According to the National Institute of Neurological Disorders and Stroke (NINDS), common TBI disabilities include difficulties with cognition — affecting memory and reasoning; communication through expression and understanding; sensory processing, affecting the five senses in various combinations and ways; behavior and mental health problems ranging from personality changes to increased aggression to social inappropriateness; and TBI can also cause an individual to become unresponsive and even fall into a coma.
TBI can range from mild to severe but some victims often don't ever recover from the serious side effects associated with TBI. Luckily, with advances in technology a breadth of emerging alternative treatments and research methods are being developed to help lessen and even cure the ill effects of a severe brain injury.
A Tidal Wave of Brain Injury Treatment Research
The U.S. National Institute of Health currently monitors and recruits over 150 clinical trials for TBI victims ranging from preventing epilepsy in a victim after TBI to continued research for Vietnam head injuries to TBI-related hormone deficiency treatments of adults.
Testing For TBI Injuries Gets a One-Up
One of the most recent TBI research studies was completed by senior author and neurology professor at UT Southwestern in Dallas, Ramon Diaz-Arrastia, M.D., Ph.D. A new method of magnetic resonance imaging (MRI) analyzation has been discovered by Diaz-Arrastia, with help and contribution from other scientists. Diffuse axonal injury (DAI) is a condition that is often forgotten, but it is addressed in this study.
Axons are a type of nerve cell often affected by DAI. An automobile accident or similar TBI accident can be the cause of the injury, which occurs when head movement is disrupted unexpectedly. DAI often goes undetected even with the most advanced computerized tomography scans or MRIs. Scientists use a technique in this method deriving from a mathematical analysis known as diffusion tensor tractography where water, which has been released by damaged axons, is monitored to determine healthy axons, which absorb water, compared to dead axons, which release water when they die.
Real-time brain activity scans have been developed to accurately assess a TBI patient. The scan is known as magnetoencephalography (MEG) and allows victims who suffer from TBI-induced epilepsy to find reprieve through more accurate diagnosis and monitoring.
According to Anto Bagic, M.D., a neurologist at the Center for Advanced Brain Magnetic Source Imaging at UPMC in Pittsburgh, who was recently quoted in news reports, the imaging scan allows for thousands of magnetic field samples of brain activity to be recorded every second, which is unlike any other scan. Additionally, when using a combination of the MEG scan with magnetic resonance imaging (MRI), it will enable neurosurgeons to have a detailed map of the brain allowing them to remove damaged tissues and keep healthy tissue intact.
Cognitive Developmental Methods
One of the most researched and augmented methods of treatment for TBI deals with cognitive repair and it's controversy is often discussed among the science and medical community. Many argue that permanent injuries cannot be changed, however, as researchers are learning, it is becoming more noted that the winning side of this argument sees that once thought as a permanent injury can actually be reversed. A recent study completed by the Laboratoire de Neurobiologie des Processus Adaptatifs found exactly this when TBI victims that suffered from brain damage are likely to have the ability to restore cerebral function.
Scientists found that by development of a small amount of new and specifically targeted innervations proves successful in restoring cerebral functions. Reinnervation is when nerve function restoration occurs, often through nerve grafting. The scientists found that with behavioral tests, there was a high success rate of new cell axons "interacting with the network of undamaged neuronal cells to restore their associated functions, such as synchronized movement and spatial orientation," according to a Science Daily news report. Previously, researchers were using a large amount of non-specific connections when attempting reinnervation.
Uncovering Controversial Drug Treatments
There are a multitude of medications available on the market that allegedly treat of a TBI injury, however, as dangerous medications slip onto shelves and under the radar of the U.S. Food and Drug Administration (FDA) it is important to research and understand any and all medications prescribed after a TBI accident.
An example of semi-controversial drug treatments comes from a recent research team at the Hangzhou Normal University. Researchers there concluded a study that uncovered a common component found in progesterone, which is a contraceptive pill, "may actually improve the neurological outcome for patients with severe head injuries." The team, supervised by Weiqi Yan, a professor, that the female hormone may be a safe and effective treatment, although the test could not expand on the neuroprotective effects. However, the results did conclude that progesterone was adequate in treating individuals with a TBI for up to six months.
Likewise, a rather interestingly and debatable study by a group of physicians reported on the link of alcohol blood content levels among TBI patients who survived. The physicians recently discovered that patients who had a low- to moderate-level of alcohol in their bloodstreams after arriving at the hospital because of a TBI-related accident were less likely to die or become worse because of the alcohol, which physicians believe to act as a neuroprotective. Neuroprotection occurs after a brain-related injury and happens when a mechanism in the nervous system protects cells and neurons within the brain from degeneration.
However, individuals with a significantly high amount of blood alcohol in their system were more likely at risk for death. But the study suggested an interesting method that may be explored where administering small doses of alcohol into patients of TBI upon arrival may improve their outcome. Research on this subject will still need to be done before a conclusive outcome can be stated on this very controversial study.
Protecting and Healing TBI Victims
Because TBI is so prevalent in the United States it is important to understand that there is are vast plentitude of causes of brain injury as well as types of brain injuries, symptoms and treatments. The best way to protect an individual suffering from TBI is to consult a medical professional immediately. Once a victim has been diagnosed, it will be apparent that medical bills can quickly calculate to large sums of money, which is why speaking with an experienced traumatic brain injury law firm is also just as important to protect and heal a brain injury victim.
