International Journal of Physical Medicine & Rehabilitation
Open Access

Robert J Spencer

Publications

• Case Report
  Iatrogenic Risk in the Management of Mild Traumatic Brain Injury among Combat Veterans: A Case Illustration and Commentary
  Author(s): Randy S Roth and Robert J SpencerRandy S Roth and Robert J Spencer
  
  The assessment of mild traumatic brain injury (mTBI) among combat veterans of the Iraq and Afghanistan wars is a major challenge. Recently, clinicians within the United States Veterans Administration Health System have expressed concern for potential iatrogenic disability related to outreach efforts to identify veterans with possible mTBI. We describe a veteran with a history of mTBI sustained during combat who underwent repeated examination for cognitive symptoms reportedly due to mTBI, and with variable descriptions of severe peri-trauma characteristics attributed to blast exposure over multiple assessments. Repeat neuropsychological (NP) testing indicated, in general, minimal cognitive impairment and probable invalid performance on testing (e.g., poor effort). The consensus conclusion of several NP examinations attributed his cognitive complaints to psychiatric dis.. View More»
  DOI: 10.4172/2329-9096.1000105

  Abstract PDF

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