Mild traumatic brain injury is seen in the USA as a signature, albeit silent, injury of the Gulf Wars. It is the result of concussion following a blow to the head and/or exposure to blast waves.
Most people recover from the effects of concussion, however, recovery can be complicated in veterans who have sustained repeated injury over their lifetime and also experienced post-traumatic disorder.
In the new study, veterans who fell into this category showed a greater level of general disability than 90% of the general international population.
One of the most common symptoms of mild traumatic brain injury is dizziness and imbalance. The results of the Kent study, which assessed 162 military veterans, show for the first time that dizziness may be one cause of the long-term depression, anxiety, headache and forgetfulness that can accompany repeated mild traumatic brain injury.
Study director Professor David Wilkinson, from the University’s School of Psychology, said ‘Balance function is not routinely assessed in military veterans, yet our results suggest that if doctors assess and treat the dizziness then other hard-to-treat psychological symptoms may also start to recover’.
Dr Walter Busuttil, Director of Medical Services at Combat Stress, said: ‘This study shows a very clear link between mild traumatic brain injury and dizziness, which can be a part of longstanding post-concussion syndrome.’
“We have no evidence that a history of actual or potential mild traumatic brain injury can interfere with psychological treatment outcomes for veterans with PTSD. However, we would welcome a further study to examine this.”
The results chime with recent evidence for a strong link between the repeated, albeit mild, head injury sustained in certain contact sports and mental deterioration in later life. Larger-scale study is now needed to better understand the scope and nature of unmet mental health need in military veterans with repeated mild traumatic brain injury and balance disorder.
The research entitled Neuropsychiatric Outcomes in UK military Veterans with Mild Traumatic Brain Injury and Vestibular Dysfunction (Emma Denby, David Wilkinson, University of Kent; Dominic Murphy, Walter Busuttil, Combat Stress; Mohamed Sakel, East Kent Hospitals University Trust) is published in the Journal of Head Trauma Rehabilitation.