White Matter Hyperintensities Are Not Related to Symptomatology or Cognitive Functioning in Service Members with a Remote History of Traumatic Brain Injury
This study aimed to determine whether magnetic resonance imaging (MRI) white matter hyperintensities (WMHs) are associated with symptom reporting and/or cognitive performance in 1202 active-duty service members with prior single or multiple mild traumatic brain injury (mTBI). Patients with mTBI eval...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Mary Ann Liebert
2021-06-01
|
| Series: | Neurotrauma Reports |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/full/10.1089/NEUR.2021.0002 |
| _version_ | 1797346143320932352 |
|---|---|
| author | Sara M. Lippa Kimbra Kenney Gerard Riedy John Ollinger Collaboration group Collaboration group |
| author_facet | Sara M. Lippa Kimbra Kenney Gerard Riedy John Ollinger Collaboration group Collaboration group |
| author_sort | Sara M. Lippa |
| collection | DOAJ |
| description | This study aimed to determine whether magnetic resonance imaging (MRI) white matter hyperintensities (WMHs) are associated with symptom reporting and/or cognitive performance in 1202 active-duty service members with prior single or multiple mild traumatic brain injury (mTBI). Patients with mTBI evaluated at the National Intrepid Center of Excellence (NICoE) at Walter Reed National Military Medical Center (WRNMMC) were divided into those with (n?=?632) and without (n?=?570) WMHs. The groups were compared on several self-report scales including the Neurobehavioral Symptom Inventory (NSI), Post-Traumatic Stress Disorder (PTSD) Checklist-Civilian Version (PCL-C), Satisfaction with Life Scale (SWLS), and Short Form-36 Health Survey (SF-36). They were also compared on several neuropsychological measures, including tests of attention, working memory, learning and memory, executive functioning, and psychomotor functioning. After correction for multiple comparisons, there were no significant differences between the two groups on any self-reported symptom scale or cognitive test. When comparing a subgroup with the highest (20+) WMH burden (n?=?60) with those with no WMHs (n?=?60; matched on age, education, sex, race, rank, and TBI number), only SF-36 Health Change significantly differed between the subgroups; the multiple WMH subgroup reported worsening health over the past year (t[53]?=?3.52, p?=?0.001, d?=?0.67) compared with the no WMH subgroup. These findings build on prior research suggesting total WMHs are not associated with significant changes in self-reported symptoms or cognitive performance in patients with a remote history of mTBI. As such, clinicians are encouraged to use caution when reporting such imaging findings. |
| first_indexed | 2024-03-08T11:28:39Z |
| format | Article |
| id | doaj.art-17fb23bc34e74ddca3ccb94c855e265b |
| institution | Directory Open Access Journal |
| issn | 2689-288X |
| language | English |
| last_indexed | 2024-03-08T11:28:39Z |
| publishDate | 2021-06-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Neurotrauma Reports |
| spelling | doaj.art-17fb23bc34e74ddca3ccb94c855e265b2024-01-26T04:27:16ZengMary Ann LiebertNeurotrauma Reports2689-288X2021-06-012124525410.1089/NEUR.2021.0002White Matter Hyperintensities Are Not Related to Symptomatology or Cognitive Functioning in Service Members with a Remote History of Traumatic Brain InjurySara M. LippaKimbra KenneyGerard RiedyJohn OllingerCollaboration groupCollaboration group0Injury-History GroupThis study aimed to determine whether magnetic resonance imaging (MRI) white matter hyperintensities (WMHs) are associated with symptom reporting and/or cognitive performance in 1202 active-duty service members with prior single or multiple mild traumatic brain injury (mTBI). Patients with mTBI evaluated at the National Intrepid Center of Excellence (NICoE) at Walter Reed National Military Medical Center (WRNMMC) were divided into those with (n?=?632) and without (n?=?570) WMHs. The groups were compared on several self-report scales including the Neurobehavioral Symptom Inventory (NSI), Post-Traumatic Stress Disorder (PTSD) Checklist-Civilian Version (PCL-C), Satisfaction with Life Scale (SWLS), and Short Form-36 Health Survey (SF-36). They were also compared on several neuropsychological measures, including tests of attention, working memory, learning and memory, executive functioning, and psychomotor functioning. After correction for multiple comparisons, there were no significant differences between the two groups on any self-reported symptom scale or cognitive test. When comparing a subgroup with the highest (20+) WMH burden (n?=?60) with those with no WMHs (n?=?60; matched on age, education, sex, race, rank, and TBI number), only SF-36 Health Change significantly differed between the subgroups; the multiple WMH subgroup reported worsening health over the past year (t[53]?=?3.52, p?=?0.001, d?=?0.67) compared with the no WMH subgroup. These findings build on prior research suggesting total WMHs are not associated with significant changes in self-reported symptoms or cognitive performance in patients with a remote history of mTBI. As such, clinicians are encouraged to use caution when reporting such imaging findings.https://www.liebertpub.com/doi/full/10.1089/NEUR.2021.0002cognitionmilitarysymptomstraumatic brain injurywhite matter hyperintensities |
| spellingShingle | Sara M. Lippa Kimbra Kenney Gerard Riedy John Ollinger Collaboration group Collaboration group White Matter Hyperintensities Are Not Related to Symptomatology or Cognitive Functioning in Service Members with a Remote History of Traumatic Brain Injury Neurotrauma Reports cognition military symptoms traumatic brain injury white matter hyperintensities |
| title | White Matter Hyperintensities Are Not Related to Symptomatology or Cognitive Functioning in Service Members with a Remote History of Traumatic Brain Injury |
| title_full | White Matter Hyperintensities Are Not Related to Symptomatology or Cognitive Functioning in Service Members with a Remote History of Traumatic Brain Injury |
| title_fullStr | White Matter Hyperintensities Are Not Related to Symptomatology or Cognitive Functioning in Service Members with a Remote History of Traumatic Brain Injury |
| title_full_unstemmed | White Matter Hyperintensities Are Not Related to Symptomatology or Cognitive Functioning in Service Members with a Remote History of Traumatic Brain Injury |
| title_short | White Matter Hyperintensities Are Not Related to Symptomatology or Cognitive Functioning in Service Members with a Remote History of Traumatic Brain Injury |
| title_sort | white matter hyperintensities are not related to symptomatology or cognitive functioning in service members with a remote history of traumatic brain injury |
| topic | cognition military symptoms traumatic brain injury white matter hyperintensities |
| url | https://www.liebertpub.com/doi/full/10.1089/NEUR.2021.0002 |
| work_keys_str_mv | AT saramlippa whitematterhyperintensitiesarenotrelatedtosymptomatologyorcognitivefunctioninginservicememberswitharemotehistoryoftraumaticbraininjury AT kimbrakenney whitematterhyperintensitiesarenotrelatedtosymptomatologyorcognitivefunctioninginservicememberswitharemotehistoryoftraumaticbraininjury AT gerardriedy whitematterhyperintensitiesarenotrelatedtosymptomatologyorcognitivefunctioninginservicememberswitharemotehistoryoftraumaticbraininjury AT johnollinger whitematterhyperintensitiesarenotrelatedtosymptomatologyorcognitivefunctioninginservicememberswitharemotehistoryoftraumaticbraininjury AT collaborationgroup whitematterhyperintensitiesarenotrelatedtosymptomatologyorcognitivefunctioninginservicememberswitharemotehistoryoftraumaticbraininjury AT collaborationgroup whitematterhyperintensitiesarenotrelatedtosymptomatologyorcognitivefunctioninginservicememberswitharemotehistoryoftraumaticbraininjury |