Epilepsy in Soldiers With Brain Injuries

With the War in Iraq technically over, many veterans are returning home. 

The American Academy of Neurology reports Soldiers With Brain Injuries are at Higher Risk Of Epilepsy Years after Returning Home. 

The new research is published in the July 20, 2010, print issue of Neurology®, the medical journal of the American Academy of Neurology, entitled correlates of posttraumatic epilepsy 35 years following combat brain injury (cme). - Raymont, V., Salazar, A.M., Lipsky, R., Goldman, D., Tasick, G., Grafman, J.. Pages: 224-229.

This is certainly consistent with what I have posted about previously including previous studies and articles.  We have known for years that traumatic brain injury increases the chance of developing epilepsy.

Epilepsy is a general term for conditions with recurring seizures. There are many kinds of seizures, but all involve abnormal electrical activity in the brain that causes an involuntary change in body movement or function, sensation, awareness, or behavior.  Epilepsy can be caused by many different conditions that affect a person’s brain. Examples of these conditions include stroke, head trauma, complications during childbirth, infections (such as meningitis, encephalitis, cysticercosis, or brain abscess), and certain genetic disorders. Often, no definite cause can be found.

Epilepsy affects an estimated 2.5 million people in the United States and each year accounts for $15.5 billion in direct costs (medical) and indirect costs (lost or reduced earnings and productivity). More than one-third of people with epilepsy continue to have seizures despite treatment.

Each year, about 200,000 new cases of epilepsy are diagnosed in the United States. Children younger than age 2 years and adults older than age 65 are most likely to be affected. In addition, people of low socioeconomic status, those who live in urban areas, and members of some minority populations are at increased risk for epilepsy.
 

 

Bush on Veterans Injury

President Bush paid an emotional visit Thursday to soldiers maimed or badly burned in combat and said his administration is determined to mend the nation's system of caring for veterans.

It seems a good move politically since the attention on the care of military personnel is so ripe.

Medical advances provide troops with treatment unimaginable just a decade ago, but the system for managing that care has lagged, Bush said.

"Our system needs to be modernized," the president said after touring a new $45 million, privately funded rehabilitation center for veterans at Brooke Army Medical Center.

To read the full article click here.

United Kingdom follows United States

The British government is conducting a survey of its soldiers to determine if those exposed to powerful explosions in Iraq and Afghanistan have suffered mild traumatic brain injuries, the Ministry of Defense said Saturday.

The ministry said it has begun distributing questionnaires to British troops in both countries as part of a self-assessment program to see if they have symptoms such as memory loss, depression and anxiety.

The Guardian newspaper, which first reported the survey, said it followed concerns within the U.S. Army that up to 20 percent of its returning soldiers and Marines were suffering from these conditions.

To read the full article click here.

Bush Nominates New Veterans Secretary

President Bush said that retired Army Lt. Gen. James Peake, chosen on Tuesday to head the embattled Veterans Affairs Department, will work to end months-long delays facing hundreds of thousands of U.S. troops trying to get treatment and benefits.

Peake, 63, a medical doctor who has spent 40 years in military medicine, retired from the Army in 2004 after being at the helm in several medical posts, including four years as the U.S. Army surgeon general.

Senate Majority Leader Harry Reid and other Democrats sent Bush a letter on Monday, complaining about delays.

Bush set up a presidential commission chaired by former Sen. Bob Dole, R-Kan., and Donna Shalala, former Health and Human Services secretary during the Clinton administration.

The panel urged broad changes to veterans' care that would boost benefits to family members caring for the wounded, establish an easy-to-use Web site for medical records and overhaul the way disability pay is awarded. It also recommended stronger partnerships between the Pentagon and the private sector to boost treatment for traumatic brain injury and post-traumatic stress disorder.

Anthony Principi, a former veterans affairs secretary, said Peake should not be expected to oversee reforms of an outdated veterans benefits system all by himself. "Clearly, it does need to be reformed," Principi told White House reporters after Bush announced his pick. "It's going to take a lot of consensus building among the veterans groups and the Congress."

Peake currently is chief medical director and chief operating officer of QTC Management Inc., which provides government-outsourced occupational health, injury and disability examination services.

He is the son of a medical services officer and an Army nurse and he graduated in 1966 from the U.S. Military Academy at West Point. He served in Vietnam as a platoon leader with the 101st Airborne Division and was awarded the Silver Star and two Purple Hearts.

Peake was wounded twice in battle and received his acceptance letter to Cornell University Medical College while he was recovering in a hospital. As a medical officer and combat veteran who was wounded in action, Peake understands the view from "both sides of the hospital bed — the doctor's and the patient's," Bush said.

During his decades-long career in military medicine, Peake was surgeon general of the U.S. Army, commanding 50,000 medical personnel and 187 army medical facilities across the world. He also was commanding general of the U.S. Army Medical Department Center and School.

From 2004 to 2006, Peake was executive vice president and chief operating officer of Project HOPE, a nonprofit international health foundation. While at HOPE, he helped organize civilian volunteers aboard the Navy hospital ship Mercy as it responded to the tsunami in Indonesia and aboard the hospital ship Comfort during its response to Hurricane Katrina.