A traumatic brain injury (TBI) can be physically and mentally devastating. Closed head trauma is more difficult than other injuries because from the outside, you might look completely healthy, but on the inside, your brain has suffered serious harm. Your loved ones may not understand what is causing you to act differently, why your memory isn't what it used to be, or why you struggle holding a job. When people can't see your injury, they often have difficulty grasping your pain.
It is not uncommon for people living with a TBI to feel misunderstood and lonely. However, it is important to know that, according to the Brain Injury Association of South Carolina, more than 160,000 South Carolinians are living with a TBI-related disability right now. You are most certainly not alone, and the Law Office of Kenneth Berger in Columbia, SC is here to help you obtain the medical care and legal compensation your injuries require.
- The Effects of Closed Head Trauma Can Take Many Forms ↓
- Common Causes of Brain Injuries and When They May Lead to a Lawsuit ↓
- Costs of a Traumatic Brain Injury ↓
- TBI Damages Go Beyond Medical Bills ↓
- What to Look for When Choosing a Lawyer for a Brain Injury Case ↓
- Do Not Become a Victim of Injustice After a Traumatic Brain Injury ↓
- FAQs About South Carolina TBI Cases ↓
The Effects of Closed Head Trauma Can Take Many Forms
I have met individuals just like you who had their lives turned upside-down in an instant. I understand how complex this situation is, and how frustrated you probably feel. As the doctors have hopefully explained by now, the effects of a head injury can last from a couple weeks to a lifetime. It is my sincere hope that your TBI resolves quickly, and that you make a full recovery.
However, if you are having any of the following brain injury symptoms, know that they are often associated with closed head trauma, and may call for additional medical care:
- Persistent headaches
- Dizziness
- Memory loss
- Difficulty concentrating
- Nausea
- Sensitivity to light or sound
- Mood swings
- Depression, anxiety, and angry outbursts
- Changed sleep patterns
- Slurred speech
- Loss of coordination & balance
- Numbness or weakness in toes and fingers
Suffering from one of these effects is hard enough, but many people with TBIs deal with several, if not most, of these issues every single day.
With everything you endure on a daily basis, you should not have to worry about paying your medical bills or how you're going to support yourself if you can't return to work. By allowing my law firm to handle your case, you can take pressure off yourself and concentrate more on recovering and spending time with loved ones.
3 Common Causes of Brain Injuries in Columbia, SC and When They May Warrant Legal Action
TBI is a leading cause of disability and death in South Carolina, and when someone else caused the injury, they should be held accountable. Below are the most common causes of brain injuries and how to determine if you need a lawyer.
1. Falls
According to the Center for Disease Control, 48% of TBIs are caused by falls. Young children and senior citizens are at the greatest risk to sustain a head injury from falling. Most often, senior citizens lose their footing in the bathroom or trip over objects, be it in the house or a nursing facility. Preventive measures such as rails, non-slip mats, and clear walkways can help them stay safe. For young children, it is stairs and open windows that pose the greatest threat. If a daycare or nursing home facility did not have the proper measures or supervision in place to prevent a fall from taking place, you should consider speaking with a South Carolina TBI attorney to determine if you would benefit from taking legal action.
2. Struck By or Against an Object
Being struck by an object is another primary cause of traumatic brain injury. Most of these injuries occur in children under 17 – many of them the result of sports. As someone who grew up playing 5 different sports – I am not encouraging any parent to take their child off the team, but people should know the statistics. According to the CDC, approximately 283,000 children visit the ER each year for sports-related TBI. Since many young athletes are diagnosed by athletic trainers and never see a doctor, the actual number of sports-related head injuries is probably much higher.
While many people believe that waivers prevent them from filing a negligence claim when their child suffers a sports injury, if the school or coach was grossly negligent or reckless when the injury occurred, you may be able to hold them legally accountable for the harm they caused.
3. Car Accidents
Car accidents are the next leading cause of TBI. In an accident, a person's head might strike the windshield, dashboard, or headrest, possibly resulting in a concussion, subdural hematoma, diffuse axonal injury, or another form of TBI. If the at fault driver was speeding, texting and driving, drunk driving, or being reckless in any way, you may file a claim with their insurance provider to seek compensation for your damages.
Costs of a Traumatic Brain Injury
As a Columbia, South Carolina brain injury lawyer handling cases across the state, I've seen how difficult the road to recovery from a closed head injury can be. Aside from the severe and life-threatening effects a TBI can have on your health, it can also put tremendous strain on your finances. Whether it be an auto accident, fall, sports-related incident, or some other cause, brain injuries can lead to astronomical expenses. The costs often include extended stays in the hospital, surgical procedures, long-term medical care, and intensive rehabilitation.
