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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Dong Shin (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University) Choi, Hyuk Jai (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University) Yang, Jin Seo (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University) Cho, Yong Jun (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University) Kang, Suk Hyung (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제58권 제2호
발행연도
2015.1
수록면
131 - 136 (6page)

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Objective : To investigate the incidence of corpus callosum injury (CCI) in patients with mild traumatic brain injury (TBI) using brain MRI. We also performed a review of the clinical characteristics associated with this injury. Methods : A total of 356 patients in the study were diagnosed with TBI, with 94 patients classified as having mild TBI. We included patients with mild TBI for further evaluation if they had normal findings via brain computed tomography (CT) scans and also underwent brain MRI in the acute phase following trauma. As assessed by brain MRI, CCI was defined as a high-signal lesion in T2 sagittal images and a corresponding low-signal lesion as determined by axial gradient echo (GRE) imaging. Based on these criteria, we divided patients into two groups for further analysis : Group I (TBI patients with CCI) and Group II (TBI patients without CCI). Results : A total of 56 patients were enrolled in this study (including 16 patients in Group I and 40 patients in Group II). Analysis of clinical symptoms revealed a significant difference in headache severity between groups. Over 50% of patients in Group I experienced prolonged neurological symptoms including dizziness and gait disturbance and were more common in Group I than Group II (dizziness : 37 and 12% in Groups I and II, respectively; gait disturbance : 12 and 0% in Groups I and II, respectively). Conclusion : The incidence of CCI in patients with mild TBI was approximately 29%. We suggest that brain MRI is a useful method to reveal the cause of persistent symptoms and predict clinical prognosis.
#Corpus callosum #Traumatic brain injury #Magnetic resonance imaging #Computed tomography #Glasgow coma scale

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참고문헌 (26)

참고문헌 신청
Calvi MR. / 2011 / Early prognosis after severe traumatic brain injury with minor or absent computed tomography scan lesions / J Trauma 70:447~451 google schola Cassidy JD. / 2004 / Incidence, risk factors and prevention of mild traumatic brain injury : results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury / J Rehabil Med (43 Suppl):28~60 google schola Chao YP. / 2009 / Probabilistic topography of human corpus callosum using cytoarchitectural parcellation and high angular resolution diffusion imaging tractography / Hum Brain Mapp 30:3172~3187 google schola Chew BG. / 2012 / The prognostic significance of traumatic brainstem injury detected on T2-weighted MRI / J Neurosurg 117:722~728 google schola de Laat KF. / 2011 / Loss of white matter integrity is associated with gait disorders in cerebral small vessel disease / Brain 134(Pt 1):73~83 google schola

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