| Neural Tract Injuries by Brain Herniations After Head Trauma. | |
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MedLine Citation:
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PMID: 21386711 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVES:: Little is known about the usefulness and findings of brain herniation on diffusiontensor tractography (DTT). Using DTT, we demonstrated neural tract injuries in 2 patients who showed subfalcine andtrasntentorial herniations after subdural hematoma resulting from motor vehicle accident. DESIGN:: Twopatients and 6 age- and sex-matched, healthy volunteers were recruited for this study. SETTING:: Aninpatient rehabilitation unit. MAIN OUTCOME MEASURES:: Diffusion tensor tractography for the patients wasperformed 5 weeks after onset. RESULTS:: Diffusion tensor tractography of patient 1 showed complete injuryof both cingulums at or around the rostrum of the corpus callosum, the fornix at the anterior and posterior body, andboth corticospinal tracts at the pons. In addition, partial injury of both somatosensory tracts at the midbrain was alsoobserved. Patient 2 showed complete injury of both cingulums above the body of the corpus callosum, the fornix at theanterior and posterior body, and right corticospinal tracts at the pons level and partial injury of the rightsomatosensory tract. We found that the fractional anisotropy values of all neural tracts, except fornix, in bothpatients and left somatosensory tract in patient 2 and voxel number for left somatosensory tract in patient 2 weredecreased 2 SDs below that of normal controls. CONCLUSIONS:: We determined that DTT would be a goodtechnique for use in the detection of underlying lesions in patients with brain herniation. |
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Authors:
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Ji Heon Hong; Seong Ho Kim; Oh Lyong Kim; Woo Mok Byun; Sung Ho Jang |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-7 |
Journal Detail:
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Title: The Journal of head trauma rehabilitation Volume: - ISSN: 1550-509X ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-9 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8702552 Medline TA: J Head Trauma Rehabil Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Physical Therapy, Yeungnam College of Science & Technology, Daegu, Republic of Korea (Dr Hong), Department of Physical Medicine and Rehabilitation (Dr Jang), Department of Neurosurgery (Drs S. H. Kim and O. L. Kim), and Department of Diganostic radiology (Dr Byun), College of Medicine, Yeungnam University, Namku, Taegu, Republic of Korea. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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