Abstract

We present a now 51 year old woman who sustained a head injury in a rear-end collision at the age of thirty five after the vehicle she was operating was struck by a moving vehicle while her vehicle and the rest of traffic was at a standstill. She was subjected to acceleration -deceleration, concussive, contusive and contrecoup - coup forces. Although significant traumatic brain injury (TBI)-related signs and symptoms developed and persisted, she had never been formally evaluated or treated for mild traumatic brain injury until 2016. We present this case report to raise outpatient provider awareness about atypical presentations of mild traumatic brain injuries and long-term sequelae; to raise the index of suspicion of providers; to trigger earlier and more efficacious diagnostic imaging and treatment in such patients.

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