According to the National Center for Injury Prevention and Control, traumatic brain injuries cost a total of $76.3 billion in the United States in 2010. While most insurers and federally-funded programs such as Medicare and Medicaid cover the costs associated with saving a TBI victim's life, i.e., brain surgery and intensive medical care, benefits fall short in the way of rehabilitation programs that help the victim relearn skills and abilities he or she lost as a result of the brain trauma. The unfortunate result is thousands of brain trauma patients are forced to go without rehabilitative treatment.
Proper rehabilitation and medical treatment does not have to mean financial ruin. If a person or business’ negligence caused you to sustain a TBI, an injury attorney can help you hold them legally and financially responsible for their actions and the expenses you incurred.
TBI Damages Go Beyond Medical Bills
The cost of a closed head injury cannot be measured by hospital bills alone. People with even mild TBIs often require medication, therapy, vocational training, and adaptive strategies. All of these items come at a cost for individuals and families living in South Carolina. In addition, if a TBI victim cannot return to their former job, they may be faced with the loss of thousands or even millions of dollars over their lifetime.
The damages in a South Carolina TBI case can include:
- initial medical care, including emergency room care, ambulance transportation and hospitalization;
- brain injury recovery, which could include physical and cognitive rehabilitation, if the initial injury is severe; and
- lost income and wages, if the injury has rendered your loved one unable to make as much money as before the accident.
If you or someone you love suffered a traumatic brain injury, whether in a car accident, bike or motorcycle accident, on the job, or as a result of a fall, you may be able to recover initial and future expenses associated with the injury from the negligent party or insurance company.
What to Look for When Choosing a Lawyer for a Brain Injury Case in Columbia, South Carolina
When someone suffers a brain injury, they need the best lawyer they can find. Rather than relying on television commercials to choose an attorney, I suggest using the following criteria to make the best choice for your case:
1. Experience Handling Head Injury Cases
The attorney’s knowledge of and experience with head injury cases should be a top factor when hiring a lawyer. Is the attorney a member of a traumatic brain injury (TBI) litigation group? Does he or she have a proper understanding of neuroscience and neuropsychology? For instance, does he recognize that a frontal lobe injury may produce significantly different effects than trauma to the occipital lobe? Having a medical understanding of your brain injury will enable the lawyer to more effectively communicate the severity of your brain injury and how it has affected your life to insurance providers and, if your case goes to trial, a jury.
2. Ability and Willingness to Hire Experts
Will the lawyer invest the proper resources in your brain injury case? In other words, is the attorney committed enough to the case to hire the necessary experts? A TBI case can cost tens or hundreds of thousands of dollars in expert fees to obtain a fair result. Along with neurologists, TBI cases may require economists (to establish lost earning capacity), lifecare planners (to project future medical expenses), and other trained professionals to make sure you are properly compensated for every harm and loss a negligent party caused.
3. A Lawyer You Like and Trust
Is the attorney the type of person you would want to have in your home? Contrary to popular belief, you should like and trust your lawyer – especially in a brain trauma case. These cases require the lawyer, client, and the client’s family to spend a significant amount of time together. The lawyer must gain insight as to what the injured person was like before, as well as the full effects of the accident, if he is going to be able to present the case with sufficient force, passion, and understanding. It's best that you actually like the attorney if you are going to spend time with him.
Do Your Research Before Signing Any Contracts
When searching for a top brain injury attorney in South Carolina, be sure to take these factors into account. Choosing a lawyer can be one of the most important decisions you ever make. Do the proper research, ask lots of questions, and please do not sign any contracts until you confirm that the attorney has the knowledge, resources, experience, and character you are looking for.
Frequently Asked Questions About South Carolina Traumatic Brain Injury Cases
Understanding Your Legal Options
Yes, if your TBI was caused by someone else's negligence, recklessness, or intentional conduct, you may have a valid personal injury claim in South Carolina. This includes TBIs caused by car and truck accidents, falls on someone else's property, sports injuries involving gross negligence, workplace incidents, and assaults. The key legal question is whether another party's failure to act reasonably caused or contributed to your injury. An attorney who handles TBI cases can evaluate the specific facts of your situation and advise you on whether a claim makes sense.
Yes, in several important ways. The cause of your injury determines who can be held responsible, what evidence needs to be preserved, and how quickly your attorney needs to act. A TBI from a car accident involves different liable parties and different evidence than one caused by a fall on someone's property or a trucking crash. Some causes, like commercial trucking accidents, involve federal regulations that significantly affect how the case is built. Others, like injuries on government property, involve shorter filing deadlines. Understanding the cause of your injury is one of the first things your attorney will work through with you.
