Abstract
Staff Sergeant H. is a 36-year-old, married, male, National Guard member who was referred for evaluation and treatment of pain. He reported that during his 12-month deployment to Iraq he was exposed to 5 large improvised explosive device (IED) blasts. Following the most significant blast, he experienced a 1 to 2 minute loss of consciousness with anterograde amnesia lasting about 24 hours. Several of his squad members were injured in this bombing and one was killed. He reported the onset of intense headaches with nausea, vomiting, dizziness, and balance problems. He had several minor soft-tissue injuries, including lacerations and hematomas from shrapnel and his blast-related fall. He received medical treatment in Iraq immediately following his injuries and he later attempted to return to duty. However, his headache and neurological symptoms persisted despite a normal initial CT scan of his brain and he was medically evacuated for further evaluation.
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