The Elusive Nature of Mild Traumatic Brain Injury

Theauthor discloses a personal history of undiagnosed mild traumatic brain injury(MBTI) and identifies a typical course and progression of this condition. He advocatesa careful inquiry for possible head injury whenever the clinical history showsan original period of normal functioning, a progression of disturbance overtime, multiple diagnoses, and poor response to treatment with medication. Hediscusses the use of quantitative electroencephalography (QEEG) in assessingpossible mild traumatic brain injury, describes typical features ofquantitative electroencephalography in mild traumatic brain injury, andcautions about the frequency of false negatives. He provides two case historiesshowing the progression of disturbing cognitive, personality, and impulsecontrol problems following early head injuries.