Photosensitivity detection using diffusion tensor imaging in a traumatic brain injury patient

The present study examined a patient with traumatic brain injury who exhibited visual photosensitivity and axonal injury of the left optic radiation, which was detected by diffusion tensor imaging. The patient was a 41-year-old man. He began to complain of photosensitivity at 4 months after head trauma. Ophthalmic evaluation, including visual-evoked potential and conventional brain magnetic resonance imaging, did not reveal a pathologic basis for photosensitivity. Axonal injury in the left optic radiation was detected via diffusion tensor imaging at 36 months after head trauma. The lesion was almost recovered at 76 months. However, photosensitivity continued. Therefore, the photosensitivity was considered to be a result of axonal injury to the left optic radiation, which could be a symptom of maladaptive plasticity that occurs during recovery of axonal injury of the left optic radiation.