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We present the case of a soldier evacuated from Iraq because of traumatic stress symptoms with accompanying somatic syndromes. The symptoms occurred after explosion of a rocket that exploded approximately 40 meters away from him. Immediately after evacuation back to Poland, upon admission to the Clinic of Psychiatry and Combat Stress in Warsaw, he reported continuous internal anxiety, as well as many somatic symptoms. Psychological examination showed symptoms suggesting developing Posttraumatic Stress Disorder (PTSD) without any other irregularities including disorders connected with micro-damage of the central nervous system. During a prolonged stay in the clinic, despite medication and applied psychotherapy, the PTSD symptoms remained. With further observation it was found out that the patient suffers from a hearing disorder dissimulated by him by means of lip reading. The examination showed a significant double hearing loss, as well as a deformed nasal septum, and a longitudinal hypodensic area of a scar, located at the base of the left frontal lobe. The case presented shows that there may be comorbidity of PTSD symptoms and mild organic brain damage (mTBI), and disorders of some of the receptors (in this case, hearing).
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