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Sensory sensitivity as a link between concussive traumatic brain injury and PTSD
Ann N Hoffman1,2,3,4, Jamie Lam5, David A Hovda6,7,8
1UCLA, Neurosurgery; Brain Injury Research Center, Los Angeles, USA. hoffmana7@ucla.edu.
Scientific Reports
|September 27, 2019
Summary
Traumatic brain injury (TBI) alters auditory processing, making neutral sounds aversive and enhancing fear memories. This may explain the link between TBI and post-traumatic stress disorder (PTSD) comorbidity.
Area of Science:
- Neuroscience
- Traumatic Brain Injury Research
- Auditory Processing
Background:
- Traumatic brain injury (TBI) is prevalent in military personnel, often co-occurring with post-traumatic stress disorder (PTSD).
- Altered sensory processing following TBI may contribute to this comorbidity.
- Understanding the interplay between TBI, sensory changes, and emotional trauma is crucial.
Purpose of the Study:
- To investigate the interaction between TBI-induced auditory changes and fear conditioning.
- To explore how TBI affects sensory processing in brain regions involved in emotion and memory.
- To elucidate potential mechanisms underlying TBI-PTSD comorbidity.
Main Methods:
- Utilized a combined animal model for TBI and emotional trauma.
- Assessed auditory sensitivity and fear conditioning responses.
- Measured neuronal activity in the hippocampus and lateral amygdala (LA) using electrophysiology.
- Investigated neural pathways from the auditory thalamus to the LA.
Main Results:
- White noise alone induced a phonophobia-like response in TBI models.
- Auditory stimuli potentiated fear responses when paired with footshocks.
- TBI reduced hippocampal activity but increased ipsilateral LA activity in response to white noise.
- This LA activation was driven by projections from the medial geniculate nucleus of the auditory thalamus.
Conclusions:
- Altered subcortical sensory-emotional circuitry following TBI can render neutral stimuli aversive.
- This sensory alteration may facilitate the formation of trauma memories.
- Findings suggest a neural mechanism contributing to TBI-PTSD comorbidity.
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