Imaging of Chronic Concussion

Neuroimaging Clin N Am. 2018 Feb;28(1):127-135. doi: 10.1016/j.nic.2017.09.011. Epub 2017 Oct 27.

Abstract

Conventional imaging findings in patients with cerebral concussion and chronic traumatic encephalopathy are absent or subtle in the majority of cases. The most common abnormalities include cerebral volume loss, enlargement of the cavum of the septum pellucidum, cerebral microhemorrhages, and white matter signal abnormalities, all of which have poor sensitivity and specificity. Advanced imaging modalities, such as diffusion tensor imaging (DTI), blood oxygen level dependent functional MR Imaging (BOLD fMRI), MR spectroscopy, perfusion imaging, positron emission tomography (PET), single photon emission computed tomography (SPECT), and magnetoencephalography detect physiologic abnormalities in symptomatic patients and, although currently in the investigation phase, may become useful in the clinical arena.

Keywords: Cerebral; Chronic traumatic encephalopathy (CTE); Concussion; Mild traumatic brain injury (mTBI); Trauma.

Publication types

  • Review

MeSH terms

  • Brain / diagnostic imaging
  • Brain Concussion / diagnostic imaging*
  • Chronic Disease
  • Diagnostic Imaging / methods*
  • Humans