Stroke and traumatic brain injury (ma'i ulu) in Amerika Samoa

This paper discusses the annual incidence of stroke and traumatic brain injury (TBI) in American Samoa. Findings are based on data collected from the medical records at LBJ Tropical Medical Center in Amerika Samoa from June 1, 1989 to May 31, 1990. A review of these medical records revealed that stroke and TBI were prevalent among the residents of Amerika Samoa during the time period sampled. Health and cultural factors which contribute to the occurrence of stroke and TBI in Amerika Samoa and recommendations for further investigation and prevention of stroke and TBI in that country are discussed.