Early parosmia signs and affective states predicts depression and anxiety symptoms six months after a mild Traumatic Brain Injury.

This longitudinal study aimed to evaluate qualitative (parosmia) and quantitative (hyposmia/anosmia) olfaction 2-4 weeks (baseline) and six months (follow-up) after a mild traumatic brain injury (mTBI). We further evaluated the predictive value of baseline depression, anxiety and olfaction scores on depression and anxiety at follow-up. At baseline, olfactory function and affective state were assessed in 107 participants (53 patients with mild TBI; 54 healthy controls). At follow-up, data were collected on 71 participants (32 patients, 39 controls). Both at baseline and follow-up, patients with mild TBI showed more signs of parosmia, depression and anxiety, compared to controls. However, patients did not, neither at baseline nor follow-up, show quantitative olfactory impairment. Moreover, while baseline scores of depression and anxiety helped predict the development of symptoms of depression and anxiety at follow up, adding parosmia scores to the prediction model significantly increased the amount of explained variances. Clinicians should implement affective and olfactory evaluation to predict patients' affective outcome.

The Effect of Stimulus Duration on the Nostril Localization of Eucalyptol.

The trigeminal system is a chemosensory system participating in the perception of most odorants, which allows for the perception of diverse sensations including the freshness of eucalyptus or the spiciness of pepper. The lateralization task, that is, the identification of the stimulated nostril in a monorhinal stimulation paradigm is only possible following trigeminal stimulation and allows therefore for the assessment of the trigeminal sensitivity also in a clinical setting. In this study, we aimed to determine the effects of the duration of stimuli on the lateralization task. To this end, we asked 32 young and healthy subjects perform the lateralization task while being exposed to eucalyptol stimuli ranging between 100 and 1250 ms. We found that participants performed on average at chance for stimuli shorter than 500 ms, and observed increasing accuracy for stimuli with longer durations. In conclusion, these data suggest that 500 ms represents a threshold for the lateralization of eucalyptol stimuli. Therefore, when trigeminal sensitivity is tested in a clinical setting, eucalyptol stimuli should have a duration of at least 500 ms.