scholarly journals White matter changes following experimental pediatric traumatic brain injury: an advanced diffusion-weighted imaging investigation

Author(s):  
Akram Zamani ◽  
Terence J. O’Brien ◽  
Jeff Kershaw ◽  
Leigh A. Johnston ◽  
Bridgette D. Semple ◽  
...  
2008 ◽  
Vol 25 (10) ◽  
pp. 1153-1162 ◽  
Author(s):  
Nicholas R. Galloway ◽  
Karen A. Tong ◽  
Stephen Ashwal ◽  
Udochukwu Oyoyo ◽  
André Obenaus

Author(s):  
CA Elliott ◽  
V Mehta ◽  
V Ramaswamy

Background: Inflicted head injury is a major cause of infant morbidity and mortality. The extent of traumatic brain injury in infants is often best characterized by diffusion weighted magnetic resonance imaging. In this cases series we describe four infants aged 6-19 months, with small unilateral subdural hematomas secondary to abusive head trauma accompanied by extensive areas of restricted diffusion weighted imaging isolated to the cerebral white matter. Methods: Retrospective, single-centre case series of four children with small unilateral subdural hematomas with early and delayed MR imaging with diffusion weighted imaging. Results: In three cases there was acute diffusion restriction ispilateral to the subdural, while in one case diffusion restriction was present bilaterally. All patients had multiple seizures and bilateral multilayered retinal hemorrhages. After non-surgical treatment, all patients survived albeit with significant motor and cognitive deficits and significant cortical atrophy on long-term followup imaging. Conclusions: These four cases highlight that relatively small subdural hematomas following child abuse can manifest with extensive white matter injury only evident at early stages with diffusion weighted imaging. We propose that selective white matter injury as a result of either reperfusion or axonal degeneration in response to the initial insult accounts for this novel pattern of infantile traumatic brain injury.


2021 ◽  
Vol 38 (1) ◽  
pp. 122-132
Author(s):  
Jesse T. Fischer ◽  
Paul T. Cirino ◽  
Dana DeMaster ◽  
Candice Alfano ◽  
Johanna Bick ◽  
...  

2020 ◽  
Vol 37 (16) ◽  
pp. 1818-1828
Author(s):  
Lisa M. Gazdzinski ◽  
Miranda Mellerup ◽  
Tong Wang ◽  
Seyed Amir Ali Adel ◽  
Jason P. Lerch ◽  
...  

2013 ◽  
Vol 35 (1) ◽  
pp. 23-29 ◽  
Author(s):  
J. Dinkel ◽  
A. Drier ◽  
O. Khalilzadeh ◽  
V. Perlbarg ◽  
V. Czernecki ◽  
...  

2022 ◽  
Vol 11 (2) ◽  
pp. 358
Author(s):  
Francesco Latini ◽  
Markus Fahlström ◽  
Fredrik Vedung ◽  
Staffan Stensson ◽  
Elna-Marie Larsson ◽  
...  

Traumatic brain injury (TBI) or repeated sport-related concussions (rSRC) may lead to long-term memory impairment. Diffusion tensor imaging (DTI) is helpful to reveal global white matter damage but may underestimate focal abnormalities. We investigated the distribution of post-injury regional white matter changes after TBI and rSRC. Six patients with moderate/severe TBI, and 12 athletes with rSRC were included ≥6 months post-injury, and 10 (age-matched) healthy controls (HC) were analyzed. The Repeatable Battery for the Assessment of Neuropsychological Status was performed at the time of DTI. Major white matter pathways were tracked using q-space diffeomorphic reconstruction and analyzed for global and regional changes with a controlled false discovery rate. TBI patients displayed multiple classic white matter injuries compared with HC (p < 0.01). At the regional white matter analysis, the left frontal aslant tract, anterior thalamic radiation, and the genu of the corpus callosum displayed focal changes in both groups compared with HC but with different trends. Both TBI and rSRC displayed worse memory performance compared with HC (p < 0.05). While global analysis of DTI-based parameters did not reveal common abnormalities in TBI and rSRC, abnormalities to the fronto-thalamic network were observed in both groups using regional analysis of the white matter pathways. These results may be valuable to tailor individualized rehabilitative approaches for post-injury cognitive impairment in both TBI and rSRC patients.


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