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Samantha Holin, Étienne Allart, Hélène Delecroix

    Geriatrie Et Psychologie Neuropsychiatrie Du Vieillissement
    |June 2, 2022
    PubMed
    Summary

    Traumatic Brain Injuries (TBI) cause significant disability, with cognitive and behavioral impairments evolving over time. Research is exploring how aging impacts these TBI sequelae, influenced by genetics and social factors.

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    Area of Science:

    • Neuroscience
    • Neurology
    • Rehabilitation Medicine

    Background:

    • Traumatic Brain Injuries (TBI) are a leading cause of disability in young individuals.
    • TBI consequences include somatic and cognitive-behavioral difficulties impacting social, professional, and emotional life.
    • While early TBI sequelae (up to 2 years) are well-documented, long-term evolution, especially with aging, is less understood.

    Purpose of the Study:

    • To investigate the long-term evolution of cognitive-behavioral sequelae after TBI as individuals age.
    • To identify factors influencing the progression and consolidation of TBI-related impairments over time.

    Main Methods:

    • Review of existing literature on TBI outcomes.
    • Analysis of studies examining cognitive-behavioral changes in aging TBI populations.
    • Exploration of endogenous (age, sex, ApoE4) and exogenous (social interactions) influencing factors.

    Main Results:

    • Cognitive-behavioral sequelae from TBI can evolve and consolidate for up to five years post-injury.
    • Aging TBI populations show evolving impairments.
    • Factors such as age at injury, sex, ApoE4 gene, and quality of cognitive/social interactions influence long-term outcomes.

    Conclusions:

    • The long-term trajectory of TBI-related cognitive-behavioral impairments is complex and influenced by multiple factors.
    • TBI may represent a risk factor for developing neurodegenerative diseases later in life.
    • Further research is needed to understand the aging process in TBI survivors.

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