MRI findings and Axis I and II psychiatric disorders after traumatic brain injury: a 30-year retrospective follow-up study

Psychiatry Research
Salla KoponenOlli Tenovuo

Abstract

We studied the association between psychiatric disorders and the presence and location of traumatic lesions on magnetic resonance imaging (MRI) in 58 patients, on average, 30 years after traumatic brain injury. Axis I psychiatric disorders that had begun after the injury were assessed with the Schedules for Clinical Assessment in Neuropsychiatry (version 2.1), and Axis II disorders with the Structured Clinical Interview for DSM-III-R Personality Disorders. A 1.5-Tesla MRI scanner was used. One-third of the subjects had traumatic lesions visible on MRI. Only three psychiatric disorders, that is, delusional disorder, dementia, and the disinhibited type of organic personality syndrome, were significantly more common in subjects with contusions. Concerning the location of contusions, organic personality syndrome and its disinhibited subtype were associated with frontal lesions, and major depression was, surprisingly, inversely associated with temporal lesions. These results, which should be interpreted with caution due to the limited size of the study group, suggest that the majority of psychiatric disorders after traumatic brain injury are not closely related to the specific location or even the presence of contusions detectable w...Continue Reading

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Citations

Jun 21, 2011·Case Reports in Medicine·Michele RotondoAssunta Scuotto
May 4, 2011·Brain Injury : [BI]·Michael SchönbergerRichard O'Sullivan
Feb 12, 2011·Psychiatry Research·Anne HudakRamon Diaz-Arrastia
Apr 15, 2010·Brain Research Reviews·Jerome J MallerPaul B Fitzgerald
Apr 1, 2008·European Psychiatry : the Journal of the Association of European Psychiatrists·Marco WrengerMarkus Burgmer
Mar 17, 2016·Journal of Neurotrauma·Charles H BombardierJesse R Fann
Aug 24, 2016·Journal of Neurotrauma·Gershon SpitzJennie L Ponsford
May 29, 2018·The British Journal of Clinical Psychology·Tamara OwnsworthElizabeth Beadle
Apr 12, 2011·Journal of Neurotrauma·Kate Rachel GouldMichael Schönberger
Jan 22, 2019·Brain Injury : [BI]·Rajiv SinghJeremy Dawson

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Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.