TABLE 6.1 Penetrating Head Injury and Neurocognitive Outcomes


Study Design


Type of TBI: Mild, Moderate, Severe; Blunt, Penetrating, Blast

Health Outcomes or Outcome Measures



Comments or Limitations

Teuber and Weinstein, 1954


35 men with brain injury selected from 185 with missile wounds of head, 12 controls with peripheral nerve injury wounds of head controls chosen from 101 with missile wounds of peripheral nerves

Penetrating missile injuries of head or peripheral nerves

Form Board Test

Brain-injured subjects took more time, made more errors, recalled fewer forms than controls


Subjects, controls sustained injuries 5–8 years before testing


Subjects grouped on basis of location of lesions

Weinstein and Teuber, 1957b


62 men with loss of cerebral tissue due to penetrating head trauma, 50 controls with peripheral nerve injury

Penetrating head trauma or peripheral nerve trauma

AGCT administered 13–15 years before injury (on induction into Army)

Controls had mean increase of 13.0 AGCT points from preinjury to postinjury testing

Eliminated men with aphasic difficulties that prevented them from reading practice-test questions

Preinjury AGCT score available for 53 subjects

Preinjury educational level determined by interview and from case records


Brain-injured group, excluding aphasics, had average increase of 5.2 points; total brain-injured group had increase of 1.6 points

AGCT administered again 10–12 years after injury

Education before injury did not influence extent to which performance on intelligence test was affected after injury

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