Electrical Brain Activity and Its Relationship with Cortisol Levels in Combatants with Brain Contusion after Mild Combat Traumatic Brain Injury
O.G. Berchenko, A.V. Shliakhova, A.M. Titkova, N.O. Levicheva, М.F. Posokhov, Z.M. Lemondzhava
- State Institution "P.V. Voloshyn Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine", Kharkiv, Ukraine
DOI: https://doi.org/10.15407/fz71.06.003

Abstract
Combat traumatic brain injury (cTBI) is characterized by
the complexity of pathogenetic mechanisms, caused by the
combination of the action of factors of mine-blast damage
with the psycho-emotional reaction of the body to stress.
The consequences of cTBI are manifested in changes in elec-
trogenesis and neurochemical parameters of functional and
metabolic activity of the brain, one of the important factors of
which is cerebral cortisol levels. Identifying the nature of these
changes is necessary to improve the effectiveness of therapy
and rehabilitation of combatants. The study aimed to identify
the features of brain electrogenesis and its relationship with
the temporal dynamics of cortisol levels in the blood serum
and cerebrospinal fluid (CSF) of combatants with brain con-
tusion after cTBI23 patients with TBI were examined (10 in
the acute and 13 in the intermediate periods after the injury),
whose electroencephalograms (EEG) were recorded, and their
visual, spectral, and coherent analyses were also performed.
The cortisol levels were determined in CSF and serum by
enzyme-linked immunosorbent assay. The EEG spectrograms
revealed an increase in the spectral power of Δ-range oscil-
lations in the frontotemporal and central brain regions with
the development of the consequences of сTBI over time. The
spectral power of β-range oscillations in the intermediate pe-
riod after the injury decreased compared to the acute period.
Cortisol levels in CSF and serum increased over time after
cTBI. The level of the hormone in CSF in the acute period after
trauma was positively correlated with the spectral power of the
biopotentials of the Δ-, θ-, and β-ranges. In the intermediate
period, the degree of correlation of cortisol concentration with
the spectral power of the biopotentials of the θ- and Δ-ranges
decreased, but increased in the β-range. Thus, the EEG of
combatants revealed an increase in the spectral power of slow
rhythms with impaired intra- and interhemispheric neural com-
munication, an increase in cortisol levels in CSF and serum
over time, and its positive correlations with the biopotentials
of the β-ranges against the background of a weakening, with
the biopotentials of slow rhythms.
Keywords:
combat traumatic brain injury, brain contusion, brain electrogenesis, cortisol, cerebrospinal fluid, blood serum
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