Traumatic brain injury in the United States: national estimates of prevalence and incidence, 2002–2006

Faul, Mark; Xu, Le; Wald, Marlena M.; Coronado, Victor G.; Dellinger, Ann M.

doi:10.1136/ip.2010.029215.951

Cited by 225 publications

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“…Traumatic brain injury (TBI) is a major public health issue affecting over 1.7 million Americans annually, with falls, collision incidents, and motor vehicle accidents being the leading causes of injury [1]. The consequences of TBI can be complex and long lasting, resulting in serious disorders that involve progressive cognitive deficits, epilepsy, and profound behavioral alterations.…”

Section: Introductionmentioning

confidence: 99%

Protein carbonylation after traumatic brain injury: cell specificity, regional susceptibility, and gender differences

Lazarus

Buonora

Jacobowitz

et al. 2015

Free Radical Biology and Medicine

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Protein carbonylation is a well-documented and quantifiable consequence of oxidative stress in several neuropathologies, including multiple sclerosis, Alzheimer׳s disease, and Parkinson׳s disease. Although oxidative stress is a hallmark of traumatic brain injury (TBI), little work has explored the specific neural regions and cell types in which protein carbonylation occurs. Furthermore, the effect of gender on protein carbonylation after TBI has not been studied. The present investigation was designed to determine the regional and cell specificity of TBI-induced protein carbonylation and how this response to injury is affected by gender. Immunohistochemistry was used to visualize protein carbonylation in the brains of adult male and female Sprague-Dawley rats subjected to controlled cortical impact (CCI) as an injury model of TBI. Cell-specific markers were used to colocalize the presence of carbonylated proteins in specific cell types, including astrocytes, neurons, microglia, and oligodendrocytes. Results also indicated that the injury lesion site, ventral portion of the dorsal third ventricle, and ventricular lining above the median eminence showed dramatic increases in protein carbonylation after injury. Specifically, astrocytes and limited regions of ependymal cells adjacent to the dorsal third ventricle and the median eminence were most susceptible to postinjury protein carbonylation. However, these patterns of differential susceptibility to protein carbonylation were gender dependent, with males showing significantly greater protein carbonylation at sites distant from the lesion. Proteomic analyses were also conducted and determined that the proteins most affected by carbonylation in response to TBI include glial fibrillary acidic protein, dihydropyrimidase-related protein 2, fructose-bisphosphate aldolase C, and fructose-bisphosphate aldolase A. Many other proteins, however, were not carbonylated by CCI. These findings indicate that there is both regional and protein specificity in protein carbonylation after TBI. The marked increase in carbonylation seen in ependymal layers distant from the lesion suggests a mechanism involving the transmission of a cerebral spinal fluid-borne factor to these sites. Furthermore, this process is affected by gender, suggesting that hormonal mechanisms may serve a protective role against oxidative stress.

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Section: Introductionmentioning

confidence: 99%

Protein carbonylation after traumatic brain injury: cell specificity, regional susceptibility, and gender differences

Lazarus

Buonora

Jacobowitz

et al. 2015

Free Radical Biology and Medicine

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“…This dynamical phenomenon leads to strain concentration patterns, particularly in deep brain regions, which is consistent with reported concussion pathology. DOI: 10.1103/PhysRevLett.120.138101 Traumatic brain injury (TBI) is a major cause of death and disability in the United States, contributing to about 30% of all injury-related deaths [1,2]. Every year, millions of Americans are diagnosed with TBI [3,4], 80% of which are categorized as mild [2].…”

