Traumatic brain injuries can change lives in an instant. Among the types of traumatic brain injuries, coup-contrecoup injuries are particularly severe, often resulting from significant force or impact. 

For those injured or if your loved ones suffered coup-contrecoup brain injury, understanding the medical, especially the legal implications of a coup-contrecoup brain injury, is essential when seeking compensation for the damages suffered.

As a personal injury law firm serving multiple states across the western region, our brain injury attorneys at Craig Swapp & Associates are 24/7 ready to provide a legal explanation of what a coup-contrecoup injury is in accidents and how it affects a personal injury claim when recovering compensation after the incident.

What Is a Coup-Contrecoup Injury?

There’s a legal explanation for how the brain reacts during trauma. 

The force or impact of accidents to one’s head can cause the brain to move violently within the skull, resulting in either direct or indirect injuries, or both. 

Coup Injury

In a coup injury, an external force directly impacts the brain. For example, if a person strikes their forehead against a dashboard in a vehicle collision, the brain can be bruised at that precise area – the point of initial contact with the skull. 

Contrecoup Injury

Conversely, a contrecoup injury is damage that occurs on the opposite side of the brain from where the initial impact took place. This happens because, after the brain is forced against one side of the skull, it rebounds and strikes the opposite side, leading to “secondary trauma.”

Coup-Contrecoup Injury

A coup-contrecoup injury involves both a coup and a contrecoup injury occurring in the same incident. In this scenario, the brain suffers injury at the initial impact site and at the opposite side due to the rapid back-and-forth motion. Coup-contrecoup brain injuries often result from high-velocity accidents, causing more extensive damage than either a coup or contrecoup injury alone.

The effects of a coup-contrecoup brain injury can be profound and life-altering. Having a clear answer about what it is and how it’s directly linked to your accident is critical.

Accidents That Can Cause a Coup-Contrecoup Brain Injury

Not every blow to the head results in a coup-contrecoup brain injury. However, certain types of accidents are far more likely to cause the rapid acceleration and deceleration forces responsible for this injury pattern.

Vehicle Collisions

Car, truck, and motorcycle crashes are among the common causes of coup-contrecoup brain injuries. Notably, motorcycle and truck accidents tend to result in particularly severe injuries due to the forces involved and the limited protection for riders and drivers. 

Falls

Slip, trip, and fall incidents – common on unsafe properties – can lead to coup-contrecoup injuries, especially when the victim strikes their head against a hard surface.

Assaults and Blunt Force Trauma

Physical assaults involving punches, kicks, or being struck by an object can cause coup-contrecoup injuries, depending on the force and angle of impact.

Workplace Accidents

On construction sites or in industrial environments, falling objects, equipment malfunctions, or unsafe working conditions may expose workers to a high risk of head trauma and coup-contrecoup brain injury.

Each of these accidents shares a common factor: the application of sufficient force to move the brain inside the skull, resulting in injury at both the point of impact and the opposite side. 

Recoverable Damages in a Coup-Contrecoup Injury 

Victims of coup-contrecoup brain injury are entitled to seek compensation for both economic and noneconomic losses under personal injury law. The value of a claim depends on the severity of the injury, the impact on the victim’s life, and the circumstances of the accident.

Economic Damages

Economic damages are quantifiable losses related to the injury, including:

  • Immediate and long-term medical costs 
  • Lost wages
  • Lost earning capacity
  • Home modifications and medical equipment to accommodate disabilities due to brain injury.
  • Other out-of-pocket costs 

Noneconomic Damages

Non-economic damages address the intangible consequences of a coup-contrecoup brain injury, including:

  • Physical pain
  • Discomfort
  • Emotional distress caused by the injury
  • Loss of enjoyment of life
  • Psychological impact
  • Loss of consortium

Punitive Damages

In cases involving reckless or intentional conduct, a civil court may award punitive damages to punish the wrongdoer and deter similar conduct in the future.

The process of recovering damages after a coup-contrecoup brain injury is complex and often requires skilled advocacy. A traumatic brain injury attorney can help victims gather evidence, assess damages, and pursue the compensation they need to move forward.

What Are the Symptoms of a Coup-Contrecoup Injury?

Symptoms of a coup-contrecoup brain injury depend on the severity of trauma and which parts of the brain are affected. In many cases, the signs and symptoms may not be immediately obvious, which is why prompt medical attention is essential.

