Abstract
Background/objective: Soldiers of Operations Enduring Freedom (OEF) and Iraqi Freedom (OIF) sustain blast-related mild traumatic brain injury (concussion) with alarming regularity. This study discusses factors in addition to concussion, such as co-morbid psychological difficulty (e.g. post-traumatic stress) and symptom validity concerns that may complicate neuropsychological evaluation in the late stage of concussive injury. Case report: The study presents the complexities that accompany neuropsychological evaluation of blast concussion through discussion of three case reports of OEF/OIF personnel. Discussion: The authors emphasize uniform assessment of blast concussion, the importance of determining concussion severity according to acute-injury characteristics and elaborate upon non-concussion-related factors that may impact course of cognitive limitation. The authors conclude with a discussion of the need for future research examining the impact of blast concussion (particularly recurrent concussion) and neuropsychological performance.
Original language | English (US) |
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Pages (from-to) | 511-525 |
Number of pages | 15 |
Journal | Brain Injury |
Volume | 25 |
Issue number | 5 |
DOIs | |
State | Published - May 2011 |
Bibliographical note
Funding Information:Declaration of Interest: This study was supported
Keywords
- Traumatic brain injury
- blast injury
- neuropsychological injury