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Previous Volume 360:1588-1591 April 16, 2009 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Researchers estimate that more than 300,000 U.S. veterans of the wars in Iraq and Afghanistan (20% of the 1.6 million) have sustained a mild traumatic brain injury (TBI), also known as concussion, with the majority going untreated.¹ In response, the Department of Defense and the Department of Veterans Affairs (VA) have implemented new postdeployment health initiatives, including screening, communication strategies, disability regulations, and specialty care services.

Unfortunately, the clinical definition of "concussion/mild TBI" adopted by the Department of Defense and the VA — a blow or jolt to the head resulting in brief alteration in consciousness, loss of consciousness (lasting . . . [Full Text of this Article]

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Dr. Hoge is the director of the Division of Psychiatry and Neuroscience and Mr. Goldberg is chief of risk communication and quality assurance in the Battlemind Training Office, at the Walter Reed Army Institute of Research, Silver Spring, MD. Dr. Castro is the director of the Military Operational Medicine Research Program, U.S. Army Medical Research and Materiel Command, Fort Detrick, MD.

Related Letters:

Care of War Veterans with Mild Traumatic Brain Injury
Sigford B., Cifu D. X., Vanderploeg R., Connors S., Gordon W. A., Hovda D. A., Eibner C., Schell T. L., Jaycox L. H., Hoge C. W., Goldberg H. M., Castro C. A.
Extract | Full Text | PDF  
N Engl J Med 2009; 361:536-538, Jul 30, 2009. Correspondence

This article has been cited by other articles:

• Sigford, B., Cifu, D. X., Vanderploeg, R., Connors, S., Gordon, W. A., Hovda, D. A., Eibner, C., Schell, T. L., Jaycox, L. H., Hoge, C. W., Goldberg, H. M., Castro, C. A. (2009). Care of War Veterans with Mild Traumatic Brain Injury. NEJM 361: 536-538 [Full Text]  
• Stein, M. B., McAllister, T. W. (2009). Exploring the Convergence of Posttraumatic Stress Disorder and Mild Traumatic Brain Injury. Am. J. Psychiatry 166: 768-776 [Abstract] [Full Text]  
• (2009). Soldiers with Mild TBI: A Conflict Within the Military?. JWatch Psychiatry 2009: 2-2 [Full Text]