Relationship between Dizziness and the Core Vestibular Projection Injury in Patients with Mild Traumatic Brain Injury
Open Access
- 9 November 2021
- journal article
- research article
- Published by MDPI AG in Diagnostics
- Vol. 11 (11) , 2070
Abstract
Some studies have reported that a core vestibular projection (CVP) injury is associated with dizziness following a brain injury using diffusion tensor tractography (DTT). On the other hand, there has been no DTT study on dizziness caused by a CVP injury in patients with mild traumatic brain injury (TBI). In this study, DTT was used to examine the relationship between dizziness and CVP injury in patients with mild TBI. Forty-three patients with mild TBI and twenty-nine normal subjects were recruited. The patients were classified into two groups based on the dizziness score: group A, patients with a dizziness score less than 2 on the sub-item score for dizziness in the Rivermead Post-concussion Symptoms Questionnaire; group B, patients with a dizziness score above 2. The tract volume (TV) in group B was significantly lower than group A and the control group (p < 0.05). By contrast, the TV in group A was similar to the control group (p > 0.05). Regarding the correlation, the dizziness score of all patients showed a strong negative correlation with the TV of the CVP (r = −0.711, p < 0.05). DTT revealed the CVP injury in patients with dizziness after mild TBI. In addition, the severity of dizziness of these patients was closely related to the injury severity of the CVP.Keywords
Funding Information
- National Research Foundation of Korea (NRF) grant funded by the Korean government(MSIP) (2021R1A2B5B01001386)
This publication has 49 references indexed in Scilit:
- Vertigo with an isolated lesion in brainstem vestibular nucleus and nerveNeurology, 2010
- Prevalence and structure of symptoms at 3 months after mild traumatic brain injury in a national cohortBrain Injury, 2009
- Moderate and severe traumatic brain injury in adultsThe Lancet Neurology, 2008
- Voxel-based analysis derived from fractional anisotropy images of white matter volume changes with agingNeuroImage, 2008
- The Association Between the Postconcussion Symptoms and Clinical Outcomes for Patients With Mild Traumatic Brain InjuryJournal of Trauma: Injury, Infection & Critical Care, 2007
- Probabilistic diffusion tractography with multiple fibre orientations: What can we gain?NeuroImage, 2007
- Dizziness after traumatic brain injury: Results from an interview studyBrain Injury, 2007
- Dizziness after traumatic brain injury: Overview and measurement in the clinical settingBrain Injury, 2006
- Symptoms and disability until 3 months after mild TBIBrain Injury, 2006
- Neuropsychological and psychosocial consequences of minor head injury.Journal of Neurology, Neurosurgery & Psychiatry, 1986