Review
Biochemistry & Molecular Biology
Charlotte Oris, Samy Kahouadji, Julie Durif, Damien Bouvier, Vincent Sapin
Summary: Mild traumatic brain injury (mTBI) is a growing burden worldwide, accounting for approximately 80% of all TBI cases. In recent years, candidate biomarkers have been investigated to improve the management of mTBI patients. Blood biomarker measurement in the acute phase after a traumatic event helps reduce unnecessary CT scans and hospitalizations. S100B protein has emerged as the most widely studied and used biomarker for clinical decision making in patients with mTBI. Besides its diagnostic use, S100B plays a role in the molecular pathogenic processes accompanying acute brain injury, making it a potential therapeutic target.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Review
Clinical Neurology
Paul G. Harch
Summary: This systematic review examines the evidence for hyperbaric oxygen therapy in Persistent Postconcussion Syndrome using a dose-analysis based on the scientific definition of hyperbaric oxygen therapy. The results suggest that hyperbaric oxygen therapy at 1.5 ATA can significantly improve symptoms and cognitive function in patients with mild traumatic brain injury Persistent Postconcussion Syndrome, with positive and negative results found at different doses of oxygen and pressure.
FRONTIERS IN NEUROLOGY
(2022)
Review
Clinical Neurology
Martijn de Neeling, Dirk Liessens, Bart Depreitere
Summary: Mild traumatic brain injury (mTBI) has a high incidence worldwide, and long-term persistent postconcussion symptoms (PPCS) are predicted by psychological and psychiatric factors. Anxiety, depressive symptoms, and emotional distress early after injury can predict PPCS burden and functional outcome. Coping styles, preinjury psychiatric disorders and mental health also correlate with PPCS burden and functional outcome.
EUROPEAN JOURNAL OF NEUROLOGY
(2023)
Article
Medical Laboratory Technology
Fleur Lorton, Jeanne Simon-Pimmel, Damien Masson, Elise Launay, Christele Gras-Le Guen, Pauline Scherdel
Summary: The implementation of a modified PECARN rule including the S100B protein assay significantly decreased the proportion of CT scans and in-hospital observations for children with mTBI who were at intermediate risk for ciTBI.
CLINICAL CHEMISTRY AND LABORATORY MEDICINE
(2021)
Article
Biochemistry & Molecular Biology
Laura S. Blackwell, Bushra Wali, Yijin Xiang, Ali Alawieh, Iqbal Sayeed, Andrew Reisner
Summary: Blood-based biomarkers for traumatic brain injury (TBI) have diagnostic, therapeutic, and prognostic usefulness. This study examined the predictive value of plasma osteopontin (OPN) and S100B for mortality, head CT findings, and 6-month functional outcomes in children with TBI. The findings showed that OPN is a marker of injury severity, while S100B is important for predicting mortality and functional outcomes. Rating: 8/10.
Article
Clinical Neurology
Kaisa Maki, Taina Nybo, Marja Hietanen, Antti Huovinen, Ivan Marinkovic, Harri Isokuortti, Susanna Melkas
Summary: Perceived injustice is associated with self-reported symptoms in patients with mild traumatic brain injury (mTBI). Our results suggest that perceived injustice could be a relevant construct to consider in clinical management of patients with mTBI, and it could be a potential target for psychological interventions promoting recovery after mTBI.
JOURNAL OF HEAD TRAUMA REHABILITATION
(2022)
Article
Clinical Neurology
Barry M. Miskin, Lee A. Fox, Hussam Abou-Al-Shaar, Othman Bin-Alamer, Aaron Goertz, Conner T. Lipin, Nicole Fertig, Nevada Cox
Summary: This study evaluated the safety and outcomes of hyperbaric oxygen therapy (HBOT) in managing the long-term sequelae of traumatic brain injury (TBI). The results showed that TBI patients who underwent 40 sessions of HBOT at 1.5 atmosphere absolute experienced significant improvements in cognitive and physical function, as well as increased cerebral blood flow and oxygen metabolism. HBOT was considered a safe and effective modality in the treatment of the long-term sequelae of TBI.
WORLD NEUROSURGERY
(2023)
Article
Multidisciplinary Sciences
Mohammed M. Alnawmasi, Sieu K. Khuu
Summary: This study investigated the impact of TBI on the allocation and maintenance of visual attention to multiple moving targets using a multiple object tracking task. The results showed that patients with mild TBI had greater deficits in maintaining visual attention and detecting targets, particularly when the tracking load and distraction increased.
