Imperial College London

Dr Peter Hellyer

Faculty of MedicineDepartment of Brain Sciences

Honorary Lecturer
 
 
 
//

Contact

 

+44 (0)20 7594 9568peter.hellyer

 
 
//

Location

 

4.35Royal School of MinesSouth Kensington Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Feeney:2017:10.1002/ana.24971,
author = {Feeney, C and Sharp, DJ and Hellyer, PJ and Jolly, AE and Cole, JH and Scott, G and Baxter, D and Jilka, S and Ross, E and Ham, TE and Jenkins, PO and Li, LM and Gorgoraptis, N and Midwinter, M and Goldstone, AP},
doi = {10.1002/ana.24971},
journal = {Annals of Neurology},
pages = {30--43},
title = {Serum IGF-I levels are associated with improved white matter recovery after TBI.},
url = {http://dx.doi.org/10.1002/ana.24971},
volume = {82},
year = {2017}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - OBJECTIVE: Traumatic brain injury (TBI) is a common disabling condition with limited treatment options. Diffusion tensor imaging (DTI) measures recovery of axonal injury in white matter (WM) tracts after TBI. Growth hormone deficiency (GHD) after TBI may impair axonal and neuropsychological recovery, and serum IGF-I may mediate this effect. We conducted a longitudinal study to determine the effects of baseline serum IGF-I concentrations on WM tract and neuropsychological recovery after TBI. METHODS: Thirty-nine adults after TBI (84.6% male; age median 30.5y; 87.2% moderate-severe; time since TBI median 16.3 months, n=4 with GHD) were scanned twice, 13.3 months (12.1-14.9) apart, and 35 healthy controls scanned once. Symptom and quality of life questionnaires and cognitive assessments were completed at both visits (n=33). Our main outcome measure was fractional anisotropy (FA), a measure of WM tract integrity, in a priori regions of interest: splenium of corpus callosum (SPCC), and posterior limb of internal capsule (PLIC). RESULTS: At baseline, FA was reduced in many WM tracts including SPCC and PLIC following TBI compared to controls, indicating axonal injury, with longitudinal increases indicating axonal recovery. There was a significantly greater increase in SPCC FA over time in patients with serum IGF-I above vs. below the median-for-age. Only the higher IGF-I group had significant improvements in immediate verbal memory recall over time. INTERPRETATION: WM recovery and memory improvements after TBI were greater in patients with higher serum IGF-I at baseline. These findings suggest that GH/IGF-I system may be a potential therapeutic target following TBI. This article is protected by copyright. All rights reserved.
AU - Feeney,C
AU - Sharp,DJ
AU - Hellyer,PJ
AU - Jolly,AE
AU - Cole,JH
AU - Scott,G
AU - Baxter,D
AU - Jilka,S
AU - Ross,E
AU - Ham,TE
AU - Jenkins,PO
AU - Li,LM
AU - Gorgoraptis,N
AU - Midwinter,M
AU - Goldstone,AP
DO - 10.1002/ana.24971
EP - 43
PY - 2017///
SN - 0364-5134
SP - 30
TI - Serum IGF-I levels are associated with improved white matter recovery after TBI.
T2 - Annals of Neurology
UR - http://dx.doi.org/10.1002/ana.24971
UR - http://hdl.handle.net/10044/1/51179
VL - 82
ER -