Evidence map›Paper›PMID 40476699›Full record

ArticleAnnals of neurology2025

Regional and Global Changes in Brain Structure 1-Year Post Pediatric "Mild" Traumatic Brain Injury.

Upasana Nathaniel, Tracey V Wick, Josef L Ling, Jessica R McQuaid, Divyasree Sasi Kumar, Samuel D Miller, Jingshu Wu, Vadim Zotev, Timothy B Meier, Harm J van der Horn and 6 more

Abstract read
In one paragraph

Article in Annals of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Long-term functional outcomes following pediatric decompressive craniectomy for traumatic brain injury.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Upasana NathanielThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.ORCID 0000-0003-4467-8369
Tracey V WickThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.
Josef L LingThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.
Jessica R McQuaidThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.
Divyasree Sasi KumarThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.
Samuel D MillerThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.
Jingshu WuThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.
Vadim ZotevThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.
Timothy B MeierDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0002-4495-2754
Harm J van der HornThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.
John P PhillipsThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.
Richard A CampbellDepartment of Psychiatry and Behavioral Sciences, University of New Mexico, Albuquerque, NM, USA.
Robert E SapienDepartment of Emergency Medicine, University of New Mexico, Albuquerque, NM, USA.
Rahsan KeskinDepartment of Physical Medicine and Rehabilitation, University of New Mexico, Albuquerque, NM, USA.
Andrei A VakhtinThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.
Andrew R MayerThe Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, NM, USA.ORCID 0000-0003-2396-5609

Funding

The Impact of Diffuse Mild Brain Injury on Clinical Outcomes in ChildrenR01NS098494 · NINDS · THE MIND RESEARCH NETWORK · PI Andrew Robert Mayer · 2016 to 2026
$7.6M
Pilot Project Program (PPP)P30GM122734 · NIGMS · THE MIND RESEARCH NETWORK · PI MAYER, ANDREW ROBERT · 2018 to 2022
$7.0M
Siemens MAGNETOM Prisma/Prisma fit upgradeS10OD025313 · OD · THE MIND RESEARCH NETWORK · PI MAYER, ANDREW ROBERT · 2018 to 2018
$1.5M
NIGMS NIH HHS P30 GM122734NIH HHS 2R01NS098494-06A1NIH HHS P30 GM122734NIH HHS R01 NS098494-01A1NIH HHS R01 NS098494-03S1A1NIH HHS S10 OD025313NIH HHS S10OD025313NINDS NIH HHS R01 NS098494
6 · The paper itself

Abstract

objectiveDespite the high prevalence of pediatric "mild" traumatic brain injury (pmTBI), very little is known about the long-term effects of injury on brain structure and how injuries manifest in the context of dynamic and regionally specific neurodevelopmental changes.

methodsProspective study design characterizing long-term effects of pmTBI on both global (brain age) and regional (hippocampal volume, hippocampal subfields, and cortical thickness) brain structure at approximately 7 days, 4 months, and 1-year post-injury. A large sample of age- and sex-matched healthy controls was imaged at identical temporal intervals to account for typical neurodevelopmental changes, and to assess how trauma potentially affects developmental trajectories.

resultsA total of 269 pmTBI (age = 14.4 ± 2.9; 41.6% female) and 232 healthy controls (age = 14.1 ± 2.9; 44.8% female) were included in the final analyses (>70% 1-year retention). Results demonstrated that the presence of loss of consciousness and/or post-traumatic amnesia was associated with increased brain age up to 1-year post-injury, increased frontal cortical thickness at 4 months, as well as hippocampal atrophy across all time points relative to controls. "Mild" head trauma also interfered with hippocampal neurodevelopment in a dose-dependent fashion, including within the CA1 subfield. In contrast, post-concussive symptom burden was not associated with any structural abnormalities or alterations to neurodevelopment.

interpretationCurrent findings suggest a dose-dependent relationship between injury severity and alterations in both global and regional brain structure within the spectrum of pmTBI. Our results emphasize the importance of using objective biomarkers rather than subjective self-reported symptoms to better understand the long-term effects of injury. ANN NEUROL 2025;98:341-353.

Indexed as

BrainBrain ConcussionAdolescentChildFemaleHippocampusHumansMagnetic Resonance ImagingMaleProspective Studies

Identifiers

PMID40476699
PMCPMC12235941

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.