SCIENTIFIC REPORTS
(2022)
Article
Multidisciplinary Sciences
Spencer Flynn, Jacqueline Leete, Pashtun Shahim, Cassandra Pattinson, Vivian A. Guedes, Chen Lai, Christina Devoto, Bao-Xi Qu, Kisha Greer, Brian Moore, Andre van der Merwe, Vindhya Ekanayake, Jessica Gill, Leighton Chan
Summary: The study found that blood-derived EV concentrations of GFAP and NfL are higher in TBI patients compared to controls even 1 year after injury, and are related to injury severity and poor recovery outcomes, suggesting that TBIs alter the activity of these biomarkers, likely contributing to individual variability in recovery.
SCIENTIFIC REPORTS
(2021)
Article
Psychology, Clinical
Josh W. Faulkner, Deborah L. Snell, Alice Theadom, Susan Mahon, Suzanne Barker-Collo
Summary: The study found that psychological flexibility significantly affects postconcussion symptoms and functional status in individuals with mTBI, serving as an important treatment target in mTBI interventions. Researchers suggest that psychological flexibility is a psychological mechanism that contributes to recovery outcomes in individuals with mTBI.
REHABILITATION PSYCHOLOGY
(2021)
Review
Clinical Neurology
Michael Amoo, Jack Henry, Philip J. O'Halloran, Paul Brennan, Mohammed Ben Husien, Matthew Campbell, John Caird, Mohsen Javadpour, Gerard F. Curley
Summary: S100B showed optimal sensitivity and specificity at a threshold of 0.72 μg/L, while GFAP demonstrated 71% sensitivity and specificity at 626 pg/mL, with sensitivity peaking at 93% at 22 pg/mL. Further investigation is needed to explore the potential advantages of GFAP in the screening of mild TBI.
NEUROSURGICAL REVIEW
(2022)
Review
Medicine, General & Internal
Steven H. Rauchman, Aaron Pinkhasov, Shelly Gulkarov, Dimitris G. Placantonakis, Joshua De Leon, Allison B. Reiss
Summary: Mild traumatic brain injury (TBI) and concussion can have serious consequences that develop over time with unpredictable levels of recovery. A handheld blood test based on specific blood biomarkers is now available for diagnosing concussion, and rapid blood biomarker assessment can improve TBI prediction and assess new therapeutic options.
Article
Medicine, General & Internal
Sophia Wagberg, Britt-Marie Stalnacke, Beatrice M. M. Magnusson
Summary: This study evaluates post-TBI symptoms and disabilities seven to eight years after mild TBI (mTBI), showing that women and individuals with repeated TBI experience more severe symptoms and functional decline. These findings have implications for clinical practice and research, and should be considered in rehabilitation and follow-up plans.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Chemistry, Multidisciplinary
Wenyuan Zhang, Jianrui Zhang, Yijun Wang, Senyao Wang, Yitian Wu, Wenchang Zhang, Minghui Wu, Li Wang, Guoheng Xu, Fuan Deng, Wenchao Liu, Zhengwei Liu, Lu Chen, Kai Xiao, Lu Zhang
Summary: This study presents a method for detecting the concentration of S100B (a biomarker for traumatic brain injury) to evaluate the severity of TBI. The method utilizes polymetric porous membranes with TRTK-12 peptide-modified nanochannels, and achieves high sensitivity, high specificity, and real-time response. The proposed method has broad implications for future medical-grade comprehensive tests and assessment of disease extent.
Article
Immunology
Zhimin Zou, Li Li, Qin Li, Peng Zhao, Kun Zhang, Chengyong Liu, Daozhang Cai, Marc Maegele, Zhengtao Gu, Qiaobing Huang
Summary: Traumatic brain injury (TBI) is a major cause of disability and death. This study aimed to investigate the role of S100B and its receptor RAGE in mediating secondary injury after TBI. The results showed that TBI can activate the release of S100B, leading to the shedding of endothelial glycocalyx and increased vascular permeability, ultimately resulting in secondary brain and lung injury.
