Brian Beecher & Judd R. Allen – The Law Offices of Arash Khorsandi
$5M Settlement: 3D Animated TBI Timeline Charts Progression of Encephalomalacia
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Animation
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Medical
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Legal
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Personal Injury
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Traumatic Brain Injury
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Case Study
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Encephalomalacia is one of the most dangerous outcomes of TBI. It occurs when hemorrhages swell to such a severe degree that they interrupt cerebral blood flow, resulting in the irreversible death of brain tissue. This condition is extremely difficult to treat and impossible to cure because the brain tissue can never be regenerated.
Challenge
After a 23-year-old pedestrian was struck by a vehicle in a crosswalk, he suffered catastrophic brain injuries with substantial hemorrhaging that would swell into a severe form of encephalomalacia, killing massive portions of the young adult’s brain.
Brian Beecher, Esq., and Judd R. Allen, Esq., had plenty of evidence showing the progression of their client’s brain damage in the form of CT scans, MRI’s, and a tractography - but all of this black-and-white data looked somewhat ambiguous, subjective, and easy for the Defense to downplay in front of a jury
Full animation detailing the progression of encephalomalacia.
Approach
Mr. Beecher and Mr. Allen needed a visual presentation that would bring this radiographic evidence to life, make it easy to understand, chart the progression of encephalomalacia, and capture the irreversible neuropsychological impact this TBI would have on their client. We equipped them with a TBI Timeline Animation that would achieve the following visual objectives:
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Recreate 3D models of the Plaintiff’s brain at each chapter of his experience - using CT Scans and MRI’s.
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Chart the visual progression of the Plaintiff’s encephalomalacia from the initial point of impact to the irreversible death of brain tissue today.
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Map the progression of hemorrhaging throughout each chapter to break down how each area of brain tissue progressively died.
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Summarize the results of the tractography with three-dimensional visual context.
“The animation that your team put together with our office was a game-changer. Both the mediator and the defense counsel commented about how powerful the images were and how well done the entire presentation was executed. The high contrast slides truly showed the progression of the brain injury.”
Charting the Progression of Encephalomalacia
The animation opens with a quick summary of the timeline using accurate 3D models to compare the magnitude of damage at each stage of his experience.
The first model demonstrates a normal brain; the second model depicts the Plaintiff’s brain damage immediately after the incident; the third model shows the persistence of hemorrhaging and hematomas throughout the brain a week after the crash; the final image concludes with the massive brain tissue necrosis that occurred throughout the brain as a result of encephalomalacia. Each model is based on CT scans and MRI’s, and each chapter is reinforced with medical reports.
Animated timeline showing the progression of the traumatic brain injury.
Summarizing the Tractography
The animation concludes with a visual summary of the Plaintiff’s tractography, which obtained images with 30 directions of diffusion gradients on a GE 3-Tesla imager.
The animation shows the visual tractography in color along the left. Along the right, it outlines what the viewer is seeing: decreased tract formation in the left middle cerebellar peduncle, significant abnormalities on the left posterior temporal and occipital lobe, a bilateral decrease of the middle portion of the corpus callosum, and abnormal corona radiate in the frontal region of the brain.
3D Brain mapping specific regions of the brain.
“In a case like this where you're dealing with complex medical concepts, being able to show the damage instead of just explaining it helped us get an outstanding settlement in a conservative Northern California venue. When I saw the High Impact product, it exceeded my expectations and I felt confident going into mediation.”
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