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Abstract #0329

Interhemispheric Functional Connectivity in the Thalamus and Dorsolateral Prefrontal Cortex of Mild TBI Patients with and Without Post-Concussive Syndrome

Joseph H. Rosenberg1, Chandler R. Sours1, Jiachen Zhuo1, Elijah O. George1, 2, Rao P. Gullapalli1

1Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States; 2Department of Bioengineering, University of Maryland, College Park, MD, United States

Mild traumatic brain injury (mTBI) patients received a resting state fMRI scan and completed the Automated Neuropsychological Assessment Metrics (ANAM) at the acute (&[le]10days) and sub-acute (1 month) stages of injury. During the sub-acute stage, mTBI patients demonstrated reduced interhemispheric functional connectivity (IH-FC) in both the thalamus and the dorsolateral prefrontal cortex, as well as deficits on the ANAM, compared to matched controls. Patients reporting Post-Concussive Syndrome (PCS) demonstrated a significant reduction in thalamic IH-FC from the acute stage to the sub-acute stage. PCS patients also performed significantly worse on the ANAM than those without.

Keywords

absence accuracy activation acute alterations among amount anatomic assessment assessments association attention automated available axial battery better bilateral bioengineering bold brain chandler clinical code cognition cognitive college completed concussion concussive conn connectivity contributing controls corpus correction correlations cortex days decreased deficits delayed determined diagnostic differ diffusion dizziness efficiency either expect fatigue fewer findings functional functioning furthermore greater headaches hypothesize impairments included indicating individual injury insufficient interestingly king many marginally matched measure measured mechanisms medicine memory metabolic metrics mild month motion networks normalization noted nuclear overall park part patients performance persistent post problems procedural process processing projects questionnaire radiology reaction realignment received recognition reduce reduced reduction registration regressors related reporting resolution respectively response resting school score scores separating series several severely shot significantly sleep slice slices sours spatial spectroscopy speed stage stages structural studies substitution suggest symptoms syndrome tang template tensor thalamus throughput toolbox tracking traumatic trouble twenty visit visual white worse