{"id":11493,"date":"2013-03-20T10:31:43","date_gmt":"2013-03-20T14:31:43","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=11493"},"modified":"2013-03-22T11:29:40","modified_gmt":"2013-03-22T15:29:40","slug":"study-suggests-single-concussion-may-cause-lasting-brain-damage","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2013\/03\/study-suggests-single-concussion-may-cause-lasting-brain-damage\/","title":{"rendered":"Study suggests single concussion may cause lasting brain damage"},"content":{"rendered":"<p>From the Radiological Society of North America press release via ScienceDaily:<\/p>\n<blockquote><p><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/01\/football_players.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignright size-full wp-image-10256\" alt=\"football players\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/01\/football_players.jpg\" width=\"230\" height=\"292\" \/><\/a><strong>A single concussion may cause lasting structural damage to the brain<\/strong>, according to a new study published online in the journal <em>Radiology<\/em>.<\/p>\n<p>&#8220;<strong>This is the first study that shows brain areas undergo measureable volume loss after concussion<\/strong>,&#8221; said Yvonne W. Lui, M.D., Neuroradiology section chief and assistant professor of radiology at NYU Langone School of Medicine. &#8220;In some patients, there are structural changes to the brain after a single concussive episode.&#8221;<\/p>\n<p>According to the Centers for Disease Control and Prevention, each year in the U.S., <strong>1.7 million people sustain traumatic brain injuries, resulting from sudden trauma to the brain<\/strong>. Mild traumatic brain injury (MTBI), or concussion, accounts for at least 75 percent of all traumatic brain injuries.<\/p>\n<p>Following a concussion, some patients experience a brief loss of consciousness. <strong>Other symptoms include headache, dizziness, memory loss, attention deficit, depression and anxiety. Some of these conditions may persist for months or even years<\/strong>.<\/p>\n<p>Studies show that 10 to 20 percent of MTBI patients continue to experience neurological and psychological symptoms more than one year following trauma. <strong>Brain atrophy has long been known to occur after moderate and severe head trauma, but less is known about the lasting effects of a single concussion.<\/strong><\/p>\n<p>Dr. Lui and colleagues set out to investigate changes in global and regional brain volume in patients one year after MTBI. Twenty-eight MTBI patients (with 19 followed at one year) with post-traumatic symptoms after injury and 22 matched controls (with 12 followed at one year) were enrolled in the study. The researchers used three-dimensional magnetic resonance imaging (MRI) to determine regional gray matter and white matter volumes and correlated these findings with other clinical and cognitive measurements.<\/p>\n<p><strong>The researchers found that at one year after concussion, there was measurable global and regional brain atrophy in the MTBI patients<\/strong>. These findings show that brain atrophy is not exclusive to more severe brain injuries but can occur after a single concussion.<\/p>\n<p>&#8220;This study confirms what we have long suspected,&#8221; Dr. Lui said. &#8220;After MTBI, there is true structural injury to the brain, even though we don&#8217;t see much on routine clinical imaging. This means that patients who are symptomatic in the long-term after a concussion may have a biologic underpinning of their symptoms.&#8221;<\/p>\n<p>Certain brain regions showed a significant decrease in regional volume in patients with MTBI over the first year after injury, compared to controls. These volume changes correlated with cognitive changes in memory, attention and anxiety.<\/p>\n<p><strong>&#8220;Two of the brain regions affected were the anterior cingulate and the precuneal region<\/strong>,&#8221; Dr. Lui said. &#8220;The anterior cingulate has been implicated in mood disorders including depression, and the precuneal region has a lot of different connections to areas of the brain responsible for executive function or higher order thinking.&#8221;<\/p>\n<p>According to Dr. Lui, researchers are still investigating the long-term effects of concussion, and she advises caution in generalizing the results of this study to any particular individual.<\/p>\n<p>&#8220;<strong>It is important for patients who have had a concussion to be evaluated by a physician,<\/strong>&#8221; she said. &#8220;If patients continue to have symptoms after concussion, they should follow-up with their physician before engaging in high-risk activities such as contact sports.&#8221;<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Radiological Society of North America press release via ScienceDaily: A single concussion may cause lasting structural damage to the brain, according to a new study published online in the journal Radiology. &#8220;This is the first study that shows brain areas undergo measureable volume loss after concussion,&#8221; said Yvonne W. Lui, M.D., Neuroradiology section&hellip;&nbsp;<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[6],"tags":[42],"class_list":["post-11493","post","type-post","status-publish","format-standard","hentry","category-neuroscience","tag-brain"],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/11493","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=11493"}],"version-history":[{"count":5,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/11493\/revisions"}],"predecessor-version":[{"id":11678,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/11493\/revisions\/11678"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=11493"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=11493"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=11493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}