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Can a brain injury occur if a victim does not lose consciousness?

Yes. Losing consciousness is only one symptom of a brain injury. Someone can have concussions, feel dizzy and have a whole host of other issues and still have a brain injury. We've heard stories of people involved in skiing accidents, where they walked around fine for twenty-four hours and suddenly lost consciousness twenty-four hours, after the injury occurred and they eventually died. You can certainly suffer brain injury, without any loss of consciousness at that particular moment.