Neural Tract Injuries by Penetration of Foreign Body: a Diffusion Tensor Tractography Study

Title
Neural Tract Injuries by Penetration of Foreign Body: a Diffusion Tensor Tractography Study
Author(s)
장성호권혁규홍지헌[홍지헌]권용현[권용현]이미영[이미영]김성호
Keywords
Fornix; Cingulum; Diffusion tensor imaging; Memory; Brain injury; Head trauma.
Issue Date
201306
Publisher
대한물리치료학회
Citation
대한물리치료학회지, v.25, no.3, pp.132 - 135
Abstract
We presented with a patient who showed injury of the cingulum and fornix by penetration of a foreign body into the brain on diffusion tensor tractography (DTT). A 63-year-old man suffered a brain injury by a part of a power saw blade that was suddenly detached from a power saw during work. A part of the power saw blade penetrated his right frontal skull and advanced to the right posterior horn of the lateral ventricle. This penetration caused traumatic intracerebral hemorrhage in the right frontal lobe and intraventricular hemorrhage in the lateral ventricle. He underwent craniotomy and removal of intracranial foreign bodies (bony pieces and saw blade). The patient’s Memory Assessment Scale scores were 74 (4%ile) for global memory, 78 (7%ile) for verbal memory, and 80 (9%ile) for visual memory. DTTs showed disruptions in the anterior portion of the fornical body, right fornical crus, the anterior portion of the right cingulum, and the middle portion of the left cingulum, compared to the control. It seems that the sustained memory impairment of this patient might be related to injury of the cingulum and fornix.
URI
http://hdl.handle.net/YU.REPOSITORY/29723
ISSN
1229-0475
Appears in Collections:
의과대학 > 재활의학교실 > Articles
의과대학 > 신경외과학교실 > Articles
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