Concussions and depression look alike in brain scans

"The first step in developing a treatment for any disease is understanding what causes it, and if we can prove a link, or even a common pathway, between post-traumatic depression and depression in the general population it could potentially lead to effective treatment strategies for both diseases," says Saeed Fakhran. (Credit: iStockphoto)

Brain scans of people who have symptoms of depression after a concussion show injuries in the brain’s white matter.

Similar abnormalities show up in people with depression not caused by a concussion, also known as a mild traumatic brain injury (mTBI).

“We know that neuropsychiatric disorders like depression and anxiety can be as disabling as Alzheimer’s dementia and chronic traumatic encephalopathy, affecting a person’s quality of life, and are often accompanied by higher rates of obesity, substance abuse, and even suicide,” says Saeed Fakhran, an assistant professor of radiology at the University of Pittsburgh.

“We wanted to see if there were commonalities shared by patients with depression and anxiety disorders caused by brain trauma and those with non-traumatic depression.”

Detailed brain scans

Fakhran and his team examined MRI scans performed in 74 concussion patients from 2006 to 2014 using an advanced technique called diffusion tensor imaging.

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Diffusion tensor imaging allows doctors to visualize the white matter and look for places where the white matter may be injured, resulting in decreased connections in the brain and post-concussion symptoms.

White matter in the brain is made up of long, finger-like fibers projecting from nerve cells and is covered by a whitish fatty material. While gray matter, the part of our brain without the fatty covering, holds our knowledge, white matter is what connects different regions of gray matter, allowing different parts of the brain to communicate with one another.

In patients with depression, researchers found injured regions in the reward circuit of the brain, which has also been found to be abnormal in patients with non-traumatic major depressive disorder.

Greater injury to the reward center of the brain correlated with a longer recovery time, similar to patients with non-traumatic major depressive disorder, the researchers say.

“Finding such similar injuries in mTBI patients with depression and major depressive disorder may suggest a common pathophysiology in both traumatic and non-traumatic depression that may help guide treatment,” says Fakhran.

“The first step in developing a treatment for any disease is understanding what causes it, and if we can prove a link, or even a common pathway, between post-traumatic depression and depression in the general population it could potentially lead to effective treatment strategies for both diseases.”

A few caveats

While noting that continuing research is vital in this area, the researchers says their project was limited by its retrospective nature and moderate sample size. Because so few concussion patients undergo imaging, the researchers note that future, prospective research could benefit from following a larger group of patients.

Moreover, their findings didn’t include irritability, the third neuropsychiatric symptom they set out to study—causing them to determine that not all such post-concussion/mTBI symptoms appear to result in discrete white matter injuries.

It also was difficult to determine, they say, if pre-existing brain abnormalities rendered certain patients more susceptible to depression or anxiety.

The researchers presented their findings this week at the annual meeting of the Radiological Society of North America.

Source: University of Pittsburgh