Recovery of injured cingulum in a patient with brain injury: Diffusion tensor tractography study

Title
Recovery of injured cingulum in a patient with brain injury: Diffusion tensor tractography study
Author(s)
장성호서정표
Keywords
AXONAL INJURY; TRACKING; FORNIX; TRACTS
Issue Date
201309
Publisher
IOS PRESS
Citation
NEUROREHABILITATION, v.33, no.2, pp.257 - 261
Abstract
OBJECTIVES: Little is known about neural recovery of an injured cingulum following brain injury. We report on a patient with brain injury who showed apparent neural recovery of an injured cingulum on follow up diffusion tensor tractography (DTT). METHODS: A 53-year-old female patient had suffered hypoxic ischemic brain injury for a period of approximately nine hours following spontaneous subarachnoid hemorrhage and intraventricular hemorrhage, and underwent coiling of a left ruptured aneurysm of the posterior communicating artery. She showed severe cognitive impairment, so that she could not be evaluated on the Mini-Mental State Examination, however, her cognition showed improvement to 21 at five months after onset and 24 at 14 months after onset on the Mini-Mental State Examination. RESULTS: On seven-day DTT for the fornix in the patient, we observed a discontinuation in the left crus and thinning of the right crus. However, on 14-month DTT, the thinned right fornical crus had disappeared. Regarding the cingulum, on seven-day DTTs, discontinuations of both cingulums anterior to the genu of the corpus callosum were observed. However, on 14-month follow up DTT, the right cingulum was elongated to the right basal forebrain and no change in the discontinuation of the left cingulum was observed. CONCLUSIONS: These changes observed on DTT in both cingulums appeared to indicate recovery of the injured cingulum in this patient. The results of this study may suggest a mechanism for recovery of injured cingulum following brain injury.
URI
http://hdl.handle.net/YU.REPOSITORY/29056http://dx.doi.org/10.3233/NRE-130953
ISSN
1053-8135
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의과대학 > 재활의학교실 > Articles
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