Injury of the cingulurn in patients with putarninal hemorrhage: a diffusion tensor tractography study

Title
Injury of the cingulurn in patients with putarninal hemorrhage: a diffusion tensor tractography study
Author(s)
장성호권혁규최병연김성호장철훈정영진이한도
Keywords
TRAUMATIC BRAIN-INJURY; BASAL GANGLIA; INTRACEREBRAL HEMORRHAGE; CORTEX; PATHWAYS; CIRCUITS; CHILDREN; STROKE; BUNDLE; FORNIX
Issue Date
201405
Publisher
FRONTIERS RESEARCH FOUNDATION
Citation
FRONTIERS IN HUMAN NEUROSCIENCE, v.8
Abstract
Objectives: Little is known about the pathophysiological mechanisms of cognitive impairment in patients with putaminal hemorrhage (PH). Using diffusion tensor tractography, we investigated injury of the cingulum in patients with PH. Methods: We recruited 63 patients with PH, who were classified according to three groups, based on integrity of the cingulum to the lower portion of the genu of the corpus callosum: group A; preserved integrity, group B; discontinuation of integrity in the affected hemisphere, and group C; discontinuation of integrity in both hemispheres. Results: Thirty four patients (54.0%) belonged to group A, 16 patients (25.4%) to group B, and the remaining 13 patients (20.6%) to group C. Regarding the Mini-Mental State Examination, significant differences were observed between group A and group C, and between group B and group C without significant difference between group A and group B (p < 0.05). In terms of the volume of hematoma, significant differences were observed among the three groups (p < 0.05). Regarding the most anterior point of the hematoma, significant differences were observed between group A and groups B and C (p < 0.05); in contrast, regarding the most point of hematoma, significant differences were observed between group C and groups A and B, respectively (p < 0.05). Conclusion: We found that the anterior cingulum is vulnerable to PH.Therefore, our results suggest the necessity for evaluation of the cingulum in patients with PH particularly if the hematoma is large or close to the anterior margin or midline of the brain.
URI
http://hdl.handle.net/YU.REPOSITORY/32346http://dx.doi.org/10.3389/fnhum.2014.00366
ISSN
1662-5161
Appears in Collections:
의과대학 > 재활의학교실 > Articles
의과대학 > 신경외과학교실 > Articles
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