ABSTRACT

Traumatic central nervous system injuries (TCNSIs) are not diseases

but lesions that concern an ever-growing number of people who

are unable to work and have lost their independence. These people

need help to regain at least some of their functional abilities. Causes

of TCNSIs include traffic accidents, diving in shallow water, falls,

gunshots, stab wounds, and natural disasters (earthquakes). The

social aspect is highlighted by theWorld Health Organization (WHO)

in its definition of health, which is “not the absence of disease

or infirmity but a state of complete physical, psychological and

social well being.” Right indications are given in the International

Classification of Functioning, Disability and Health, established by

the WHO in 2001. Trauma epidemiology has significant correlation

with the economic conditions of a community [1]. In the United

States, more than 10% of residents suffered from nonfatal injuries

in 2002. Trauma was the leading cause among those aged 1-4 years.

In Germany, 40% of those injured in 2002were 20-39 years old (the

greatest incidence was between 20 and 24 years).