AUTHOR=Bharath Rose D., Munivenkatappa Ashok , Gohel Suril , Panda Rajanikant , Saini Jitender , Rajeswaran Jamuna , Shukla Dhaval , Bhagavatula Indira D., Biswal Bharat B. TITLE=Recovery of resting brain connectivity ensuing mild traumatic brain injury JOURNAL=Frontiers in Human Neuroscience VOLUME=9 YEAR=2015 URL=https://www.frontiersin.org/journals/human-neuroscience/articles/10.3389/fnhum.2015.00513 DOI=10.3389/fnhum.2015.00513 ISSN=1662-5161 ABSTRACT=

Brains reveal amplified plasticity as they recover from an injury. We aimed to define time dependent plasticity changes in patients recovering from mild traumatic brain injury (mTBI). Twenty-five subjects with mild head injury were longitudinally evaluated within 36 h, 3 and 6 months using resting state functional connectivity (RSFC). Region of interest (ROI) based connectivity differences over time within the patient group and in comparison with a healthy control group were analyzed at p < 0.005. We found 33 distinct ROI pairs that revealed significant changes in their connectivity strength with time. Within 3 months, the majority of the ROI pairs had decreased connectivity in mTBI population, which increased and became comparable to healthy controls at 6 months. Within this diffuse decreased connectivity in the first 3 months, there were also few regions with increased connections. This hyper connectivity involved the salience network and default mode network within 36 h, and lingual, inferior frontal and fronto-parietal networks at 3 months. Our findings in a fairly homogenous group of patients with mTBI evaluated during the 6 month window of recovery defines time varying brain connectivity changes as the brain recovers from an injury. A majority of these changes were seen in the frontal and parietal lobes between 3 and 6 months after injury. Hyper connectivity of several networks supported normal recovery in the first 6 months and it remains to be seen in future studies whether this can predict an early and efficient recovery of brain function.