What Are the Challenges in Treatment Traumatic Brain Injuries (TBI)?

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Well a diagnosis is complicated by a few different things. So even people who have brain injuries might not realize that they have them. And also the diagnosis or the criteria are changing. Even within the VA itself where we see people who are returning from combat and returning from having experienced blasts and other types of traumatic brain injuries, the criteria that the VA used has changed a few times in the past couple of years.

First of all there has to be some type of events at the time that they had their brain injury system alteration and consciousness. What that means is that you're either startled, stunned, physically unconscious or something along those lines. But a lot of things can cause that. Sometimes if somebody is exposed to stress, they can be startled and stunned but it doesn't mean that a brain injury occurred that could be even something that is causing post traumatic stress disorders since a lot of things like that.

Some of the consequences that the brain injury have overlapped with other conditions as well so, if somebody has problems with their attention or with their executive functioning, their reasoning and their memory. That also can be caused by other things such as post traumatic stress disorders, so that's one of the things that especially in military veterans, we are always kind of forced to raffle with one is causing some of these symptoms, that's more or mild brain entry.

In the more matter the severe brain entry is a little bit more obvious just somebody's had a brain injury because there are a lot of different consequences and effect the entire body, and it's usually some major trauma so patient has other traumatic injuries in terms of fights or sports, sometimes the manifestation turns out clear If from the first injury but as people have repeated had injuries, then it becomes a little more clear that there are issues and sometimes the consequences can happen much later.

So, for example people can have significant injuries when they're in their 20s or 30s, but then they start to have earlier dementia's when they're much older. It's not that they necessarily have those issues right at the time of injury.