Longitudinal changes in brain volumetry and cognitive functions after moderate and severe diffuse axonal injury

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art_FELTRIN_Longitudinal_changes_in_brain_volumetry_and_cognitive_functions_2018.PDF (1.57 MB)
Citações na Scopus
19
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Editora
TAYLOR & FRANCIS LTD
Autores
SAKUNO, Daniel
DALAQUA, Mariana
MAGALHAES, Luiz Gustavo Antunes
Citação
BRAIN INJURY, v.32, n.11, p.1413-1422, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background and objective: Diffuse axonal injury (DAI) induces a long-term process of brain atrophy and cognitive deficits. The goal of this study was to determine whether there are correlations between brain volume loss, microhaemorrhage load (MHL) and neuropsychological performance during the first year after DAI. Methods: Twenty-four patients with moderate or severe DAI were evaluated at 2, 6 and 12 months post-injury. MHL was evaluated at 3months, and brain volumetry was evaluated at 3, 6 and 12 months. The trail making test (TMT) was used to evaluate executive function (EF), and the Hopkins verbal learning test (HVLT) was used to evaluate episodic verbal memory (EVM) at 6 and 12 months. Results: There were significant white matter volume (WMV), subcortical grey matter volume and total brain volume (TBV) reductions during the study period (p < 0.05). MHL was correlated only with WMV reduction. EF and EVM were not correlated with MHL but were, in part, correlated with WMV and TBV reductions. Conclusions: Our findings suggest that MHL may be a predictor of WMV reduction but cannot predict EF or EVM in DAI. Brain atrophy progresses over time, but patients showed better EF and EVM in some of the tests, which could be due to neuroplasticity.
Palavras-chave
volumetry, diffuse axonal injury, switching behavior, cognition, resonance, longitudinal
URI
https://observatorio.fm.usp.br/handle/OPI/29885
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MDR
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InRad
Artigos e Materiais de Revistas Científicas - LIM/26
Artigos e Materiais de Revistas Científicas - LIM/44