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Do you have to lose consciousness in an accident to sustain a serious brain injury?

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Attorney Alexander Kammer authored an article discussing the lack of correlation between unconsciousness and the potential for serious brain injury in an accident.  You can view the article here.  The extraordinary case of Phineas Gage Front and lateral view of the cranium, representing the direction in which the iron traversed its cavitywas discussed as well as that of the more commonly known and contemporary, Troy Aikman. 
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