Landau Injury Law

At Abrams Landau, Ltd., we have helped people injured while participating in Sports and Recreational Activities.  We were successful on behalf of a Fairfax, Virginia golf pro who was injured in a golf cart accident at a Maryland golf course.   Doug Landau noted that a 6/16/2008 New York Times piece recently revealed that the number of injuries caused by golf carts more than doubled between 1990 and 2006.   This data was taken from a study published in the July issue of The American Journal of Preventive Medicine.According to researchers, nearly 150,000 people were hurt by golf carts during the period from 1990 to 2006, with many of those injuries resulting from falls. Researchers say the widening use of golf carts coupled with increased speed and lack of safety equipment are likely culprits for the rise in injuries.  In Mr. Landau’s golf pro injury case, the player was thrown from the cart when it was caused to tip over by recently poured paving material.  The article was by Eric Nagourney of The New York Times, 06/16/2008    

Doug Landau traveled to Philadelphia for important meetings and educational programs with other lawyers.  The Reston Herndon area injury attorney also managed to find an evening run along the river with the Philly Runners !  This group meets at the bottom of the Philadelphia Art Museum’s “Rocky Steps.”  The Virginia “TriathlonTrialLawyer” ran with a number of area law students and enjoyed the fast-paced escorted tour.  Here he is shown after the run, resting at a nearby fountain.

This important concept explains both short and long term neurologic deficits in patients whose trauma did not produce either contusions, hemorrhages or lacerations sufficient to account for the deficits. Frequently, the latter lesions are minimal but the deficit is severe. Sometimes, notes Herndon Reston brain injury lawyer Doug Landau, there is a minimal laceration (cut) or not cut at all, but the neurological damage is significant. This is often harder on the innocent crash victim because they have no “Red Badge of Courage” to display to friends, family or their physicians to buttress their claims of disability, deficit and suffering. This, in turn can cause anxiety, depression and fear, especially in cases in the long and trying litigation process adds Landau.

How does Diffuse Axonal Injury occur ? What has happened is that rotational and other movements of the brain during trauma has resulted in injury to numerous axons in both cerebrum and brain stem. Brain injury trial attorney Doug Landau explains that this can happen as the result of a sharp, fast back-and-forth movement of the skull, or a rapid twisting of the head from an impact, or a high-velocity combination of (more…)

When an injured victim of a crash is brought into an emergency room, x-rays are often ordered. However, Herndon Reston area brain injury lawyer Doug Landau notes that while such diagnostic testing, while good for showing broken bones and fractures, does not show many kinds of brain injury. For example, a cyclist or motorist injured in a crash may have a subdural hematoma (sometimes spelled, “haematoma”) which may not show up in the Hospital immediately on a post-accident x-ray.
A Subdural Hematoma is a collection of blood that pools under the dura. Because x-rays do not “see” blood as easily as hard, boney structures, Doug Landau advises that these are sometimes missed. The dura is a relatively tough connective tissue (collagenous) membrane, about the thickness of parchment paper. It is firmly attached to the under surface of the skull, and in the spinal canal, it is separated from the bony structure (more…)

In the previous posting, brain injury lawyer Doug Landau listed Direct Effects of head trauma and brain injuries.  In addition to those sometimes permanently disabling effects of an impact or blow involving the skull and brain, the Herndon Reston trial attorney notes that there are “Secondary Effect” which can also be quite devastating to the innocent victim of a bike or car crash.  Listed below are Secondary Effects of brain injury and head trauma:

B. SECONDARY EFFECTS OF BRAIN INJURY AND HEAD TRAUMA:

1. Cerebral edema or swelling

2. Herniations of brain tissue

3. Infection

4. As a result of traumatic brain damage, there may be permanent localizing neurologic defects or post-traumatic epilepsy.

See, www.pathology.vcu.edu/trauma.html

Traumatic lesions, whether they are the product of closed or penetrating injuries, and whether they are coup or contra-coup, may be said to have direct effects, and secondary effects.  Brain injury lawyer Doug Landau notes that it is important to have an experienced specialist examine and test for the subtle effects of a closed head injury and brain trauma.  Direct Effects of head trauma and brain injury, whether from bike crashes, falls, motor vehicle accidents, falling merchandise, or sudden acceleration/deceleration events, are listed below:

A. DIRECT EFFECTS

1. Skull fracture

2. Hemorrhages–epidural, subdural, subarachnoid or parenchymal

3. Lesions to brain–contusion, laceration [ the most minor “lesion” has no identifiable gross or microscopic counterpart in human material and is the concussion which produces unconsciousness].

