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Diffusion Tensor Imaging Findings Are Not Strongly Associated With Post-Concussional Disorder 2 Months Following Mild Traumatic Brain Injury.

CNS - Center for Neurological Studies > Support for DTI to Diagnose mTBI > Diffusion Tensor Imaging Findings Are Not Strongly Associated With Post-Concussional Disorder 2 Months Following Mild Traumatic Brain Injury.

J Head Trauma Rehabil. 2012 May-Jun;27(3):188-98.

 

Diffusion tensor imaging findings are not strongly associated with post-concussional disorder 2 months following mild traumatic brain injury.

 

Lange RT, Iverson GL, Brubacher JR, Mädler B, Heran MK.

 

Defense and Veterans Brain Injury Center, Walter Reed Army Medical Center, Washington, DC 20307, USA. rlange@dvbic.org

 

 

OBJECTIVE: To examine the relation between diffusion tensor imaging (DTI) of the corpus callosum and post-concussion symptom reporting following mild traumatic brain injury (MTBI).

 

PARTICIPANTS: Sixty patients with MTBI and 34 patients with orthopedic/soft-tissue injuries (Trauma Controls) prospectively enrolled from consecutive admissions to a level 1 trauma center.

 

PROCEDURE: Diffusion tensor imaging of the corpus callosum was undertaken using a Phillips 3T scanner at 6 to 8 weeks post-injury. Participants also completed a post-concussion symptom checklist. The MTBI group was divided into 2 subgroups based on the International Classification of Diseases, Tenth Revision symptom criteria for post-concussion disorder (PCD): PCD Present (n = 21), PCD Absent (n = 39).

 

MAIN OUTCOME MEASURES: Measures of fractional anisotropy and mean diffusivity or the genu, body, and splenium of the corpus callosum. Participants also completed the British Columbia Post-Concussion Symptom Inventory.

 

RESULTS: The MTBI group reported more post-concussion symptoms than the trauma controls. There were no significant differences between MTBI and trauma control groups on all DTI measures. In the MTBI sample, there were no significant differences on all DTI measures between those who did and did not meet the International Classification of Diseases, Tenth Revision research criteria for post-concussion disorder.

 

CONCLUSIONS: These data do not support an association between white matter integrity in the corpus callosum and self-reported post-concussion syndrome 6 to 8 weeks post-MTBI.

 

PMID: 21642855  [PubMed – in process]

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