Gulf War And Health: Volume 7: Long-term Consequences Of Traumatic Brain Injury (veterans Health)

The seventh in a series of congressionally mandated reports on Gulf War veterans health, this volume evaluates traumatic brain injury (TBI) and its association with long-term health affects. That many returning veterans have TBI will likely mean long-term challenges for them and their family members. Further, many veterans will have undiagnosed brain injury because not all TBIs have immediately recognized effects or are easily diagnosed with neuroimaging techniques. In an effort to detail the long term consequences of TBI, the committee read and evaluated some 1,900 studies that made up its literature base, and it developed criteria for inclusion of studies to inform its findings. It is clear that brain injury, whether penetrating or closed, has serious consequences. The committee sought to detail those consequences as clearly as possible and to provide a scientific framework to assist veterans as they return home. Although the Gulf War lasted but a few days, many combat troops have suffered lingering health problems that they attribute to their wartime service. In an effort to respond to the health concerns of veterans and their families, the Department of Veterans Affairs contracted with the Institute of Medicine (IOM) to study the scientific evidence concerning associations between agents to which Gulf War veterans may have been exposed and adverse health effects. These are the reports from those studies Contents preface summary 1 introduction 2 biology of traumatic brain injury 3 epidemiology of adult traumatic brain injury 4 considerations in identifying and evaluating the literature 5 major cohort studies 6 neurocognitive outcomes 7 neurologic outcomes 8 psychiatric outcomes 9 social functioning 10 other health outcomes 11 conclusions and recommendations index