학술논문

A Network Approach to Examining Injury Severity in Pediatric TBI
Document Type
article
Source
Subject
Clinical and Health Psychology
Psychology
Unintentional Childhood Injury
Traumatic Head and Spine Injury
Clinical Research
Epilepsy
Physical Injury - Accidents and Adverse Effects
Neurosciences
Pediatric
Brain Disorders
Neurodegenerative
Traumatic Brain Injury (TBI)
Childhood Injury
Mental health
Injuries and accidents
Neurological
traumatic brain injury
early post-traumatic seizure
graph theory
diffusion MRI
Language
Abstract
Traumatic brain injury (TBI) is the leading cause of death and disability in children, and can lead to long lasting functional impairment. Many factors influence outcome, but imaging studies examining effects of individual variables are limited by sample size. Roughly 20-40% of hospitalized TBI patients experience seizures, but not all of these patients go on to develop a recurrent seizure disorder. Here we examined differences in structural network connectivity in pediatric patients who had sustained a moderate-severe TBI (msTBI). We compared those who experienced early post-traumatic seizures to those who did not; we found network differences months after seizure activity stopped. We also examined correlations between network measures and a common measure of injury severity, the Glasgow Coma Scale (GCS). The global GCS score did not have a detectable relationship to brain integrity, but sub-scores of the GCS (eyes, motor, verbal) were more closely related to imaging measures.