What is the difference between a mild and severe TBI?
The Brain Trauma Foundation states that every year, traumatic brain injuries affect approximately 2.5 million people, and you may be one of the many trying to cope with one of these injuries. These life-threatening injuries usually occur due to a violent jolt or blow to the body or head, or when an object penetrates the tissue within the brain.
Brain injuries can range from mild to severe. While a mild TBI may only temporarily affect your brain cells, a more serious TBI can result in bleeding, torn tissues, bruising and other damages that can lead to long-term issues or even death.
Mild brain injuries
- Some of the symptoms and signs of a mild brain injury include the following:
- Headache: Persistent or severe headache.
- Confusion: Feeling disoriented or confused.
- Dizziness: Experiencing dizziness or loss of balance.
- Nausea or Vomiting: Feeling nauseous or vomiting shortly after the injury.
- Blurred Vision: Changes in vision, such as blurred or double vision.
- Ringing in the Ears: Hearing ringing or other noises in the ears (tinnitus).
- Fatigue: Feeling unusually tired or lethargic.
- Sleep Disturbances: Trouble falling asleep, staying asleep, or sleeping more than usual.
- Memory Problems: Difficulty remembering new information or recalling events before or after the injury.
If you have a mild TBI, you may also experience sensitivity to sound or light, sudden mood swings or changes, issues with memory or concentration and feelings of depression and anxiousness.
Severe brain injuries
If you sustain a severe brain injury , you may experience any of the symptoms of a mild TBI in addition to others that occur within the first few hours to the first few days after the accident. For example, you may develop a constant headache that worsens over time, have a hard time waking up from sleep, experience seizures or convulsions or have clear fluids drain from your ears or nose.
Signs of a severe brain injury are more pronounced and can have significant impacts on bodily functions and consciousness. Some of the common signs and symptoms include:
- Loss of Consciousness: Extended periods of unconsciousness, lasting from several minutes to hours.
- Profound Confusion: Severe disorientation and confusion.
- Severe Headache: Intense and persistent headache that doesn't go away.
- Repeated Nausea or Vomiting: Continuous nausea and frequent vomiting.
- Seizures: Convulsions or seizures.
- Dilation of One or Both Pupils: Enlarged pupils, typically in one or both eyes.
- Clear Fluids: Clear fluids draining from the nose or ears, indicating a possible skull fracture.
- Inability to Awaken: Difficulty staying awake or an inability to wake up from sleep.
- Weakness or Numbness: Weakness or numbness in fingers and toes.
- Loss of Coordination: Lack of coordination and difficulty walking.
- Agitation or Combativeness: Unusual behavior such as agitation or combativeness.
- Slurred Speech: Difficulty speaking or slurred speech.
- Profound Sensory Issues: Severe vision or hearing problems.
- Coma: Deep unconsciousness for a prolonged period.
- Behavioral or Cognitive Changes: Significant changes in behavior, personality, or cognitive function.
You may also become unusually agitated or combative, have a hard time speaking clearly and experience profound and lasting confusion. Additionally, weakness in your fingers and toes and loss of coordination are common symptoms of a severe TBI. Unlike a mild brain injury, these symptoms may last much longer or may never go away, depending on the severity and extent of the trauma.

