Traumatic Brain Injury

Overview

Team

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More than 20 years ago, MRJ established our brain injury practice. Our team of attorneys and a medical researcher are devoted full time to litigating traumatic brain injuries. Our fluency in and understanding of both the science and the law applicable to brain injury claims enables us to leverage the technical and medical evidence underlying TBI diagnosis, pathophysiology, and outcome in every case.

 We have developed proven, strategic approaches to defending TBIs and their commonly alleged sequelae, such as post-traumatic stress disorder (PTSD), post-concussion syndrome (PCS), post-traumatic headaches, and post-traumatic vision syndrome. Central to these approaches is a detailed understanding of the underlying biology of TBI, the physics of neuroimaging techniques, and the methodology of neuropsychological testing.

Understand the science, and you will expose your opponent’s legal flaws.

We know concussion.

  • In-depth understanding of pathophysiology of mild TBI (including theories of neurometabolic cascade, neurotoxicity, and axonal shearing/diffuse axonal injury (DAI)).
  • Litigation and evaluation of TBI claims in more than 30 states.
  • Experience with claims by athletes and other individuals with repetitive-concussion history and accompanying expert opinions of injury vulnerability.
  • Experience litigating severe diagnoses, including DAI, chronic traumatic encephalopathy (CTE), and traumatically induced dementias, and forecasts of dire future consequences.
  • The science of brain injury is constantly evolving. We employ a full-time, in-house medical researcher dedicated to researching and updating the team on current and emerging medical literature.

 We know neuropsychology.

  • Extensive experience deposing neuropsychologists in their own language on their assessments of psychological and cognitive functioning, including issues with test battery selection, testing methodology, and data interpretation errors.
  • Successes compelling production by opponents’ experts of raw test data.
  • Internal library of neuropsychological test materials and track record of challenging experts who deviate from accepted methodology.
  • Well-versed on the strengths and weaknesses of specific neuropsychological tests.

We know advanced neuroimaging.

  • Numerous cases where “proof” of injury includes interpretations of diffusion tensor imaging (DTI), positron emission tomography (PET), single photon emission computed tomography (SPECT), quantitative electroencephalography (QEEG), and others.
  • Familiar with technical and physics underpinnings of all major neuroimaging techniques. Nuanced understanding of each technique’s administration protocol and technological limitations, including what imaging findings cannot tell you about injury timing and cause. Understanding based on current scientific literature of bounds of accepted use in diagnosis.
  • Depositions of neuroradiologists, nuclear medicine physicians, and neurologists aimed at evidentiary challenges

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