“…This primary injury triggers a secondary wave of events (i.e., excitoxicity, oxidative stress, metabolic crisis, changes in BBB permeability, inflammatory response, ischemia, and edema), occurring within seconds to minutes after the brain lesion and lasting for days, months, or years. ( 1 , 4 , 7 ) The ongoing brain damage, which is characteristic of secondary injury, evolves to increased intracranial pressure that can culminate in brain death, particularly in the first 72 hours post-trauma. ( 7 )…”