  • Loss of consciousness
  • Headache
  • Nausea and vomiting
  • Seizures
  • Dizziness and loss of balance
  • Confusion and disorientation
  • Memory loss

It is important to note that the signs of a coup-contrecoup brain injury may appear hours or even days after the traumatic event. Early recognition of these symptoms can make a significant difference for victims after the accident. Medical professionals rely on these and other indicators to diagnose the extent of coup-contrecoup brain injury and to recommend appropriate treatment.

Diagnosis and Treatment for Coup-Contrecoup Injury

Timely diagnosis and intervention are crucial after any suspected coup-contrecoup injury. A medical evaluation should be sought immediately, even if symptoms appear minor at first.

Diagnostic tools to evaluate a coup-contrecoup injury can include:

  • Imaging exams (e.g., CT Scans and MRI) identify bleeding, bruising, or swelling in the brain
  • Physicians assess reflexes, coordination, memory, and cognitive function through neurological exams to determine the extent of impairment
  • Some patients require observation in a hospital setting to monitor for worsening symptoms or complications

Following the diagnosis, treatments for a coup-contrecoup brain injury can include:

  • Stabilizing the patient and managing life-threatening symptoms 
  • In cases of bleeding, swelling, or increased intracranial pressure, surgery may be necessary to relieve pressure and repair damage
  • Physical, occupational, and speech therapy help patients regain lost abilities and adapt to new challenges
  • Long-term medications for pain, seizures, or mood disorders, as well as support from counselors or mental health professionals.

Prompt diagnosis and treatment after the accident can improve the chances of recovery and reduce the risk of lasting disability. However, the reality is that many victims of coup-contrecoup brain injuries require lifelong care and support.

How Can a Lawyer Help in a Coup-Contrecoup Injury Claim?

Taking legal action after a coup-contrecoup brain injury is seldom straightforward. Insurance companies may dispute liability, downplay the severity of the injury, or offer settlements far below what victims truly need. 

Here is how an experienced brain injury lawyer supports clients in these challenging cases:

Investigation and Gather Evidence 

A traumatic brain injury attorney will conduct a thorough investigation of the accident, gathering crucial evidence such as accident reports, medical records, witness statements, and expert opinions.

Prove Liability

Demonstrating who is at fault is a foundational aspect of any personal injury case. Whether the injury resulted from a car accident, a fall on unsafe premises, a construction site incident, or another event, a brain injury attorney can help show that another party’s negligence or misconduct directly caused the coup-contrecoup brain injury.

Calculate Damages

Quantifying damages in a coup-contrecoup injury case requires careful documentation of medical expenses, lost wages, and the lasting impact on the victim’s quality of life. A skilled brain injury lawyer will work with medical experts, life care planners, and vocational specialists to present a comprehensive claim.

Negotiate with Insurers

Insurance adjusters may attempt to minimize the severity of a coup-contrecoup injury or argue that the victim’s symptoms are unrelated to the accident. A lawyer will handle all communications, protect the client’s rights, and negotiate for a fair settlement.

Prepare for Litigation

If a reasonable settlement cannot be reached, the attorney will be prepared to present the case in court, using expert testimony and compelling evidence to demonstrate the full impact of the injury.

Having an advocate who understands the medical and legal aspects of coup-contrecoup brain injuries can make all the difference in achieving a successful outcome.

Know Your Legal Rights After a Coup-Contrecoup Brain Injury  

Coup-contrecoup brain injuries are among the most dangerous forms of traumatic brain injury. The risk of death is highest when there is significant bleeding, swelling, or disruption to vital areas of the brain responsible for breathing, heart rate, and other essential functions. 

Families who have lost a loved one due to a coup-contrecoup brain injury may have the right to pursue a wrongful death claim. Compensation in such cases can help cover funeral costs, loss of income, and the profound emotional impact of the loss.

Craig Swapp & Associates is committed to advocating for brain injury victims throughout Utah, Idaho, Washington, Montana, Oregon, Wyoming, Colorado, and Arizona.  Our skilled traumatic brain injury attorney understands the unique challenges these cases present and has the resources needed to pursue fair compensation.

To know your legal options with our brain injury lawyer after a coup-contrecoup injury and its impact, call us at 866-308-3822 to schedule your free consultation or send us a message about your case by answering our online form here.

Written By: Ryan Swapp     Legal Review By: Craig Swapp