TY - JOUR PY - 2017// TI - The invisibility of mild traumatic brain injury: impaired cognitive performance as a silent symptom JO - Journal of neurotrauma A1 - Heim, Leore R. A1 - Badar, Miaad A1 - Edut, Shahaf A1 - Rachmany, Lital A1 - Baratz, Renana A1 - Lin, Ran A1 - Elpaz, Aviya A1 - Qubty, Doaa A1 - Bikovski, Lior A1 - Rubovitch, Vardit A1 - Schreiber, Shaul A1 - Pick, Chaim G. SP - 2518 EP - 2528 VL - 34 IS - 17 N2 - The present study was designed to tackle two notorious features of mild Traumatic Brain Injury (mTBI) - heterogeneity and invisibility - by characterizing the full scope of mTBI symptoms. Mice were exposed to brain injuries of different intensities utilizing a weight-drop model (10, 30, 50, and 70g), and subsequently subjected to a comprehensive battery of behavioral tests at different time points, and immunohistochemical examination of cortical slices. While the physiological, neurological, emotional, and motor function of mTBI mice, i.e. their well-being, remained largely intact, cognitive deficits were identified by the y-maze and novel object recognition.

RESULTS from these two cognitive tests were combined and a dose-response relationship was established between injury intensity and cognitive impairment, ranging from an 85% decline following a 70g impact (p<0.001) to a 20% decline following a 10g impact (essentially no effect). In addition, higher intensities of injury were accompanied by decreased expression of axonal and synaptic markers. Thus, our mTBI mice showed a clear discrepancy between performance (poor cognitive function) and appearance (healthy demeanor). This is of major concern given that diagnosis of mTBI is established on the presence of clinical symptoms, and emphasizes the need for an alternative diagnostic modality.

Language: en

LA - en SN - 0897-7151 UR - http://dx.doi.org/10.1089/neu.2016.4909 ID - ref1 ER -