Neuropsychological evaluation of blast-related concussion: Illustrating the challenges and complexities through OEF/OIF case studies
Neuropsychological evaluation of blast-related concussion: Illustrating the challenges and complexities through OEF/OIF case studies
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DOI：
10.3109/02699052.2011.558040
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发表时间：
2011-05-01
期刊：
影响因子：
1.9
通讯作者：
Sponheim, Scott R.
中科院分区：
文献类型：
--
作者：
Nelson, Nathaniel W.;Hoelzle, James B.;Sponheim, Scott R.
背景/目的：持久自由行动（OEF）和伊拉克自由行动（OIF）的士兵以惊人的规律遭受与爆炸有关的轻度创伤性脑损伤（脑震荡）。这项研究讨论了除脑震荡外的因素，如共病心理困难（e。G.创伤后应激障碍）和症状有效性的关注，可能会复杂的神经心理学评估在后期阶段的震荡injuries.Case Report：该研究提出了复杂性，伴随着神经心理学评估的冲击波通过讨论三个案件报告OEF/OIF人员。作者强调爆炸冲击的统一评估，根据急性损伤特征确定脑震荡严重程度的重要性，并详细说明可能影响认知限制过程的非脑震荡相关因素。作者最后讨论了未来研究爆炸性脑震荡（特别是复发性脑震荡）和神经心理学表现的影响的必要性。
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.