4. Diffuse axonal injury [DAI]

(In the next post, Doug Landau will cover Secondary Effects of head trauma and brain injury.)

Brain injury lawyer Doug Landau studied neurology and neurophysiology before attending law school. He recognized that it was important to understand how his clients’ bodies functioned. This Virginia trial lawyer also realized that he needed to have more than just a passing understanding of the medical terminology used in his clients’ records and experts’ reports.

Landau (shown here teaching in Richmond on the topic of medical care and equipment for disabled workers on a government program) is fond of pointing out that the human body is a miraculous machine. It is resilient, and often able to recover from horrific and traumatic injury. The ABRAMS LANDAU trial team has seen a number of clients heal from terrible injuries and bounce back from enormous impact. This is especially true of our younger clients. Children, even those who sustain fractured skulls and subdural hematoma, seem to make better recoveries than their adult counterparts.

Part of the resiliency of the human body is found in the flexibility and elasticity of many of its parts. Tendons, ligaments, muscles and other connective tissues are often able to withstand and absorb significant impact and blows. There may be bruising and pain, but (more…)

ABRAMS LANDAU clients with severe disability or brain injury are often appointed a Guardian ad Litem In a court of law, Guardian Ad Litem literally means, “guardian for the suit.” Actually, Doug Landau was a Classics Minor in college and studied Latin for a number of years. He likens the phrase to mean “a Guardian who takes you to the shore.” The Herndon Reston brain injury lawyer notes that a Guardian Ad Litem has been appointed for mentally disabled clients, children in “infant settlement” cases and clients with brain injuries or who are in comas and cannot assist in their own cases or manage their own finances. For a client on life support at INOVA Fairfax Hospital, a Guardian was appointed to look out for her interests and to bring the lawsuit in his name.

A guardian ad litem in Virginia is an attorney (more…)

General Principles

A blow to the head, or any other severe physical force, can deform, displace, and tear the tissues covering the brain and the brain itself.  According to brain injury lawyer Doug Landau of the Herndon law firm ABRAMS LANDAU, Ltd., the injury and disability from this type of “inside” injury can be more devastating than a fractured skull.   Tears in the “soft tissues” or “connective tissues” covering and protecting the brain may produce loss of function, necrosis, and hemorrhages.

Head injuries can be classified as:

(a) Closed: when a blunt object damages the brain and its coverings without actually perforating the skull or dura.  The closed type of injury constitutes the majority of civilian injuries. Extensive intracranial damage may result from an injury to the head which produces little damage to the outside.  Instead, the force may be communicated through a rigid, bony vault (calvarium) to the soft tissue within.

(b) Penetrating: when the skull and brain are directly lacerated by an object, such as a bullet or a knife.  Brain injury lawyer Doug Landau notes that when the skull is pierced by a penetrating object that needs to be surgically removed, it is sometimes called “Excaliber Syndrome.”  While working at Columbia Presbyterian Neurological Institute in the 1970s, Landau witnessed just such an extraction, as well as “penetrating” head injuries sustained by New York City Police and Law Enforcement Officers.  Even when the injury to the brain was not readily apparent, the object (in one case, a metal pipe) was easily observed on the x-rays.

Herndon Reston brain injury lawyer Doug Landau notes that there does not have to be a fractured skull, broken bones or even visible bleeding for there to be a severe and debilitating brain injury after an accident or car crash.  One reason is that the brain can be injured by striking the INSIDE of the skull.  Landau points out that this can be from what is called a “Contra Coup Injury.”  Contra Coup injuries occur when there is an injury to the opposite side of the head from the impact site. Contra coup injuries are generally thought to be an indicator of a moving head hitting a stationary, unyielding force or object.  Abrams Landau trial attorney Doug Landau points out that there does not have to be a fracture, bleeding, external head swelling or even discoloration for there to be an internal injury, such as results from Contra Coup.

See: http://www.neuroskills.com/swfcoup.html  for an excellent movie demonstrating this form of interior brain injury.