AI Article Synopsis
- A 51-year-old man developed right-sided hemiplegia following a traumatic brain injury, with initial CT scans revealing an acute subdural hemorrhage and significant brain displacement to the left.
- Follow-up MRI showed multiple small bleeding areas in the left side of the brain, raising questions about the cause of the right hemiplegia, given the right-side injury.
- Diffusion tensor imaging (DTI) was used to visualize the corticospinal tract, revealing almost complete damage to the left tract, while motor-evoked potential tests indicated no motor response from the left motor cortex.
Article Abstract
A 51-year-old man showed hemiplegia on his right side after a traumatic brain injury (TBI). On initial brain computed tomography (CT) scan, an acute subdural hemorrhage in the right cerebral convexity and severe degrees of midline shifting and subfalcine herniation to the left side were evident. On follow-up brain magnetic resonance imaging (MRI), there were multiple microhemorrhages in the left parietal and occipital subcortical regions. To explain the occurrence of right hemiplegia after brain damage which dominantly on the right side of brain, we used diffusion tensor imaging (DTI) to reconstruct the corticospinal tract (CST), which showed nearly complete injury on the left CST. We also performed motor-evoked potentials, and stimulation of left motor cortex evoked no response on both sides of upper extremity. We report a case of patient with hemiplegia after TBI and elucidation of the case by DTI rather than CT and MRI.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5344817 | PMC |
| http://dx.doi.org/10.5535/arm.2017.41.1.153 | DOI Listing |
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