Traumatic Brain Injury Blog

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Tagged with “APOE”

November 10, 2016

Genetics a Likely Factor in Variability of Outcome Following Concussion

Most experts in traumatic brain injury (TBI) agree that there is a high degree of variability in outcomes after TBI, including concussions (usually characterized as “mild” TBIs – mTBI.) In other words, this injury is heterogenous; generalizations about recovery rates and outcomes are not particularly  productive.

In prior posts we have discussed research finding physical differences between patients who recover quickly and patients with persistent symptoms (such as differences in DTI imaging and differences in the presence of certain proteins.)  This research contradicts the position some clinicians previously held that persistent symptoms following mTBI were likely the result of a “somatoform” or mental health disorder. We have also discussed research identifying some of the individual factors that explain the variability of outcomes, such as prior TBIs and preexisting migraine. We have also discussed how the particular forces involved in a TBI may affect different structures of the brain producing different outcomes (such as changes in vision, changes in balance or changes in the function of the pituitary gland resulting in hormonal imbalances.)

It has always been suspected  that one of the factors explaining such variability in outcome may be genetic differences. Read More