Low-frequency connectivity is associated with mild traumatic brain injury

Mild traumatic brain injury (mTBI) occurs from a closed-head impact. Often referred to as concussion, about 20% of cases complain of secondary psychological sequelae, such as disorders of attention and memory. Known as post-concussive symptoms (PCS), these problems can severely disrupt the patient&#...

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Main Authors: Dunkley, B.T., Da Costa, L., Bethune, A., Jetly, R., Pang, E.W., Taylor, M.J., Doesburg, S.M.
Format: Online
Language:English
Published: Elsevier 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4379387/
id pubmed-4379387
recordtype oai_dc
spelling pubmed-43793872015-04-03 Low-frequency connectivity is associated with mild traumatic brain injury Dunkley, B.T. Da Costa, L. Bethune, A. Jetly, R. Pang, E.W. Taylor, M.J. Doesburg, S.M. Regular Article Mild traumatic brain injury (mTBI) occurs from a closed-head impact. Often referred to as concussion, about 20% of cases complain of secondary psychological sequelae, such as disorders of attention and memory. Known as post-concussive symptoms (PCS), these problems can severely disrupt the patient's quality of life. Changes in local spectral power, particularly low-frequency amplitude increases and/or peak alpha slowing have been reported in mTBI, but large-scale connectivity metrics based on inter-regional amplitude correlations relevant for integration and segregation in functional brain networks, and their association with disorders in cognition and behaviour, remain relatively unexplored. Here, we used non-invasive neuroimaging with magnetoencephalography to examine functional connectivity in a resting-state protocol in a group with mTBI (n = 20), and a control group (n = 21). We observed a trend for atypical slow-wave power changes in subcortical, temporal and parietal regions in mTBI, as well as significant long-range increases in amplitude envelope correlations among deep-source, temporal, and frontal regions in the delta, theta, and alpha bands. Subsequently, we conducted an exploratory analysis of patterns of connectivity most associated with variability in secondary symptoms of mTBI, including inattention, anxiety, and depression. Differential patterns of altered resting state neurophysiological network connectivity were found across frequency bands. This indicated that multiple network and frequency specific alterations in large scale brain connectivity may contribute to overlapping cognitive sequelae in mTBI. In conclusion, we show that local spectral power content can be supplemented with measures of correlations in amplitude to define general networks that are atypical in mTBI, and suggest that certain cognitive difficulties are mediated by disturbances in a variety of alterations in network interactions which are differentially expressed across canonical neurophysiological frequency ranges. Elsevier 2015-03-03 /pmc/articles/PMC4379387/ /pubmed/25844315 http://dx.doi.org/10.1016/j.nicl.2015.02.020 Text en Crown Copyright © 2015 Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Dunkley, B.T.
Da Costa, L.
Bethune, A.
Jetly, R.
Pang, E.W.
Taylor, M.J.
Doesburg, S.M.
spellingShingle Dunkley, B.T.
Da Costa, L.
Bethune, A.
Jetly, R.
Pang, E.W.
Taylor, M.J.
Doesburg, S.M.
Low-frequency connectivity is associated with mild traumatic brain injury
author_facet Dunkley, B.T.
Da Costa, L.
Bethune, A.
Jetly, R.
Pang, E.W.
Taylor, M.J.
Doesburg, S.M.
author_sort Dunkley, B.T.
title Low-frequency connectivity is associated with mild traumatic brain injury
title_short Low-frequency connectivity is associated with mild traumatic brain injury
title_full Low-frequency connectivity is associated with mild traumatic brain injury
title_fullStr Low-frequency connectivity is associated with mild traumatic brain injury
title_full_unstemmed Low-frequency connectivity is associated with mild traumatic brain injury
title_sort low-frequency connectivity is associated with mild traumatic brain injury
description Mild traumatic brain injury (mTBI) occurs from a closed-head impact. Often referred to as concussion, about 20% of cases complain of secondary psychological sequelae, such as disorders of attention and memory. Known as post-concussive symptoms (PCS), these problems can severely disrupt the patient's quality of life. Changes in local spectral power, particularly low-frequency amplitude increases and/or peak alpha slowing have been reported in mTBI, but large-scale connectivity metrics based on inter-regional amplitude correlations relevant for integration and segregation in functional brain networks, and their association with disorders in cognition and behaviour, remain relatively unexplored. Here, we used non-invasive neuroimaging with magnetoencephalography to examine functional connectivity in a resting-state protocol in a group with mTBI (n = 20), and a control group (n = 21). We observed a trend for atypical slow-wave power changes in subcortical, temporal and parietal regions in mTBI, as well as significant long-range increases in amplitude envelope correlations among deep-source, temporal, and frontal regions in the delta, theta, and alpha bands. Subsequently, we conducted an exploratory analysis of patterns of connectivity most associated with variability in secondary symptoms of mTBI, including inattention, anxiety, and depression. Differential patterns of altered resting state neurophysiological network connectivity were found across frequency bands. This indicated that multiple network and frequency specific alterations in large scale brain connectivity may contribute to overlapping cognitive sequelae in mTBI. In conclusion, we show that local spectral power content can be supplemented with measures of correlations in amplitude to define general networks that are atypical in mTBI, and suggest that certain cognitive difficulties are mediated by disturbances in a variety of alterations in network interactions which are differentially expressed across canonical neurophysiological frequency ranges.
publisher Elsevier
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4379387/
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