Long-term effects of battle-related 'blast plus impact' concussive TBI in US military

©2014 Mary Ann Liebert, Inc., publishers

U.S. military personnel who served in Iraq and Afghanistan and suffered "blast plus impact" concussive traumatic brain injury (TBI) were compared to military personnel without TBI who were evacuated for other medical reasons. Differences in measures of overall disability, cognitive function, post-traumatic stress, and depression 6-12 months after injury are reported in an article in Journal of Neurotrauma.

Christine MacDonald, PhD, Ann Johnson, Elliot Nelson, MD, Nicole Werner, PhD, and David Brody, MD, PhD, Washington University School of Medicine (St. Louis, MO), and Col. Raymond Fang, MD and Col. (ret) Stephen Flaherty, MD, Landstuhl Regional Medical Center (Germany), found that overall disability among the study participants recovering from concussive TBI was surprisingly high. The authors explore the possible factors related to differences in outcomes between the two groups in the article "Functional Status after Blast-Plus-Impact Complex Concussive Traumatic Brain Injury in Evacuated United States Military Personnel".

John T. Povlishock, PhD, Editor-in-Chief of Journal of Neurotrauma and Professor, Medical College of Virginia Campus of Virginia Commonwealth University, Richmond, notes that "This is an intriguing study conducted in a relatively unique cohort of military patients who sustained blast plus other forms of . The finding in this patient population of sustained morbidity at 6 and 12 months post-injury, together with a dramatically increased incidence of post-traumatic stress disorders, is striking and must be considered as we move forward in our evaluation of blast-injured ."

Dr. Povlishock continues, "While the authors strike the appropriate cautionary notes in terms of sample size and other limitations, these extremely important prospective observational studies should clearly inform decision-making processes in current and future populations who have sustained such injuries."

More information: The article is available free on the Journal of Neurotrauma website at http://www.liebertpub.com/neu

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Out of danger: A neural basis for avoiding threats

15 hours ago

Researchers at the RIKEN Brain Science Institute in Japan have identified a key neuronal pathway that makes learning to avoid unpleasant situations possible. Published online in the November 20 issue of Neuron, the wo ...

New approach for treating ALS

21 hours ago

Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, is a neurodegenerative disease that primarily kills motor neurons, leading to paralysis and death 2 to 5 years from diagnosis. Currently ALS has no ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.