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Auteur Jennifer A. Gustafson
Documents disponibles écrits par cet auteur
Ajouter le résultat dans votre panier Affiner la rechercheAssociation of mild traumatic brain injury, post-traumatic stress disorder, and other comorbidities on photosensitivity / Jenalyn M. Jotie in OVS : Optometry & Vision Science, vol. 101, 02 (Fevrier 2024)
[article]
in OVS : Optometry & Vision Science > vol. 101, 02 (Fevrier 2024)
Titre : Association of mild traumatic brain injury, post-traumatic stress disorder, and other comorbidities on photosensitivity Type de document : article de périodique Auteurs : Jenalyn M. Jotie ; Jennifer A. Gustafson ; Jennifer R. Fonda ; Catherine B. Fortier ; William P. Milberg ; Francesca C. Fortenbaugh Année de publication : 2024 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Comorbidité
[Thésaurus Mesh]Thérapeutique
[Thésaurus Mesh]Vision oculaire
[Thésaurus HELB]:Paramédical:Stress post-traumatiqueMots-clés : photosensibilité traumatisme crânien léger Résumé : SIGNIFICANCE
Photosensitivity is common after mild traumatic brain injury. However, this study demonstrates that photosensitivity is also impacted by common comorbidities that often occur with mild traumatic brain injury. Understanding how physical and psychological traumas impact photosensitivity can help improve provider care to trauma survivors and guide novel therapeutic interventions.
PURPOSE
This study aimed to characterize the association between mild traumatic brain injury and common comorbidities on photosensitivity in post-9/11 veterans.
METHODS
Existing data from the Translational Research Center for TBI and Stress Disorders cohort study were analyzed including traumatic brain injury history and post-traumatic stress disorder clinical diagnostic interviews; sleep quality, anxiety, and depression symptoms self-report questionnaires; and photosensitivity severity self-report from the Neurobehavioral Symptom Inventory. Analysis of covariance and multiple ordinal regression models were used to assess associations between mild traumatic brain injury and common comorbidities with photosensitivity severity.
RESULTS
Six hundred forty-one post-9/11 veterans were included in this study. An initial analysis showed that both mild traumatic brain injury and current post-traumatic stress disorder diagnosis were independently associated with higher photosensitivity ratings compared with veterans without either condition, with no interaction observed between these two conditions. Results of the ordinal regression models demonstrated positive associations between degree of photosensitivity and the number of mild traumatic brain injuries during military service and current post-traumatic stress disorder symptom severity, particularly hyperarousal symptoms, even when controlling for other factors. In addition, the degree of sleep disturbances and current anxiety symptoms were both positively associated with photosensitivity ratings, whereas depression symptoms, age, and sex were not.
CONCLUSIONS
Repetitive mild traumatic brain injury, post-traumatic stress disorder, anxiety, and sleep disturbances were all found to significantly impact photosensitivity severity and are therefore important clinical factors that eye care providers should consider when managing veterans with a history of deployment-related trauma reporting photosensitivity symptoms.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Case Report: Visual Snow Syndrome after Repetitive Mild Traumatic Brain Injury / Rachel N. Werner in OVS : Optometry & Vision Science, vol. 99, 04 (Avril 2022)
[article]
in OVS : Optometry & Vision Science > vol. 99, 04 (Avril 2022)
Titre : Case Report: Visual Snow Syndrome after Repetitive Mild Traumatic Brain Injury Type de document : article de périodique Auteurs : Rachel N. Werner ; Jennifer A. Gustafson Année de publication : 2022 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Lésions encéphaliques
[Thésaurus Mesh]Thérapeutique
[Thésaurus Mesh]Troubles de la visionMots-clés : syndrome visuel de la neige Résumé : SIGNIFICANCE: Visual snow syndrome is a recently recognized condition with its own diagnostic criteria, evolving
pathophysiologic research, and potential treatment options.
PURPOSE: This report documents a rare but likely underdiagnosed condition called visual snow syndrome. A review of the current literature on pathophysiology and treatments is discussed.
CASE REPORT: A 40-year-old Whiteman started experiencing symptoms of constant pulsating pixels throughout
his entire visual field approximately 3 weeks after a series of mild concussions. In addition, he experienced a persistence of images and photosensitivity. The patient had normal eye examination results, visual fields, and retinal
imaging result. Brain MRI, magnetic resonance angiography, electroencephalography, and cerebrospinal fluid
analysis were unremarkable. A positron emission tomography scan demonstrated hypometabolism in the posterior
parietal lobes and left posterior cingulate gyrus. Pharmacological treatment with antiepileptic and migraine medications was unsuccessful. Tinted lenses were essentially ineffective with a 10% reduction in symptoms reported
with the use of a custom blue-tinted lens.Vision rehabilitation aids with optical character recognition were used for
prolonged reading needs.
CONCLUSIONS: Although rare, visual snow syndrome should be considered in all patients reporting continuous
pixelations in their vision for more than 3 months, especially when accompanied by at least two of the following:
photosensitivity, palinopsia, enhanced entopic phenomena, or nyctalopia. The pathophysiology is still unclear at
this point, with evidence suggesting a link to the secondary visual cortex, specifically the lingual gyrus. More studies are needed to determine the exact cause, especially studies that separate visual snow syndrome patients with
and without comorbid migraine. Because the pathophysiology is unclear, the treatment course is also unclear. Anecdotal evidence may suggest that tinted lenses may be of some value.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire