Coup-Contrecoup Brain Injury Animation @HighImpactLegalExhibits
Coup-Contrecoup Brain Injury Animation  @HighImpactLegalExhibits
Uploaded August 2019 | Updated September 2026, 1 day ago
highimpact.com A coup-contrecoup brain injury occurs when the brain sustains trauma to both the site of impact (coup) and the opposite side of impact (contrecoup) as it recoils back and collides with the inner skull. This TBI causes sheering throughout the entire brain beyond just the initial impact.

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The victim in this medical animation suffered a coup-contrecoup TBI after a swingset broke, she fell several feet and she hit her head on the ground. CT scans and MRI’s that showed mild TBI, but the radiographic films didn’t reveal the full scope of her damages. Animation would be crucial to making jurors understand the brutal significance of the coup-contrecoup brain injury her client sustained, and how it caused further long-term damage that would disrupt her everyday life.

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​The medical animation opens with the young girl’s head hitting the ground. The brain first collides with the impact site in the skull (coup), bounces back, and then impacts the opposite side of the skull (contrecoup). The victim’s facial fractures are then introduced, which included a fractured sphenoid bone and right orbital fracture.

The animation reiterates what happened with a 2D animated coup-contrecoup, highlighting the impacts to both sides of the brain. It then demonstrates how this mechanism of injury disrupts the brain cells through diffuse axonal shearing throughout the brain.

After establishing the cognitive, behavioral, emotional, and physical problems this mechanism of injury will ultimately cause, the animation concludes with colorized CT scans and MRI’s highlighting the damaged areas throughout the victim’s brain.

Visual Strategies for TBI Cases: tinyurl.com/y6dnbqxm
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Coup-Contrecoup Brain Injury Animation

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