Each year the number of U.S. veterans increases as soldiers returning from America's most recent wars come home. However, as the survivors are welcomed home after pursuing a dutiful career serving their country, a new generation of men and women suffering from mild- to severe-traumatic brain injuries (TBI) are greeted with battled medical budgets and flawed TBI technologies, which don't provide the necessary services and treatments required to improve their newly developed disabilities.
With an average of 1.4 million Americans undergoing some form of TBI, the number of scientists and researchers striving to cure these individuals should be ever increasing, however, dwindling budgets continue to compress and squeeze war-related brain injury funding. In 2006, the U.S. House and Senate slashed the allocated funding for the Defense and Veterans Brain Injury Center (DVBIC) in half from the previous year.
Traumatic brain injury has been deemed the "signature" injury of the Iraq war, according to military doctors and experts. It is imperative for struggling soldiers to find assistance with their TBI-related disability.
What is TBI?
Traumatic brain injury is defined as an injury that occurs after an abrupt trauma causes damage to the brain, according to the National Institute of Neurological Disorders and Stroke (NINDS). War-related TBI can occur in many ways and individuals suffering from this and related side effects will find symptoms vary on a case-by-case diagnosis.
Researchers and scientists are, however, finding several repetitive conditions and symptoms among TBI victims. The common signs and symptoms of these war-related conditions are as followed, according to a studies published in the medical journals of Neuropsychology and Brain Injury:
* cognitive issues *decreased attention span, including focused, selective and sustained attention problems *language difficulties
* lack of motivation *inability to efficiently process information
* irritability *depression and anxiety
* increased fatigue *headaches *memory loss or disturbance
* behavioral issues
* disrupted sleep
* post traumatic stress disorder
In May 2006, the co-founder of the DVBIC testified to a Senate subcommittee that while "body armor may save troops caught in blasts it leaves many with brain damage," according to a USA Today news report. Additionally, the article cited several disturbing statistics on the state of TBI and war veterans.
* 10 percent of all troops in Iraq suffer from concussions during combat. * 20 percent of all frontline infantry troops suffer from concussions during combat.
*Scientists believe the Pentagon must screen all troops returning from Iraq.
*The Pentagon has declined screenings for all returning troops and only screen a small population of soldiers.
*If left untreated or untested, multiple head injuries and concussions can cause permanent brain injury.
Also, several equally disturbing statistics have been reported from several specialized journals including Brain Injury, Internal Medicine, Soldiers Magazine, MIT's Technology Review and Perspectives in Psychiatric Care. These statistics area as follow:
*Nearly 25 percent of all military veterans of the Iraq war are diagnosed with a mental illness.
* War-related TBI patients often manifest distinct personality changes.
* Of the 35,000 soldiers screened for TBI, approximately 11 percent have had symptoms of mild TBI.
* No treatments currently exist to cure long-lasting symptoms of TBI.
Flawed Brain Injury Technology
Unfortunately, as budgets are cut, the quality of care and technology also decreases. Most recently the Government Accountability Office (GAO) reviewed nine Veterans Affairs (VA) medical centers and found that the TBI-screening test's validity and reliability may be flawed.
Additionally, the report found that soldiers with TBI may be receiving inadequate or unnecessary care for their brain injuries, according to an Associated Press article from January 2008. The report found that:
* Although the VA has implemented TBI screening tools, the validity and reliability of the tool has not yet been established.
* The VA has implemented a protocol to ensure soldiers testing positive for TBI are adequately treated; however, many of the VA's medical facilities either did not follow the protocol or had difficulty doing so.
* Culturally, the VA has found that Iraq veterans feel the VA and its facilities cater to elderly veterans and do not want to treat young veterans.
* The VA is struggling with poor rural access to medical centers as well as poor turnout rates for injured vets who in some cases must drive 100 miles plus to reach a nearby VA hospital.
Living With TBI
Veterans who are currently living with TBI will find that not only does TBI affect them, but the ripple effect among an injured veteran's family and friends is quite extensive. There are an array of clinical trials that a TBI victim can become involved in to improve the living conditions as well as to treat the symptoms of TBI. Some of these clinical trials can be found through the following organizations Web sites:
* National Institute of Neurological Disorders and Stroke - Brain Resources and Information Network (BRAIN)
* Acoustic Neuroma Association Brain Trauma Foundation
* Brain Injury Association of America Family Caregiver Alliance/National Center on Caregiving National Rehabilitation Information Center (NARIC)
* National Stroke Association
* National Institute on Disability and Rehabilitation Research (NIDRR)
Finding Brain Injury Assistance
There are several organizations available to offer assistance specifically to those with war-related ailments. The following are several of the leading organizations/hospitals:
* Walter Reed Army Medical Center Defense and Veterans Brain Injury Center
* Defense Center of Excellence for Psychological Health and Traumatic Brain Injury
* National Intrepid Center of Excellence Deployment Health Clinical Center
*Center for Study of Traumatic Stress Center for Deployment Psychology
* The Department of Defense (DoD) also offers a search component through their Web site to assist veterans in finding a veteran hospital in their geographic area.
Additionally, individuals enduring the pain of a war-related brain injury are encouraged to locate an experienced traumatic brain injury lawyer who can provide assistance with developing a brain injury lawsuit. Because of the nature of these injuries, there should be no reason why monetary compensation is not rewarded to an injured party.
TBI medical bills can be extremely expensive, and this potential for awarded compensation can provide relief from the stress associated with medical expenses.
Both Peter Kent & Katie Kelley are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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