TY - JOUR
PY - 2019//
TI - Decreases in white matter integrity of ventrolimbic pathway linked to posttraumatic stress disorder in mild traumatic brain injury
JO - Journal of neurotrauma
A1 - Santhanam, Priya
A1 - Teslovich, Theresa
A1 - Wilson, Steffanie H.
A1 - Yeh, Ping-Hong
A1 - Oakes, Terrence R.
A1 - Weaver, Lindell
SP - 1093
EP - 1098
VL - 36
IS - 7
N2 - Post-traumatic stress disorder (PTSD) is commonly observed in military service members with mild traumatic brain injury (mTBI); however, the relationship between mTBI and PTSD is complex and not well-understood. The present study aims to elucidate a link between the degree of alteration in limbic system-related white matter tracts and PTSD symptoms in an mTBI population. Diffusion tensor imaging with probabilistic tractography of the fronto-limbic pathways revealed decreased white matter integrity in the uncinate fasciculus in those with comorbid mTBI and PTSD (n=34), relative to those with only mTBI (n=35). Additionally, fractional anisotropy and radial diffusivity measures in the bilateral uncinate fasciculus correlated with PTSD checklist (PCL-C) scores, and primarily within the avoidance and re-experiencing domains.
FINDINGS from this study suggest the degree of traumatic injury within the limbic system could be directly related to post-traumatic stress and post-concussive symptoms, with disrupted white matter leading to significant PTSD outcomes.
Language: en
LA - en SN - 0897-7151 UR - http://dx.doi.org/10.1089/neu.2017.5541 ID - ref1 ER -