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Findings of Mild Traumatic Brain Injury in Combat Veterans With PTSD and a History of Blast Concussion

Received March 6, 1997; revised August 13, 1997; accepted August 14, 1997. From the Department of Psychiatry, Minneapolis Veterans' Affairs Medical Center, and the Departments of Psychiatry and Family Medicine and Community Health, and the Research Explorations Program, University of Minnesota, Minneapolis, Minnesota. Address correspondence to Dr. Trudeau, VAMC 116A4, 1 Veteran's Drive, Minneapolis, MN 55417; e-mail: trude003{at}maroon.tc.umn.edu

Veterans with chronic posttraumatic stress disorder were evaluated for a history of blast concussion, controlling for confounding conditions. Electroencephalograms were analyzed by discriminant function for traumatic brain injury. A difference was found in discriminant scores between veterans with and without blast concussion. More members of the blast group had attentional symptoms and attentional dysfunction. Combat veterans with a remote history of blast injury have persistent electroencephalographic features of traumatic brain injury as well as attentional problems. The authors hypothesize that these constitute a type of chronic postconcussive syndrome that has cognitive and mood symptoms overlapping those of posttraumatic stress disorder.

Key Words: Head Injury • Veterans • Posttraumatic Stress Disorder

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