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Table 1 Demographic, clinical and neuropathological signatures of subjects included in this study

From: The problem of axonal injury in the brains of veterans with histories of blast exposure

Case

Age/Gender

Cause of death

Combat history

Blast/TBI history

Opiate overdose history

Anoxic-Ischemic brain changes

1

38M

Multi-organ failure

Yes

Blast 2 mo PTD1

No

Purkinje Cell Degeneration

2

23M

GSW of head

Yes

Blast 11 mo PTD2

No

None

3

26M

Methadone overdose

Yes

Blast 1 yr PTD

Yes

Purkinje Cell Degeneration

Concussion due to Assault 2 mo PTD3

4

28M

Methadone overdose

Yes

Blast 4 yrs PTD4

Yes

CA1 Cell Degeneration

Purkinje Cell Degeneration

5

25M

Alcohol and Opiate overdose

Yes

Blast PTD unknown

Yes

Purkinje Cell Degeneration

6

20M

Methadone overdose

No

No5

Yes

None

7

24M

Opiate overdose

No

No

Yes

CA1 Cell Degeneration

Acute brain swelling

Purkinje Cell Degeneration

8

48F

Methadone overdose Acute hypoxic-ischemic encephalopathy

<24 h duration

No

No

Yes

CA1 Necrosis

Purkinje Cell Necrosis

Cortical Necrosis

Basal Ganglia Infarct

9

38F

Methadone and cocaine overdose Cerebral edema Early hypoxic-ischemic encephalopathy 12 h duration

No

No

Yes

CA1 Necrosis Neocortical and Entorhinal Necrosis

10

32F

Opiate overdose Cerebral edema

Hypoxic-ischemic encephalopathy 48 h duration

No

No

Yes

CA1 Necrosis Neocortical Necrosis

11

18F

Opiate and antidepressant overdose

No

No

Yes

N/A

12

22F

Acute hypoxic-ischemic encephalopathy 27 d duration

No

No

No

CA1 Necrosis Purkinje and Deep Nuclei Cell Necrosis Cortical Necrosis Basal Ganglia Cell Necrosis

13

26M

Cardiac arrhythmia

No

No6

No

CA1 Cell Degeneration

Acute hypoxic-ischemic encephalopathy

Purkinje Cell Degeneration

14

19M

Hypoxic-ischemic encephalopathy

Yes

Blast 19 d PTD7

No

CA1 Degeneration

Purkinje Cell Degeneration

Cortical cell death

Basal ganglia cell death

15

16F

Hypoxic-ischemic encephalopathy

(general anesthesia)

No

No

No

CA1 Necrosis

Purkinje Cell Necrosis

Neocortical Necrosis

Basal ganglia Necrosis

16

45F

Hypoxic-ischemic encephalopathy

Pneumonia Cardiac arrhythmia <24 h duration

No

No

No

CA1 Necrosis

Purkinje Cell Necrosis

Neocortical Necrosis

17

39M

Hypoxic-ischemic encephalopathy Asphyxia 4 d duration

No

No

No

CA1 Necrosis

Purkinje Cell Necrosis

Neocortical Necrosis

Basal ganglia Necrosis

18

22M

Extensive traumatic brain injury

No

TBI due to MVA 12 d PTD8

No

Purkinje Cell Degeneration

Brain hemorrhage

19

21M

Intra cerebral hemorrhage

No

TBI due to Fall 4 d PTD9

No

CA1 Cell Degeneration

Brain herniation

Purkinje Cell Degeneration

20

18M

Extensive TBI

No

TBI due to MVA 2 d PTD

No

N/A

21

42M

Extensive TBI

No

MVC 6 d PTD

No

N/A

22

51M

Extensive TBI

No

MVC 3 h PTD

No

N/A

23

21M

Sudden death Heavy lungs Negative toxicology

No

No

No

None

24

28M

Sudden death

No

No

No

None

Normal autopsy

Negative toxicology

25

21M

Sudden death

No

No

No

CA1 Cell Degeneration

Stenosis of the coronary ostia

Purkinje Cell Degeneration

26

26F

Sudden death

No

No

No

CA1 and Cortical Cell Degeneration

Mitral valve prolapse

Purkinje Cell Degeneration

27

70F

Sudden death

No

No

No

CA1 Cell Degeneration

Cardiac arrhythmia

Purkinje Cell Degeneration

28

26M

Heart attack

No

No

No

None

29

48F

Heart attack

No

No

No

None

  1. 1IED; Other clinical problems: Burns 45% TBA; Blast lung; Lung inhalational injuries; Secondary bacterial and fungal infections, 2Multiple IED; Other clinical problems: PTSD, 3(IED) with noncontusional ejection 10 ft past explosion Other clinical problems: PTSD; Cognitive disorder secondary to TBI; Alcohol abuse, 4Other clinical problems: Postconcussive syndrome; PTSD; Depression; Adjustment disorder, 5Other clinical problems: Adjustment disorder with depression and anxiety; Migraine headaches, 6Other clinical problems: Multiple substance abuses, including inhalants and alcohol, 7IED; Other clinical problems: Chest injury; Ruptured spleen; Cardiac arrest, 8Related clinical findings: Multiple skull fractures; right frontal and temporal lobe contusions, 9Related clinical findings: Skull fracture; Left frontal/temporal contusions; subdural hematoma, PTD: Prior to death, CA1: Cornu ammonis 1 area in hippocampus, GSW: Gunshot wound, IED: Improvised explosive device, PTSD: Post-traumatic stress disorder, TBI: Traumatic brain injury, MVA: Motor vehicle accident, TBA: Total body area.