by the injury and its treatment.
  • Loss of Enjoyment of Life: This acknowledges that your injury may prevent you from participating in hobbies, activities, and relationships that once brought you joy.
  • Emotional Anguish: This can include compensation for depression, anxiety, frustration, and other psychological impacts of living with a TBI.

Calculating these damages, especially the future costs and non-economic losses, is incredibly complex. Insurance companies will often try to downplay the severity of a TBI to minimize their payout. Having a dedicated advocate on your side is crucial to ensure your claim reflects the true and total impact the injury has had on your life.

FAQs: What Are the Most Common Examples of TBI?

We've gathered some common questions people have after sustaining a head injury in an accident to provide some additional clarity.

Can a TBI get worse over time?

Yes, unfortunately. Some individuals experience what is known as second impact syndrome or may develop chronic conditions like Chronic Traumatic Encephalopathy (CTE). Additionally, symptoms that seem minor at first can worsen, and new complications can arise as the brain struggles to heal, highlighting the need for ongoing medical monitoring.

What if I did not lose consciousness during my accident? Can I still have a TBI?

Absolutely. Loss of consciousness is not a requirement for a TBI diagnosis. Many people who suffer from serious concussions and even some moderate TBIs remain conscious throughout the event. Any alteration in mental state, like feeling dazed, confused, or having memory gaps, can be a sign of a TBI.

Can emotional stress after an accident cause symptoms that feel like a TBI?

The trauma of a serious accident can certainly cause significant psychological distress, such as Post-Traumatic Stress Disorder (PTSD), anxiety, and depression. Some symptoms, like difficulty concentrating or sleep disturbances, can overlap with TBI symptoms. It is crucial to get a comprehensive medical evaluation to distinguish between a psychological response and a physical brain injury, as they often co-occur and require different treatment approaches.

Contact an Attorney Who Understands

Dealing with a traumatic brain injury is one of the most difficult challenges a person and their family can face. The medical journey is long, the financial strain is immense, and the emotional toll is profound. You shouldn't have to bear this burden alone, fighting with insurance companies while trying to heal.

Attorrney Chong H. Ye at The Ye Law Firm Injury Lawyers

At The Ye Law Firm Injury Lawyers, founding attorney Chong Hae Ye understands this struggle on a personal level. After his own parents were injured in a car accident and received subpar legal representation, he was motivated to become a lawyer and build a practice founded on compassion, dedication, and genuine care. He vowed that his clients would never feel unappreciated or left in the dark. As a former pastor, he brings a unique level of empathy to his practice, walking with clients through every step of the legal process.

Serving the communities of Seattle, Tacoma, and the surrounding areas, he is committed to helping injury victims, particularly those who may face language barriers. Offering services in English, Korean, and Spanish, he ensures that you can tell your story and understand your options in the language you are most comfortable with.

If you or a loved one has suffered a TBI because of someone else's negligence, you deserve an advocate who will listen, understand, and fight for the justice you deserve. Contact The Ye Law Firm Injury Lawyers today at (253) 946-0577 or through our online form for a free, no-obligation consultation to discuss your case and learn how we can help you on your path to recovery.