Document Detail


Clinical phenotype of dementia after traumatic brain injury.
MedLine Citation:
PMID:  23374007     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Traumatic brain injury (TBI) in early to mid-life is associated with an increased risk of dementia in late life. It is unclear whether TBI results in acceleration of Alzheimer's disease (AD)-like pathology or has features of another dementing condition, such as chronic traumatic encephalopathy, which is associated with more-prominent mood, behavior, and motor disturbances than AD. Data from the National Alzheimer's Coordinating Center (NACC) Uniform Data Set was obtained over a 5-year period. Categorical data were analyzed using Fisher's exact test. Continuous parametric data were analyzed using the Student's t-test. Nonparametric data were analyzed using Mann-Whitney's test. Overall, 877 individuals with dementia who had sustained TBI were identified in the NACC database. Only TBI with chronic deficit or dysfunction was associated with increased risk of dementia. Patients with dementia after TBI (n=62) were significantly more likely to experience depression, anxiety, irritability, and motor disorders than patients with probable AD. Autopsy data were available for 20 of the 62 TBI patients. Of the patients with TBI, 62% met National Institute of Aging-Reagan Institute "high likelihood" criteria for AD. We conclude that TBI with chronic deficit or dysfunction is associated with an increased odds ratio for dementia. Clinically, patients with dementia associated with TBI were more likely to have symptoms of depression, agitation, irritability, and motor dysfunction than patients with probable AD. These findings suggest that dementia in individuals with a history of TBI may be distinct from AD.
Authors:
Nasreen Sayed; Carlee Culver; Kristen Dams-O'Connor; Flora Hammond; Ramon Diaz-Arrastia
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2013-06-27
Journal Detail:
Title:  Journal of neurotrauma     Volume:  30     ISSN:  1557-9042     ISO Abbreviation:  J. Neurotrauma     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-07-02     Completed Date:  2014-03-05     Revised Date:  2014-07-01    
Medline Journal Info:
Nlm Unique ID:  8811626     Medline TA:  J Neurotrauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1117-22     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Brain Injury, Chronic / complications*,  pathology
Dementia / etiology*,  pathology,  psychology*
Female
Humans
Male
Middle Aged
Neuropsychological Tests
Phenotype
Grant Support
ID/Acronym/Agency:
H133A020526//PHS HHS; P30 AG12300/AG/NIA NIH HHS; R01 HD048179/HD/NICHD NIH HHS; U01 AG016976/AG/NIA NIH HHS; U01 H133A020526//PHS HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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