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Defense Digest

The National Spotlight on Traumatic Brain Injuries and its Growing Prevalence in the Legal Industry

Defense Digest, Vol. 29, No. 2, June 2023

June 1, 2023

by Evan N. Saltzman

Key Points:

  • Traumatic brain injuries are becoming ever more prevalent in the legal industry.
  • Plaintiff attorneys are increasingly using traumatic brain injury claims in order to transform routine cases, with minor damages, into complex cases with high demands. 
  • A recent celebrity trial highlights prominent strategies defending against such claims. 

In the recent trial of celebrity actress Gwyneth Paltrow, the plaintiff claimed a traumatic brain injury after the two collided on a ski slope in Utah. The plaintiff, Terry Sanderson, a 76-year-old retired optometrist, initially sought $3.1 million in damages. Sanderson utilized a neuropsychologist, who testified about the effect of the collision on Sanderson’s mental health, and a radiologist, who testified that Sanderson “deteriorated” after the collision and stopped doing many of the activities he had engaged in prior to the incident. In an attempt to influence the jury emotionally, the plaintiff also relied on the testimony of friends and family.

Importantly, the defense demonstrated a strong approach to combating a questionable traumatic brain injury claim. The defense team relied upon a radiologist, who testified that the plaintiff’s diminished cognitive abilities were due to aging—that began well before the skiing accident occurred. Additionally, the defense also focused on the plaintiff’s quality of life following the accident. 

An essential defense strategy in combating a traumatic brain injury claim is to show a baseline of the plaintiff’s quality of life before and after the accident. In this case, the defense showed post-accident pictures of the plaintiff riding a camel in Morocco, hiking to Machu Picchu in Peru, and taking a cross-country European trip. Since the defense prevailed on liability in this matter, we are not able to analyze how the jury perceived the arguments for and against the traumatic brain injury claim via damages. However, with the all the national attention, the legal profession got an inside look at prominent strategies for proving and defending against traumatic brain injury claims in a high-stakes trial. 

With the major attention on traumatic brain injuries in the NFL and other professional sports, these type of injuries are increasingly in the spotlight in everyday life. Recently, there was national coverage of American soldiers suffering from traumatic brain injuries. As the focus on brain injuries becomes more prevalent and moves into the national spotlight, it is essential for defense attorneys to understand the impact they will have on future lawsuits, including the impact of brain injuries on jurists and damages rewards. 

It is no coincidence that, as the spotlight on traumatic brain injuries continues to expand, they are becoming more prevalent in the legal field. In fact, anyone working in the legal field has likely noticed the large increase in traumatic brain injury claims over the last several years. These claims are emerging in routine slip-and-fall, motor vehicle accident, premises liability, and construction accident cases. By claiming a traumatic brain injury, plaintiffs’ attorneys are taking routine cases, often with minor injuries, and attempting to turn them into complex cases with large demands. We are continuously seeing attempts to frame routine cognitive decline due to aging as a traumatic brain injury among older plaintiffs. 

While diagnosing and understanding traumatic brain injuries continues to be an evolving science, their ambiguous nature makes it very difficult for defense attorneys to defend against such claims. Unlike a broken bone, a traumatic brain injury is often subjective, with no hardline rules on how to define it. In the future, defense attorneys should look for clearer definitions of traumatic brain injuries and better methods of evaluating the severity of these claims. In the meantime, as we saw in the Paltrow trial, relying on expert testimony and comparing quality of life before and after the accident remain essential traumatic brain injury defense strategies. 

*Evan is an associate in our Philadelphia, Pennsylvania, office. He can be reached at 215.575.2779 or ensaltzman@mdwcg.com.

 

 

Defense Digest, Vol. 29, No. 2, June 2023, is prepared by Marshall Dennehey to provide information on recent legal developments of interest to our readers. This publication is not intended to provide legal advice for a specific situation or to create an attorney-client relationship. ATTORNEY ADVERTISING pursuant to New York RPC 7.1. © 2023 Marshall Dennehey. All Rights Reserved. This article may not be reprinted without the express written permission of our firm. For reprints, contact tamontemuro@mdwcg.com.

