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Relation between cognition and neural connection from injured cingulum to brainstem cholinergic nuclei in chronic patients with traumatic brain injury.
- Source :
- Brain Injury; Sep2014, Vol. 28 Issue 10, p1257-1261, 5p
- Publication Year :
- 2014
-
Abstract
- Background: This study investigated the relation between cognition and the neural connection from injured cingulum to brainstem cholinergic nuclei in patients with traumatic brain injury (TBI), using diffusion tensor tractography (DTT). Methods: Among 353 patients with TBI, 20 chronic patients who showed discontinuation of both anterior cingulums from the basal forebrain on DTT were recruited for this study. The Wechsler Intelligence Scale and the Memory Assessment Scale (MAS; short-term, verbal, visual and total memory) were used for assessment of cognition. Patients were divided into two groups according to the presence of a neural connection between injured cingulum and brainstem cholinergic nuclei. Results: Eight patients who had a neural connection between injured cingulum and brainstem cholinergic nuclei showed better short-term memory on MAS than 12 patients who did not ( p < 0.05). However, other results of neuropsychological testing showed no significant difference ( p > 0.05). Conclusions: Better short-term memory in patients who had the neural connection between injured cingulum and brainstem cholinergic nuclei appears to have been attributed to the presence of cholinergic innervation to the cerebral cortex through the neural connection instead of the injured anterior cingulum. The neural connection appears to compensate for the injured anterior cingulum in obtaining cholinergic innervation. [ABSTRACT FROM AUTHOR]
- Subjects :
- BRAIN anatomy
BRAIN physiology
BRAIN stem anatomy
DIAGNOSIS of neurological disorders
BRAIN injury diagnosis
ANISOTROPY
BRAIN injuries
CHRONIC diseases
COGNITION
DIAGNOSTIC imaging
FLUORIMETRY
MEDICAL needs assessment
NEUROLOGY
NEUROPHYSIOLOGY
PARASYMPATHOMIMETIC agents
REHABILITATION
SERIAL publications
WOUNDS & injuries
DATA analysis
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 02699052
- Volume :
- 28
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Brain Injury
- Publication Type :
- Academic Journal
- Accession number :
- 97411247
- Full Text :
- https://doi.org/10.3109/02699052.2014.901557