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New research on military traumatic brain injury
Date:1/22/2013

iations of mild TBI with post-concussive symptoms and other co-occurring problems, including posttraumatic stress disorder (PTSD), depression, suicidal thoughts and behavior, and pain. Dr Corrigan comments, "The interplay of TBI, post-concussive symptoms, PTSD, depression, suicidality, pain, and substance abuse is the most challenging problem facing the Department of Defense and VA when treating service members with TBI."

Highlighted topics include:

  • Research by Dr Jeffrey J. Bazarian of the University of Rochester, linking PTSD to structural brain damage seen on diffusion tensor imagingeven in service members with no reported history of mild TBI. Blast-related trauma may have subclinical effectsnot experienced at the time of injury, or not recalledthat are associated with PTSD. "Some of the effects of blast exposure may be below the threshold of symptom experience, including a predisposition to PTSD," Dr Corrigan comments. "If so, this would offer additional support for the policy of event-based screening for 24-hour removal from combat in Afghanistan, recently introduced by the Army and Marine Corps."

  • A study by Kelly J. Miller, MPH, and colleagues of the Defense and Veterans Brain Injury Center, reporting that service members with previous TBIs had more symptoms in the first three months after a subsequent injury, compared to those with their first TBI. "These findings underscore the growing appreciation that in addition to severity of TBI, prior experience of TBI is also an important determinant of consequences both short- and long-term," says Dr Corrigan.

  • A study by Andrew J. MacGregor, PhD, MPH, and colleagues of the Naval Health Research Center, San Diego, which found that service members with mild TBI were more likely to report health symptoms, such as headache, back pain, ringing in the ears, dizziness and memory problems. Those with dizziness and memory problems were at particularly high risk of declining he
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Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

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