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Brain, Vol. 111, No. 1, 169-184, 1988
© 1988 Oxford University Press

research-article

INTELLECTUAL FUNCTION FOLLOWING PENETRATING HEAD INJURY IN VIETNAM VETERANS

JORDAN GRAFMAN1,2,, BRUCE S. JONAS1,2, ALEX MARTIN1,2, ANDRES M. SALAZAR1,2, HERBERT WEINGARTNER3, CHRISTY LUDLOW4, MICHAEL A. SMUTOK1 and STEPHEN C. VANCE1

1Vietnam Head Injury Study, Walter Reed Army Medical Center Washington, DC 2Uniformed Services University of the Health Sciences Bethesda, MD 3George Washington University Washington, DC 4Medical Neurology Branch, NINCDS, National Institutes of Health Bethesda, MD, USA

Correspondence to: Dr Jordan Grafman, Medical Neurology Branch. NINCDS. Room 5C-416, Building 10, Bethesda, MD 20892, USA.

The extent to which intellectual processes are preserved as a function of preinjury ‘intelligence’ and of size and location of the brain lesions was evaluated in Vietnam war veterans who survived penetrating missile wounds. With regard to an overall postinjury intelligence test score, preinjury intelligence was most predictive, size of lesion was next most predictive and lesion location was least important. For subtest scores from the same intelligence test, lesion location assumed much greater predictive value. Specifically, left temporal and occipital lesions impaired performance on subtests assessing vocabulary and object-function matching ability.

Received April 17, 1986. Revised May 14, 1987. Accepted June 5, 1987.


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