Alpha desynchronization/synchronization during working memory testing is compromised in acute mild traumatic brain injury (mTBI)

PLoS One. 2018 Feb 14;13(2):e0188101. doi: 10.1371/journal.pone.0188101. eCollection 2018.

Abstract

Diagnosing and monitoring recovery of patients with mild traumatic brain injury (mTBI) is challenging because of the lack of objective, quantitative measures. Diagnosis is based on description of injuries often not witnessed, subtle neurocognitive symptoms, and neuropsychological testing. Since working memory (WM) is at the center of cognitive functions impaired in mTBI, this study was designed to define objective quantitative electroencephalographic (qEEG) measures of WM processing that may correlate with cognitive changes associated with acute mTBI. First-time mTBI patients and mild peripheral (limb) trauma controls without head injury were recruited from the emergency department. WM was assessed by a continuous performance task (N-back). EEG recordings were obtained during N-back testing on three occasions: within five days, two weeks, and one month after injury. Compared with controls, mTBI patients showed abnormal induced and evoked alpha activity including event-related desynchronization (ERD) and synchronization (ERS). For induced alpha power, TBI patients had excessive frontal ERD on their first and third visit. For evoked alpha, mTBI patients had lower parietal ERD/ERS at the second and third visits. These exploratory qEEG findings offer new and non-invasive candidate measures to characterize the evolution of injury over the first month, with potential to provide much-needed objective measures of brain dysfunction to diagnose and monitor the consequences of mTBI.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adult
  • Brain Injuries, Traumatic / physiopathology*
  • Electroencephalography
  • Female
  • Humans
  • Male
  • Memory, Short-Term*
  • Severity of Illness Index
  • Young Adult

Grants and funding

This research was funded by a grant from the DoD: W81XWH-13-1-0005, Department of the army, USAMRAA, military medical research and development. HMRI provided additional financial support. Columbus Biometrics provided support in the form of salaries for author JMP but did not have any additional role in the study design, data collection or decision to publish of the manuscript. The specific roles of these authors are articulated in the ‘author contributions’ section. Columbus Biometrics was a paid independent consultant, and Columbus Biometrics assisted in statistical analyses and manuscript preparation. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.