$4.1M Verdict: 3D Brain Injury Presented with Diagnostic Slice Chooser

Robert Simon, Brandon Simon, and Siannah Collado Boutte, The Simon Law Group, Los Angeles, CA

The Simon Law Group returned a $4.1M verdict to the victim of a violent MVC after a vehicle smashed into the side of her car, sending her to the hospital with catastrophic injuries throughout her head, face, shoulder, and leg.

Traumatic brain injury was clearly visible in the patient’s CT scans and MRI, which showed signs of hemorrhagic contusion, hematoma, and microbleeds. Quantitative and Volumetric MRI scans also uncovered abnormal white matter and abnormal fractional anisotropy of the Corpus Callosum, a broad band of nerve fibers that join the two hemispheres of the brain. In addition to her TBI, the Plaintiff suffered fractures to her left clavicle and right tibia, which would both require open reduction and internal fixations.

Representing the Plaintiff - Robert Simon, Siannah Collado Boutte, and Brandon Simon - needed jurors to understand how severely and deeply these damages permeated their client’s brain, how this type of trauma generally impacts the brain, and how their client’s shoulder and knee fractures were surgically reduced. We delivered the following visuals:

  • Diagnostic Slice Chooser magnified the depth and severity of their client’s brain damage.
  • Brain Injury 101 Animation summarized how this trauma typically impacts the brain.
  • Medical Illustrations demonstrated the ORIF surgeries performed on her shoulder and knee.

The following presentation helped The Simon Law Group obtain a $4.1M verdict for the Plaintiff.

Exhibit A: Diagnostic Slice Chooser

The primary exhibit used to present the patient’s traumatic brain damage was the Diagnostic Slice Chooser, a custom interactive presentation that presents radiographic slides within a three-dimensional model of the patient’s head.

Diagnostic Slice Chooser Reveals Depth of Damage

The first section features colorized CT scans captured immediately after the collision, which show clear evidence of Hemorrhagic Contusion and Scalp Hematoma at three different levels. The second section features colorized MRI’s taken a month later, which show microbleeds at three levels. The third and fourth sections show Quantitative and Volumetric MRI’s taken from both the sagittal and coronal perspectives. And the final section presents MRI’s taken a year later, which depict hyperintensities in several locations at two different levels. We also designed the model accurately to the patient’s likeness to help humanize this traumatic reality.

Exhibit B: Brain Injury 101 Animation

The next exhibit features a chapter from our Brain Injury 101 Animation Series, which breaks down the impact of a TBI from the surface down to the brain cells in order to familiarize jurors with what these brain injuries mean for the victim.

Brain Injury 101: How Trauma Impacts the Brain

TBI occurs when the brain is affected by a change in physical force, which causes simultaneous disruptions to the brain cells. These include disruptions to the normal release and flow of neurotransmitters and ions and an increase in calcium entering the brain cell, which damages the power source of the cells. The forces of shearing stretch the cells causing damage to microtubules by forming neurofibrillary tangles within cells. These mechanisms ultimately lead to damaged brain cells and acute traumatic brain injury.

Exhibits C and D: Illustrated Shoulder and Knee Surgeries

Once we had established the patient’s traumatic brain damage and what those injuries mean for the victim, the next two exhibits walked jurors through the two open reduction and internal fixation procedures the patient would need to reduce fractures in her shoulder and knee.

Illustrated ORIF of the Clavicle

The first illustration introduces viewers to the patient’s broken clavicle. The first two snapshots depict the pre-op injury as a colorized X-ray and an illustration. The next three images demonstrate how an incision was made in the shoulder and a metal plate was screwed into the clavicle to reduce the fracture. The final image features a post-op X-ray of the hardware.

Illustrated ORIF of the Tibia

The second illustration similarly introduces the pre-op tibia fracture in the first two snapshots as a colorized X-ray and an illustration. The three two images show how an incision was made in the knee and plates were screwed into the bone to reduce the fracture. The final image concludes with a colorized X-ray of the post-op hardware.

High Impact’s team of visual strategists, artists and developers can build and customize your digital presentation for any case involving personal injury, medical malpractice, birth trauma - or any subject involving complex information.

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