Open head injury, or penetrating traumatic brain injury (TBI), is a catastrophic event that occurs when an object pierces the skull and enters the brain tissue. Open head injuries carry a high risk of localized brain damage, infection, and long-term neurological deficits. The Cagle Law Firm has a great deal of experience in presenting traumatic brain injury cases in litigation. Often, the full impact of a brain injury is not visibly apparent to others or a jury. Our attorneys present a realistic picture of the impact of TBI on our client’s life. Call The Cagle Law Firm at (314) 276-1681 for a free consultation.

In the St. Louis metropolitan area, these injuries frequently result from high-velocity motor vehicle collisions on I-64 or I-70, construction site accidents, or incidents involving defective machinery.
Because these injuries often require neurosurgery and lifetime rehabilitative care, Missouri law allows victims to seek comprehensive damages, including:
Immediate Surgical Intervention: Costs for craniotomies and intracranial pressure monitoring.
Life Care Planning: Long-term costs for occupational therapy, speech pathology, and home modifications.
Non-Economic Damages: Compensation for loss of cognitive function and quality of life as well as pain and suffering.
Under MO Rev Stat § 537.060, Missouri follows a pure comparative fault system. This means that even if you are partially responsible for the car incident, you can still recover damages, though your award will be reduced by your percentage of fault. In complex head injury cases, insurance companies often attempt to shift blame to minimize high-value payouts. Our firm utilizes accident reconstruction and medical experts to protect your recovery. Most often, the insurance company will defend the case on two fronts:
Granted, a brain injury is a concussion, but the word “concussion” sounds far less threatening, serious and life-changing. If the insurance company can blame you for a portion of the crash and devalue the injury, then they can argue for far less compensation. For these reasons, you need an attorney to protect you against insurance claims of shared responsibility and devaluation of your injury and losses.
Unlike neighboring Missouri, Illinois follows a Modified Comparative Fault system under 735 ILCS 5/2-1116.
In an open head injury case, this rule is critical:
The Threshold: You can recover damages as long as you are 50% or less at fault for the accident.
The Bar: If a jury finds you 51% responsible, you are barred from any recovery. Insurance companies often use the “cognitive confusion” typical of brain injury victims to elicit statements that shift blame. Our firm protects Illinois victims by securing forensic evidence before fault can be misrepresented. As in Missouri, the other party’s insurance company will advocate for more shared fault on your behalf and devalue your injury for the same reason—reduction in compensation.
We focus on the forensic evidence unique to open head injuries:
Biomechanical Analysis: Proving how the mechanism of injury (impact velocity, object trajectory) directly caused the specific brain lobe damage.
Neurological Prognosis: Using advanced imaging (DTI or fMRI) to demonstrate permanent axonal damage to a jury or insurance adjuster.
Witness Canvassing: Securing testimony from first responders regarding the “lucid interval” or state of consciousness at the St. Louis accident scene.
Given the catastrophic nature of open head injuries (often involving craniotomies and high infection risks), Illinois and Missouri laws allow for extensive recovery
If you have suffered a brain injury, open or closed, the medical treatment required is immense. Brain injuries are also very baffling to those who do not have not spent a great deal of time learning about TBI’s. Our attorneys have spent countless hours with clients with TBI’s and each is unique. We begin to work up a serious brain injury case by examining three areas:
Expert Attorneys in Brain Injury | The Cagle Law Firm
Documenting and illustrating the life-changing impact of TBI on a person’s life can be complex. While each person with a TBI is unique, it is important to be able to explain simply what the injury involves and the losses the victim sustained. It is guaranteed that the at fault party’s insurance adjuster will downplay the severity of the injury, regardless of the injury.
Contact a St. Louis Open Head Injury Lawyer from our firm at (314) 276-1681 if you or a loved one has been the victim of an accident in which an open head injury was the result.
Case Results include both confidential and non-confidential settlements and verdicts for clients suffering from TBI’s.
Zane T. Cagle has over 20 years of experience representing those wth various types of brain injuries in Missouri and Illinois. Often, TBI’s are classified as complex but the impact on a person’s life is not complex–it’s life-changing. A member of Super Lawyers and various other legal advocacy groups, Zane focuses on bringing a full representative picture of his client’s life-changing experience with compassion.
The Cagle Law Firm serves accident and injury clients throughout St. Louis and the greater St. Louis metro area, including St. Louis Counties of Chesterfield, Wildwood, Eureka, Ladue, Olivette, Clayton, Kirkwood, Fenton, Affton, and Jefferson Counties of Arnold, High Ridge, Antonia, House Springs, and the eastern Missouri and southern Illinois communities. If you or your family needs legal assistance with your personal injury case, call The Cagle Law Firm at (314) 276-1681 or use our online contact form to request a free case review or get more information.
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