20,000 vets' brain injuries not listed in Pentagon tally

Gregg Zoroya
USA Today
Friday, November 23, 2007

At least 20,000 U.S. troops who were not classified as wounded during combat in Iraq and Afghanistan have been found with signs of brain injuries, according to military and veterans records compiled by USA TODAY.

The data, provided by the Army, Navy and Department of Veterans Affairs, show that about five times as many troops sustained brain trauma as the 4,471 officially listed by the Pentagon through Sept. 30. These cases also are not reflected in the Pentagon's official tally of wounded, which stands at 30,327.

The number of brain-injury cases were tabulated from records kept by the VA and four military bases that house units that have served multiple combat tours in Iraq and Afghanistan.

One base released its count of brain injuries at a medical conference. The others provided their records at the request of USA TODAY, in some cases only after a Freedom of Information Act filing was submitted.

• Landstuhl Army Regional Medical Center in Germany, where troops evacuated from Iraq and Afghanistan for injury, illness or wounds are brought before going home. Since May 2006, more than 2,300 soldiers screened positive for brain injury, hospital spokeswoman Marie Shaw says.

• Fort Hood, Texas, home of the 4th Infantry Division, which returned from a second Iraq combat tour late last year. At least 2,700 soldiers suffered a combat brain injury, Lt. Col. Steve Stover says.

• Fort Carson, Colo., where more than 2,100 soldiers screened were found to have suffered a brain injury, according to remarks by Army Col. Heidi Terrio before a brain injury association seminar.

• Marine Corps Base Camp Pendleton, where 1,737 Marines were found to have suffered a brain injury, according to Navy Cmdr. Martin Holland, a neurosurgeon with the Naval Medical Center San Diego.

• VA hospitals, where Iraq and Afghanistan veterans have been screened for combat brain injuries since April. The VA found about 20% of 61,285 surveyed — or 11,804 veterans — with signs of brain injury, spokeswoman Alison Aikele says. VA doctors say more evaluation is necessary before a true diagnosis of brain injury can be confirmed in all these cases, Aikele says.

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