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Early Post Traumatic Seizures in Military Personnel Result in Long Term Disability
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Title:
Early Post Traumatic Seizures in Military Personnel Result in Long Term Disability
Author:
Vespa, Paul M
Subjects:
ATROPHY
;
BLAST INJURY
;
BRAIN
;
BRAIN ATROPHY
;
COGNITION
;
DEATH
;
EDEMA
;
ELECTROENCEPHALOGRAPHY
;
HIPPOCAMPUS
;
Medicine and Medical Research
;
METABOLISM
;
PATIENTS
;
SEIZURES
;
TRAUMATIC BRAIN INJURIES
;
WOUNDS AND INJURIES
Description:
This study is predicated on substantial evidence that early post-traumatic seizures occur frequently and create a metabolic crisis that will lead to cell death of hippocampal tissue among persons who have sustained a traumatic brain injury (TBI). Our central hypothesis is that early post-traumatic seizures are acutely injurious due to increases in intracranial pressure and acute edema of the hippocampus leading to delayed long term hippocampal atrophy. This represents a unique translational hypothesis that we are uniquely qualified to study. In this study we plan to perform continuous EEG monitoring of military and civilian TBI patients for the initial 7 days after TBI to assess for non-convulsive seizures. This is followed by evaluating these same subjects at 6 months after injury by volumetric MRI of the hippocampus and cognitive testing to assess for disturbances of memory-related cognition and post-traumatic stress. We have begun to study civilian TBI patients in year 1 and have worked on establishing methodology and connectivity and IRB permission at military sites in year 1.
Creation Date:
2013
Language:
English
Source:
DTIC STINET
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