Responsibility depends on how and where your injury occurred. In a car or truck accident, the at-fault driver and potentially their employer may be responsible. In a fall, a property owner who failed to maintain safe conditions may be liable. In a trucking accident, the trucking company, the cargo loader, or a maintenance contractor may all share fault. One of the most important things an attorney does early in a TBI case is identify every party whose negligence contributed to the injury, because missing a responsible party can mean leaving significant compensation unclaimed.
In South Carolina, you generally have three years from the date of your injury to file a personal injury lawsuit under S.C. Code Ann. Section 15-3-530. In TBI cases specifically, this deadline deserves careful attention. If the injured person is a minor, different rules apply. If the injury involves a government entity or employee, the deadline can be significantly shorter. And because TBI symptoms sometimes emerge or are formally diagnosed after the initial incident, there are limited circumstances where the timeline may be affected. The safest approach is to speak with a TBI attorney as soon as possible.
No, and this is one of the most important things to understand about TBI litigation. The clinical classification of mild, moderate, or severe describes the initial injury event, not the duration or impact of your symptoms. A mild TBI can produce symptoms that last months or years and that fundamentally affect your ability to work, think clearly, and maintain relationships. Insurance companies use the word mild strategically to minimize claims. An experienced TBI attorney knows how to document the full impact of your injury regardless of its initial classification and how to counter that argument with the right medical experts.
This is one of the most common tactics used in TBI cases. Insurance companies routinely challenge the severity of brain injuries, particularly when standard imaging is normal. They may point to gaps in treatment or delays in diagnosis as evidence that you are not as hurt as you claim. None of these arguments mean your injury is not real. What they mean is that your case needs to be built carefully, with trusted medical experts and a thorough, documented record of how this injury has changed your life. Having an attorney who has handled these arguments before makes a meaningful difference.
Loss of consciousness is not required for a TBI to cause lasting, serious effects. Many people with traumatic brain injuries never lose consciousness at all. Insurance companies sometimes try to minimize an injury by pointing to the absence of a blackout, but the presence or absence of loss of consciousness is only one factor in the initial clinical assessment. It does not determine the severity of symptoms or the long-term impact of the injury. If you are experiencing headaches, memory problems, difficulty concentrating, mood changes, or other symptoms after a head injury, those symptoms deserve both medical attention and legal consideration regardless of whether you lost consciousness.
Damages and Compensation in a SC TBI Case
South Carolina law allows TBI victims to recover both economic and non-economic damages. Economic damages include past and future medical expenses, rehabilitation costs, lost wages, diminished earning capacity, and the cost of in-home care or assistive services. Non-economic damages cover the losses that do not come with a receipt: physical pain, cognitive and emotional suffering, loss of enjoyment of life, and the ways the injury has changed who you are and how you live. In cases involving egregious conduct, punitive damages may also be available. TBI cases often involve some of the highest damage values in personal injury law because the injuries are severe, the care needs are long-term, and the human losses are profound.
Calculating the value of a TBI case requires building a complete picture of every loss, past and future. Your attorney will work with medical providers to document your current and anticipated future care needs, with economists to calculate lost earning capacity over your lifetime, and with life care planners to project the full cost of your long-term care. Non-economic losses require presenting your story in a way that a jury can understand and feel, which means gathering testimony from people who knew you before and after the injury. There is no formula. The value of your case is the sum of everything this injury has taken from you, and building that case thoroughly takes time, resources, and the right team of experts.
A life care plan is a detailed, expert-developed document that projects the full scope of your future medical and care needs and the associated costs over your lifetime. In a TBI case, it might include future specialist visits, cognitive rehabilitation, in-home care, assistive technology, medications, and housing modifications. A life care plan is typically prepared by a certified life care planner working in coordination with your treating physicians and other specialists. It is an important document in a serious TBI case because it gives a jury a concrete, expert-supported number for your future damages rather than a vague estimate.
Lost earning capacity is one of the most significant categories of damages in a TBI case. If your injury has affected your ability to think clearly, concentrate, manage stress, communicate, or perform the tasks your job requires, you may be entitled to compensation for the income you have lost and the income you will lose in the future. An economist working with your attorney will calculate the difference between what you would have earned over your working lifetime without the injury and what you are now realistically able to earn.
For Families of Brain Injury Survivors
When a person with a severe TBI is unable to manage their own legal affairs, a family member or other trusted individual can be appointed as their legal guardian or conservator through the South Carolina probate court. That person can then make legal decisions on behalf of the injured person, including retaining an attorney and participating in settlement decisions. If a lawsuit is filed on behalf of someone who is legally incapacitated, court approval is typically required for any settlement to ensure the injured person's interests are protected. An experienced TBI attorney can guide your family through this process from the beginning.
