Near Infrared Detection of Spreading Depolarisations in TBI

  • Research type

    Research Study

  • Full title

    Near Infrared Spectroscopy to Detect Spreading Depolarisations in Traumatic Brain Injury

  • IRAS ID

    124060

  • Contact name

    Mark H Wilson

  • Contact email

    mark.wilson@imperial.nhs.uk

  • Research summary

    Trauma is the commonest cause of death in the under 40s and brain injury is the commonest cause of that death. Brain Injury also has profound consequences for survivors and their loved ones. To reduce this we need to find techniques that minimise the further evolution of brain damage following injury. A process known as “Spreading Depolarisations” refers to the abnormal electrical activity within the brain that commonly occurs following brain injury. This phenomenon increases the metabolism of brain cells which, at a time when they are vulnerable, can do them harm. Currently, the only technique for detecting this electrical activity is to place invasive catheters within the brain. This study aims to detect these depolarisations using a noninvasive technique. Near Infrared light detects changes in cerebral blood flow. These depolarisations are thought to increase blood flow in their wake, hence, the “spreading depolarisations” may be detectable with near infrared light without the need for invasive monitoring. By using a “cap” of 48 of such probes placed on the patients head, we aim to demonstrate these depolarisations non invasively. Although not part of this study, medical treatments could in the future be used to reduce their presence and help preserve vulnerable brain tissue.

  • REC name

    Yorkshire & The Humber - Leeds West Research Ethics Committee

  • REC reference

    13/YH/0117

  • Date of REC Opinion

    21 Jun 2013

  • REC opinion

    Further Information Favourable Opinion