h. History of head injury (854.0) if associated with:
(1) Post-traumatic seizure(s) occurring more than 30 minutes after injury.
(2) Persistent motor, sensory, vestibular, visual, or any other focal neurological deficit.
(3) Persistent impairment of cognitive function.
(4) Persistent alteration of personality or behavior.
(5) Unconsciousness of 24 hours or more post-injury
(6) Amnesia or disorientation of person, place, or time of 7 days duration or longer postinjury.
(7) Cerebral traumatic findings, including but not limited to epidural, subdural,
subarachnoid, or intracerebral hematoma on neurological imaging until resolved and 12 months
has elapsed since injury.
(8) Associated abscess (326) or meningitis (958.8).
(9) Cerebrospinal fluid rhinorrhea (349.81) or otorrhea (388.61) persisting more than 7
days.
(10) Penetrating brain injury to include radiographic evidence of retained foreign body
or bony fragments secondary to the trauma and/or operative procedure in the brain.
i. History of moderate head injury (854.03).
(1) Moderate head injuries are defined as:
(a) Unconsciousness of more than 30 minutes but less than 24 hours, or
Change 1, 09/13/2011 44 ENCLOSURE 4 DoDI 6130.03, April 28, 2010
(b) Amnesia, or disorientation of person, place, or time, alone or in combination,
more than 24 hours but less than 7 days duration post-injury, or
(c) Linear skull fracture.
(2) After 12 months post-injury, applicants may be qualified if neurological examination
shows no residual dysfunction or complications.
j. History of mild head injury (854.02).
(1) Mild head injury is defined as:
(a) Unconsciousness of less than 30 minutes post-injury.
(b) Amnesia or disorientation of person, place, or time, alone or in combination, of
less than 24 hours post-injury.
(2) After 1 month post-injury, applicants may be qualified if neurological examination
shows no residual dysfunction or complications.
k. History of persistent post-concussive symptoms (310.2) that interfere with normal
activities or have duration of more than 1 month. Such symptoms include but are not limited to
headache, vomiting, disorientation, spatial disequilibrium, impaired memory, poor mental
concentration, shortened attention span, dizziness, or altered sleep patterns.