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Volume 358:2177-2179 May 15, 2008 Number 20
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Mild Traumatic Brain Injury in U.S. Soldiers Returning from Iraq

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 by Bryant, R. A.
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 by Hoge, C. W.
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To the Editor: We wish to express a number of concerns about the methods used in the study of mild traumatic brain injury by Hoge et al. (Jan. 31 issue).1 We learned through firsthand experience in the combat zone that immediately after a concussion, the soldier's reported account is most accurate during the initial 24 hours after the blast incident.2 We therefore would be concerned about recall bias introduced 3 to 4 months after a return from deployment.

In addition, unlike perforation of the tympanic membrane, a transient neurologic event (e.g., a "split-second" loss of consciousness) after a blast incident . . . [Full Text of this Article]




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