JOURNAL OF NEUROINFLAMMATION
(2022)
Article
Orthopedics
Tara D. Rhine, Terri L. Byczkowski, Ross A. Clark, Lynn Babcock
CLINICAL JOURNAL OF SPORT MEDICINE
(2016)
Editorial Material
Medicine, General & Internal
Lynn Babcock, Brad G. Kurowski
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2016)
Article
Clinical Neurology
Brad G. Kurowski, Shari L. Wade, Judith W. Dexheimer, Jenna Dyas, Nanhua Zhang, Lynn Babcock
JOURNAL OF HEAD TRAUMA REHABILITATION
(2016)
Article
Emergency Medicine
Lynn Babcock, Cody S. Olsen, David M. Jaffe, Julie C. Leonard
PEDIATRIC EMERGENCY CARE
(2018)
Article
Computer Science, Information Systems
Judith W. Dexheimer, Brad G. Kurowski, Shilo H. Anders, Nicole McClanahan, Shari L. Wade, Lynn Babcock
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2017)
Article
Health Care Sciences & Services
Lynn Babcock, Brad G. Kurowski, Nanhua Zhang, Judith W. Dexheimer, Jenna Dyas, Shari L. Wade
TELEMEDICINE AND E-HEALTH
(2017)
Article
Health Care Sciences & Services
Lynn Babcock, Brad G. Kurowski, Nanhua Zhang, Judith W. Dexheimer, Jenna Dyas, Shari L. Wade
TELEMEDICINE AND E-HEALTH
(2017)
Article
Emergency Medicine
Tara Rhine, Shari L. Wade, Nanhua Zhang, Huaiyu Zang, Stephanie Kennebeck, Lynn Babcock
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2018)
Article
Pediatrics
Holly R. Hanson, Lynn Babcock, Terri Byczkowski, Stuart L. Goldstein
PEDIATRIC NEPHROLOGY
(2018)
Article
Emergency Medicine
Holly E. Depinet, Michelle Eckerle, Olga Semenova, Jareen Meinzen-Derr, Lynn Babcock
PREHOSPITAL EMERGENCY CARE
(2019)
Article
Clinical Neurology
Eric S. Rosenthal, Jordan J. Elm, James Ingles, Alexander J. Rogers, Thomas E. Terndrup, Maija Holsti, Danny G. Thomas, Lynn Babcock, Pamela J. Okada, Robert H. Lipsky, Joseph B. Miller, Robert W. Hickey, Megan E. Barra, Thomas P. Bleck, James C. Cloyd, Robert Silbergleit, Daniel H. Lowenstein, Lisa D. Coles, Jaideep Kapur, Shlomo Shinnar, James M. Chamberlain
Summary: The study aimed to quantify the association between early neurologic recovery, practice pattern variation, and endotracheal intubation during established status epilepticus. It found that endotracheal intubation is strongly associated with site-specific practice pattern variation, independently of baseline characteristics and early neurologic recovery.
Article
Clinical Neurology
Eric S. Rosenthal, Jordan J. Elm, James Ingles, Alexander J. Rogers, Thomas E. Terndrup, Maija Holsti, Danny G. Thomas, Lynn Babcock, Pamela J. Okada, Robert H. Lipsky, Joseph B. Miller, Robert W. Hickey, Megan E. Barra, Thomas P. Bleck, James C. Cloyd, Robert Silbergleit, Daniel H. Lowenstein, Lisa D. Coles, Jaideep Kapur, Shlomo Shinnar, James M. Chamberlain
Summary: The study aimed to quantify the association between early neurologic recovery, practice pattern variation, and endotracheal intubation during established status epilepticus. Site-specific variation was found to be the most strongly associated factor with endotracheal intubation, independently of other variables.
Article
Medicine, General & Internal
Tara Rhine, Terri Byczkowski, Mekibib Altaye, Shari L. Wade, Lynn Babcock
JOURNAL OF HOSPITAL MEDICINE
(2018)
Article
Emergency Medicine
Rachel M. Stanley, Michael D. Johnson, Cheryl Vance, Lalit Bajaj, Lynn Babcock, Shireen Atabaki, Danny Thomas, Harold K. Simon, Daniel M. Cohen, Daniel Rubacalva, P. David Adelson, Blake Bulloch, Alexander J. Rogers, Prashant Mahajan, Jill Baren, Lois Lee, John Hoyle, Kimberly Quayle, T. Charles Casper, J. Michael Dean, Nathan Kuppermann
ACADEMIC EMERGENCY MEDICINE
(2017)
Article
Pediatrics
Gregory Faris, Terri Byczkowski, Mona Ho, Lynn Babcock
ACADEMIC PEDIATRICS
(2016)