Firm Highlights

Thought Leadership

Delaware Superior Court Clarifies Pleading Standard for Legal Malpractice Claims

In the matter of Edelstein v. Kirschner, No. N25C-09-018 FJJ, 2026 Del. Super. LEXIS 45, at *1 (Super. Ct. Jan. 29, 2026), the plaintiff law firm sued its former client for unpaid legal fees in the amount of $4,399.35. The former client asserted a counterclaim alleging legal malpractice. More, specifically, the former client claimed that his lawyer committed malpractice be recommending that he settle an underlying lawsuit by entering into a stipulated judgment for an excessive amount with interest that was accruing at “an outlandish” interest rate. The law firm moved to dismiss the counterclaim on the basis that its former client had not alleged facts reflecting that he could prove the case within the case. That is, facts reflecting that his attorneys caused him to lose the underlying case. The Superior Court held that while a legal malpractice plaintiff in cases arising from underlying litigation must prove the case within the case to survive a summary judgment motion, he does not need to plead facts reflecting as much in order to survive a motion to dismiss. While this case addresses the pleading requirements of a legal malpractice case in Delaware, it also serves as reminder that chasing unpaid legal fees from a former client can often give rise to a legal malpractice counterclaim. Attorneys seeking to collect unpaid legal fees should ensure that the fees they seek are for a significant amount, which would be recoverable if a judgment is obtained. Otherwise, the effort could backfire.

Thought Leadership

Pennsylvania Supreme Court Takes Up the Gist of the Action Doctrine

The gist of the action doctrine has been a hot topic in legal malpractice cases in Pennsylvania over the last several years.  Beginning in 2014, the Pennsylvania courts applied the gist of the action doctrine to professional liability actions, following the Pennsylvania Supreme Court’s opinion in Bruno v. Erie Ins. Co., 106 A.3d 48 (Pa. 2014).  In Bruno, the court applied the gist of the action doctrine to a professional negligence claim, and found that a negligence claim was not barred simply because the parties were in a contractual relationship where the gist of the claim sounded in negligence. Thereafter, courts in Pennsylvania applied the gist of the action doctrine to breach of contract claims as well, finding that where the allegations sounded in negligence, a plaintiff could not recast a negligence claim as one for breach of contract. This was important because of the distinction between statutes of limitations: negligence claims must be brought within two (2) years, while breach of contract claims can be brought within four (4) years.  Then, last year, the Pennsylvania Superior Court held that the gist of the action doctrine does not apply to breach of contract claims as seen through two opinions. These opinions were Swatt v. Nottingham Village, 342 A.3d 23 (Pa. Super. 2025) and Poteat v. Asteak, et al., 350 A.3d 198 (Pa. Super. 2025). That is, the gist of the action doctrine can bar a negligence claim but it cannot bar a breach of contract claim.  This month, the Pennsylvania Supreme Court granted the petition for allowance of appeal in Poteat.  The Supreme Court phrased the issue for consideration as follows: Whether the Superior Court majority’s holding conflicts with this Court’s holding in Bruno v. Erie Insurance Co., 160 A.3d 48 (Pa. 2014), as well as Superior Court opinions that applied Bruno, and departs from almost 200 years of controlling precedent that distinguishes between causes of action in contract and tort based upon the nature of the duty that was allegedly breached? Attorneys on both sides of legal malpractice matters no doubt look forward to clarification on these issues from our Supreme Court.