A guardian ad litem is a person appointed by the court to represent the interests of someone who cannot represent themselves, such as a minor or a person who is legally incapacitated due to a severe TBI. In South Carolina civil litigation, a guardian ad litem may be appointed when the injured person cannot participate meaningfully in their own case. Their role is to ensure that any decisions made in the case, including settlement, genuinely serve the best interests of the injured person. Your attorney can advise whether a guardian ad litem is appropriate in your loved one's specific situation.
This is one of the most difficult aspects of representing someone with a severe TBI, and it requires careful, thoughtful legal guidance. The family member or guardian acting on behalf of the injured person has a legal obligation to act in that person's best interests. Settlement decisions should be based on a thorough evaluation of the full value of the claim, including lifetime care costs established by a life care plan, lost earning capacity, and non-economic losses. In South Carolina, settlements on behalf of incapacitated adults typically require court approval to ensure the injured person is protected. Your attorney will walk your family through every step of that process.
In some circumstances, yes. South Carolina law recognizes a claim called loss of consortium, which allows a spouse to seek compensation for the loss of companionship, affection, and the marital relationship caused by a serious injury to their partner. The availability and value of a loss of consortium claim depends on the specific facts of your situation, and an attorney can advise you on whether it applies.
Loss of consortium is a legal claim that recognizes the impact a serious injury has on a spouse's or family member's relationship with the injured person. In a TBI case, where behavioral changes and cognitive impairment can fundamentally alter a marriage or family dynamic, loss of consortium claims can be significant. South Carolina courts recognize these claims, and they are most commonly brought by spouses. The claim acknowledges that a TBI does not only injure one person. It changes families, and the law provides a way to recognize that reality.
Working with a South Carolina TBI Lawyer
TBI cases are both legally and medically complex. An attorney without specific TBI experience may not know which medical experts are needed, how to document cognitive and behavioral losses effectively, how to counter a defense medical examination, or how to present the full human impact of a brain injury to a jury. Attorney Kenny Berger has dedicated a significant portion of his practice to TBI litigation and is the principal author and editor of Traumatic Brain Injury Litigation, a South Carolina Bar CLE resource used by attorneys across the state. That depth of knowledge makes a measurable difference in how these cases are built and what they ultimately recover.
Look for an attorney with specific experience handling traumatic brain injury cases, not just general personal injury work. Ask whether they are willing to take cases to trial when necessary. Ask how they communicate with clients and families throughout what can be a long process. TBI cases can take years, and the relationship between attorney, client, and family is a close one. You should feel confident that your attorney understands the medicine, has the resources to work for full compensation, and genuinely cares about the outcome for your family.
TBI cases are handled on a contingency fee basis, meaning you pay no upfront costs and owe no attorney fees unless your case results in a recovery. The law firm advances the costs of litigation, including expert fees, which in serious TBI cases can reach tens or hundreds of thousands of dollars. Those costs are reimbursed from the recovery at the end of the case. This arrangement exists so that seriously injured people are not priced out of the legal system. You should never have to choose between getting the right experts and being able to afford your case.
Bring whatever you have and do not worry about what you are missing. Helpful materials include any police or incident reports related to the injury, medical records or imaging results if you have them, insurance information for all parties involved, any correspondence from insurance companies, and documentation of missed work or lost income. If a family member is attending on behalf of someone who cannot attend themselves, bring any legal documents related to guardianship or power of attorney if those have been established. Your attorney will tell you what else is needed as the case develops. The most important thing you bring is an honest account of what has changed.
TBI cases generally take longer than standard personal injury cases because of their complexity, the time required for medical treatment to stabilize, and the need for thorough expert development. Cases that settle before litigation may resolve in one to two years in some circumstances, though serious cases often take longer. Cases that require litigation can take three to five years or more. The timeline is driven by what is right for you. A TBI case should not be resolved until the full picture of your injuries, your recovery, and your long-term needs is clearly understood. Moving too quickly risks settling for less than your situation actually requires.
Do Not Become a Victim of Injustice After a Traumatic Brain Injury: Contact Kenneth Berger
I cannot take back what happened to you, but I will work hard to make sure the at-fault party's insurance company provides fair and full compensation for the effects of your TBI. Everyone who walks through my door is treated with respect, and that is exactly what you will be shown from the first time we speak until your case ends.
A traumatic brain injury can happen to anyone. Victims and their families do not have to feel alone. Our firm has handled many traumatic brain injury cases in South Carolina and we are here to answer your questions and provide guidance.
If you or a loved one suffered a TBI in South Carolina - be it in Columbia, Charleston, Greenville, or elsewhere - contact me today for a free consultation at 803-790-2800 or by using the live chat feature below.

