How Two Veterans Developed The Same Rare Brain Condition
Jan 7, 2025
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In this insightful discussion, John Hamilton, NPR's brain correspondent, dives into the stories of veterans William Wilcox and Michael Lozano, who both developed arteriovenous malformation (AVM) after serving as tow gunners. They explore how powerful military weaponry may change gene expression, leading to neurological issues. The conversation highlights the devastating effects of AVM, the personal struggles of these veterans, and Lozano’s impactful work in equine therapy, illustrating the ongoing battle between service and health crises.
Veterans William Wilcox and Michael Lozano highlight the severe health risks of arteriovenous malformations linked to military service and exposure to powerful weaponry.
Recent research suggests that blast waves from military equipment may disrupt blood vessel integrity, potentially contributing to the development of AVMs in veterans.
Deep dives
Understanding Arteriovenous Malformations (AVMs)
Arteriovenous malformations (AVMs) are abnormal tangles of blood vessels that pose significant health risks, potentially leading to strokes or hemorrhages. Typically, blood flows through the arteries and capillaries before returning through the veins, but in the case of AVMs, high-pressure blood can bypass capillaries and flow directly into fragile veins. This condition was highlighted through the experiences of veterans who developed AVMs after years of military service. These individuals provide a compelling narrative of the physical and psychological toll of living with such a condition.
The Impact of Military Service on Brain Health
Military service, particularly exposure to powerful weaponry, can result in long-term health issues, including headaches and cognitive impairments consistent with brain injuries. Veterans William Wilcox and Michael Lozano shared their experiences with intense weapon systems that create devastating pressure waves during firing. Wilcox's headaches intensified after years of service and culminated in a brain hemorrhage due to an AVM, while Lozano's similar trajectory led to his diagnosis after persistent cognitive decline. Their stories illustrate the potential link between military duties and serious brain conditions, raising awareness about the hidden consequences of combat training.
Exploring the Connection Between Blast Waves and AVMs
Research suggests that the pressure waves generated by firing powerful weapons may be linked to the development of AVMs and other vascular changes in the brain. While the leading perspective attributes AVMs primarily to genetic factors, some experts argue that trauma from repeated exposure to blast waves can cause disruptions in blood vessel integrity. Studies indicate that even one blast can inflict lasting damage, and this damage can accumulate over time, leading to conditions resembling AVMs. This emerging evidence calls for further investigation into how military service impacts vascular health and long-term brain injury.
Some weapons used by the U.S. military are so powerful they can pose a threat to the people who fire them. Today, we meet two Marines, William Wilcox and Michael Lozano, who spent years firing missiles and rockets, then developed the same rare brain condition: arteriovenous malformation, or AVM. The condition sends high pressure blood from a tangle of abnormal blood vessels directly into fragile veins, which can leak or burst. Most AVMs are caused by genetic changes that affect the growth of blood vessels, so the connection between weapon blasts and AVM isn't always immediately clear. But NPR's brain correspondent Jon Hamilton reports that recent research suggests that blast waves can alter genes in the brain — and that the evidence is even stronger for less extreme blood vessel changes.
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