Result

No-Cause Jury Verdict Secured in Wrongful Death Trial

We successfully obtained a no-cause jury verdict in a 13-day wrongful death trial. The decedent, a 59-year-old man, was admitted to the emergency room on February 15, 2019, with complaints of abdominal pain, decreased appetite, and constipation, despite the use of laxatives. The patient did not complain of any nausea, vomiting, or diarrhea. He had a significant medical history including diabetes, hypertension, prior coronary artery stenting, morbid obesity (with past gastric bypass surgery), longstanding ventral hernia, and back pain. A CT scan revealed multiple hernias and a potential closed-loop bowel obstruction, leading to a surgery consultation. Our client, an emergency general surgeon, interpreted that the patient did not have a closed loop or any significant obstruction and recommended non-surgical management. The patient was approved to have clear liquids, and had a vomiting incident shortly after, but our client was not notified. The patient was returned to NPO status, and after improving overnight, he was returned to “clears” and additional medical and renal consults were ordered. Our client did not receive any communications from the residents/nurses of any changes in the patient’s condition. On February 18, 2019, two rapid responses were called due to increased heart rate and vomiting. It is believed that the vomiting resulted in aspiration, causing sepsis, ultimately leading to the patient’s death. During the trial, the plaintiff’s sole medical expert highlighted imaging on the wrong hernia, which called into question all of his opinions in the case. We made key objections related to the expert testimony, limiting what the allegations were, and preventing new allegations from being made. After approximately two and a half hours of deliberating, the jury returned a no-cause verdict. 

Thought Leadership

Appellate Division Affirms Dismissal of Legal Malpractice Counterclaim Against Martin Law Firm

In Martin v. Loury, 2026 N.J. Super. Unpub. LEXIS 1617 (App. Div. July 15, 2026), Martin Law Firm represented Kirk Loury in an employment matter Mr. Loury filed against his former employer, Concord Equity Group Advisors LLC (“Concord”). The allegations included, among other things, that Loury was not fairly compensated for his employment with Concord. After a bench trial finding in Loury’s favor, the Appellate Division remanded this matter in February 2016 for a second trial. During the second trial, Concord CEO, Lee Argush, testified to lower compensation estimate than first trial. On remand, the second trial judge awarded Mr. Loury the same damages as the first judge, finding Mr. Argush not credible. After the findings during the second trial, Martin Law Firm filed an action against Mr. Loury to recover legal fees and costs of representing Mr. Loury in a second bench trial and Mr. Loury filed a counterclaim against Martin Law Firm for legal malpractice, alleging he should have received an even higher award in the second bench trial. In this allegation, Mr. Loury, through his expert, claimed that Martin Law Firm should have recalled Mr. Loury to the stand to rebut Mr. Argush’s testimony to allege an alternative theory of damages. Mr. Loury’s expert admitted that the second judge already rejected Mr. Argush's theory and accepted Loury's damages theory. The trial court barred Mr. Loury’s expert and dismissed Loury's counterclaim with prejudice before convening the collection trial, and the jury ruled in Martin Law Firm’s favor. Mr. Loury appealed the trial court's pretrial rulings barring his liability expert from testifying in support of his legal malpractice counterclaim, denying his motion for summary judgment on that counterclaim, and denying his motion to amend his counterclaim by adding attorney Joseph A. Martin as a codefendant. In affirming the trial court’s decision, the Appellate Division held that the trial court properly excluded Loury’s expert testimony in the counterclaim against Martin Law Firm because the expert could not explain how calling Loury as a rebuttal witness would have increased damages when the second judge already rejected Mr. Argush's testimony and accepted Loury's damages theory, making the expert’s causation opinion speculative. The Appellate Division also held that the trial court properly denied Mr. Loury's summary judgment motion on his malpractice counterclaim because reasonable minds could differ on whether Mr. Martin's alleged failures would have changed the second judge's damages award, given the judge already found Mr. Argush not credible, creating genuine factual disputes precluding summary judgment. Also, the Appellate Division held that the trial court properly denied Loury's May 2023 motion to add Joseph Martin individually because the statute of limitations expired in February 2022, six years after the 2016 appellate remand when Mr. Loury incurred new legal costs, and relation back did not apply because Mr. Loury knew Mr. Martin's identity throughout and strategically chose to sue only Martin Law Firm in his 2019 counterclaim.