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confidence: 99%

Mechanistic Insights into Human Brain Impact Dynamics through Modal Analysis

et al. 2018

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Although concussion is one of the greatest health challenges today, our physical understanding of the cause of injury is limited. In this Letter, we simulated football head impacts in a finite element model and extracted the most dominant modal behavior of the brain's deformation. We showed that the brain's deformation is most sensitive in low frequency regimes close to 30 Hz, and discovered that for most subconcussive head impacts, the dynamics of brain deformation is dominated by a single global mode. In this Letter, we show the existence of localized modes and multimodal behavior in the brain as a hyperviscoelastic medium. This dynamical phenomenon leads to strain concentration patterns, particularly in deep brain regions, which is consistent with reported concussion pathology. DOI: 10.1103/PhysRevLett.120.138101 Traumatic brain injury (TBI) is a major cause of death and disability in the United States, contributing to about 30% of all injury-related deaths [1,2]. Every year, millions of Americans are diagnosed with TBI [3,4], 80% of which are categorized as mild [2]. Undiagnosed cases, due to either lack of clinical expertise or underreporting, might be twice as high [5][6][7][8]. Given that mild TBI (MTBI), or concussion, has become a serious health concern in society, the burden of understanding and preventing it has become ever more indisputable for clinicians and physicists alike.Efforts to model the brain's physics date back to the 1940s when Holbourn proposed the head as a mechanical system and explored the relation between the input to this system (in the form of head motion) to the output (in the form of relative brain displacement) [9,10]. Kornhauser proposed isodisplacement curves in a second-order springmass system representing relative brain displacement as a measure for classifying injury [11]. Others have also showed that, in different loading regimes, injury could be more sensitive to peak acceleration or maximum change in velocity or a combination of both [12,13]. Since then, many scientists have investigated the brain's response in severe scenarios of TBI with skull flexure [14,15], and more recently in mild scenarios with mostly inertial loading on the brain [16][17][18]. In particular, for helmeted sports, much of previous research has focused on brain deformation while assuming a rigid skull. In time, with the advances in imaging techniques, axonal injury, which requires excessive regional stretching of axons [19,20], has become one of the leading hypotheses behind the mechanism of concussions. Confirming this hypothesis, strain in the brain and specifically strain in the periventricular region of the brain-with the highest density of axon fibers-have been shown to correlate best with acute concussion and longterm neurological deficits [21][22][23][24]. However, dynamical behavior of the brain during rapid head motions with various amplitudes, durations, and directions, as well as the reason for higher susceptibility of these deep regions of the brain to strain are still largely unknow...

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“…Introduction Each year 1.4 million and 1 million people in the United States and Europe, respectively, visit hospitals and urgent care centers to be treated for traumatic brain injury (TBI) (Brain Injury Facts, 2011;Faul et al, 2010). In 2010, the estimated costs associated with TBI were $76.5 billion, averaging $45,000 per injury in the US (Finkelstein et al, 2006).…”

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confidence: 99%

Development of electrochemical methods to enzymatically detect traumatic brain injury biomarkers

Haselwood

Belle

2015

Biosensors and Bioelectronics

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As awareness of traumatic brain injury (TBI) increases, the need to detect mild forms and distinguish between the different severities of TBI becomes more apparent. The goal of this work is to develop a point-of-care sensor to detect whole blood biomarkers for rapid and sensitive diagnosis of TBI severity. Presented herein is the enzymatic detection of norepinephrine through the use of immobilization chemistry and impedance techniques. Sustained elevation of norepinephrine concentrations in the blood has been correlated to negative long-term outcomes in TBI cases, often resulting in permanent cognitive or physical deficits.Novel analysis techniques have been used to identify an optimal binding frequency (371.1 Hz) of norepinephrine to the immobilized enzyme on a gold disk electrode. This form of analysis yielded a logarithmic fit characterized by exceptional responsivity (20.89 ohms/pgmL -1 ), reproducibility (R 2 = 0.96), and lower limit of detection (98 pg/mL) first in purified samples, then in rabbit whole blood solutions. Once the optimal binding frequency was determined, the preliminary use of an impedance-time technique was attempted in this work. This technique more closely resembles the amperometric detection method used in commercial self-monitoring blood glucose meters, allowing for continuous or instantaneous measurement of blood borne biomarkers without compromising sensitivity. Future directions include exploration of simultaneous multi-marker detection with the impedance-time technique and experimentation with novel mesoporous materials to filter large blood components.

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Traumatic brain injury in the United States: national estimates of prevalence and incidence, 2002–2006

Cited by 225 publications

References 0 publications

Protein carbonylation after traumatic brain injury: cell specificity, regional susceptibility, and gender differences

Protein carbonylation after traumatic brain injury: cell specificity, regional susceptibility, and gender differences

Mechanistic Insights into Human Brain Impact Dynamics through Modal Analysis

Development of electrochemical methods to enzymatically detect traumatic brain injury biomarkers

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