The chronic and evolving neurological consequences of traumatic brain injury

Lindsay Wilson, William Stewart, Kristen Dams-O’Connor, Ramon Diaz-Arrastia, Lindsay Horton, David K Menon, Suzanne Polinder
plastic brain sliced in profile

Traumatic brain injury (TBI) can have lifelong and dynamic effects on health and wellbeing. Research on the longterm consequences emphasises that, for many patients, TBI should be conceptualised as a chronic health condition. Evidence suggests that functional outcomes after TBI can show improvement or deterioration up to two decades after injury, and rates of all-cause mortality remain elevated for many years. Furthermore, TBI represents a risk factor for a variety of neurological illnesses, including epilepsy, stroke, and neurodegenerative disease. With respect to neurodegeneration after TBI, post-mortem studies on the long-term neuropathology after injury have identified complex persisting and evolving abnormalities best described as polypathology, which includes chronic traumatic encephalopathy. Despite growing awareness of the lifelong consequences of TBI, substantial gaps in research exist. Improvements are therefore needed in understanding chronic pathologies and their implications for survivors of TBI, which could inform long-term health management in this sizeable patient population.

Posted on BrainLine August 7, 2019. Reviewed August 7, 2019.

Comments (1)

Glad to see some attention going to the LONG TERM. I wish I had a stack of copies of this article. I would paper this town , especially the so-called hospital and then reach out to law makers. GIVE US SOME DOCTORS AND THE RIGHT TO ACCESS THEM! Thanks for speaking up!