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MRI findings and Axis I and II psychiatric disorders after traumatic brain injury: a 30-year retrospective follow-up study.
Psychiatry Res. 2006 Apr 30; 146(3):263-70.PR

Abstract

We studied the association between psychiatric disorders and the presence and location of traumatic lesions on magnetic resonance imaging (MRI) in 58 patients, on average, 30 years after traumatic brain injury. Axis I psychiatric disorders that had begun after the injury were assessed with the Schedules for Clinical Assessment in Neuropsychiatry (version 2.1), and Axis II disorders with the Structured Clinical Interview for DSM-III-R Personality Disorders. A 1.5-Tesla MRI scanner was used. One-third of the subjects had traumatic lesions visible on MRI. Only three psychiatric disorders, that is, delusional disorder, dementia, and the disinhibited type of organic personality syndrome, were significantly more common in subjects with contusions. Concerning the location of contusions, organic personality syndrome and its disinhibited subtype were associated with frontal lesions, and major depression was, surprisingly, inversely associated with temporal lesions. These results, which should be interpreted with caution due to the limited size of the study group, suggest that the majority of psychiatric disorders after traumatic brain injury are not closely related to the specific location or even the presence of contusions detectable with post-acute MRI.

Authors+Show Affiliations

Department of Psychiatry, Turku University Hospital, PL 52, FI-20521 Turku, Finland. salla.koponen@utu.fiNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16507345

Citation

Koponen, Salla, et al. "MRI Findings and Axis I and II Psychiatric Disorders After Traumatic Brain Injury: a 30-year Retrospective Follow-up Study." Psychiatry Research, vol. 146, no. 3, 2006, pp. 263-70.
Koponen S, Taiminen T, Kurki T, et al. MRI findings and Axis I and II psychiatric disorders after traumatic brain injury: a 30-year retrospective follow-up study. Psychiatry Res. 2006;146(3):263-70.
Koponen, S., Taiminen, T., Kurki, T., Portin, R., Isoniemi, H., Himanen, L., Hinkka, S., Salokangas, R. K., & Tenovuo, O. (2006). MRI findings and Axis I and II psychiatric disorders after traumatic brain injury: a 30-year retrospective follow-up study. Psychiatry Research, 146(3), 263-70.
Koponen S, et al. MRI Findings and Axis I and II Psychiatric Disorders After Traumatic Brain Injury: a 30-year Retrospective Follow-up Study. Psychiatry Res. 2006 Apr 30;146(3):263-70. PubMed PMID: 16507345.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - MRI findings and Axis I and II psychiatric disorders after traumatic brain injury: a 30-year retrospective follow-up study. AU - Koponen,Salla, AU - Taiminen,Tero, AU - Kurki,Timo, AU - Portin,Raija, AU - Isoniemi,Heli, AU - Himanen,Leena, AU - Hinkka,Susanna, AU - Salokangas,Raimo K R, AU - Tenovuo,Olli, Y1 - 2006/02/28/ PY - 2004/10/08/received PY - 2005/04/19/revised PY - 2005/05/06/accepted PY - 2006/3/2/pubmed PY - 2006/8/11/medline PY - 2006/3/2/entrez SP - 263 EP - 70 JF - Psychiatry research JO - Psychiatry Res VL - 146 IS - 3 N2 - We studied the association between psychiatric disorders and the presence and location of traumatic lesions on magnetic resonance imaging (MRI) in 58 patients, on average, 30 years after traumatic brain injury. Axis I psychiatric disorders that had begun after the injury were assessed with the Schedules for Clinical Assessment in Neuropsychiatry (version 2.1), and Axis II disorders with the Structured Clinical Interview for DSM-III-R Personality Disorders. A 1.5-Tesla MRI scanner was used. One-third of the subjects had traumatic lesions visible on MRI. Only three psychiatric disorders, that is, delusional disorder, dementia, and the disinhibited type of organic personality syndrome, were significantly more common in subjects with contusions. Concerning the location of contusions, organic personality syndrome and its disinhibited subtype were associated with frontal lesions, and major depression was, surprisingly, inversely associated with temporal lesions. These results, which should be interpreted with caution due to the limited size of the study group, suggest that the majority of psychiatric disorders after traumatic brain injury are not closely related to the specific location or even the presence of contusions detectable with post-acute MRI. SN - 0165-1781 UR - https://www.unboundmedicine.com/medline/citation/16507345/MRI_findings_and_Axis_I_and_II_psychiatric_disorders_after_traumatic_brain_injury:_a_30_year_retrospective_follow_up_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0925-4927(06)00010-2 DB - PRIME DP - Unbound Medicine ER -