中国神经再生研究(英文版) ›› 2016, Vol. 11 ›› Issue (2): 352-352.doi: 10.4103/1673-5374.177746

• 影像图片 • 上一篇    

下上行网状激活系统损伤是脑创伤后意识障碍的原因:DTT评价

  

  • 收稿日期:2016-01-16 出版日期:2016-02-15 发布日期:2016-02-15
  • 基金资助:

    韩国国家研究基金(2015R1A2A2A01004073)

Impaired consciousness caused by injury of the lower ascending reticular activating system: evaluation by diffusion tensor tractography

Sung Ho Jang, Seong Ho Kim, Han Do Lee   

  1. Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Namku, Daegu, Republic of Korea(Jang SH, Lee HD)
    Department of Neurosurgery, College of Medicine, Yeungnam University, Namku, Daegu, Republic of Korea (Kim SH)  
  • Received:2016-01-16 Online:2016-02-15 Published:2016-02-15
  • Contact: Han Do Lee, M.S., lhd890221@hanmail.net.
  • Supported by:

    This work was supported by the National Research Foundation (NRF) of Korea Grant funded by the Korean Government (MSIP), No. 2015R1A2A2A01004073.

摘要:

对1例34岁男性右侧额叶创伤性出血患者给予保守治疗昏迷约4周,并且发生了创伤后失忆。在患者伤后6周,我们应用DTT对其上行网状激活系统分为2部分进行了评估:(1)进行了脑桥网状结构与丘脑板内核间下上行网状激活系统(ARAS)和丘脑至大脑皮质间ILN间的上ARAS的三维重建。患者左侧下ARAS比右侧和正常对照组细。说明患者出现下ARAS损伤,其可能是创伤性轴索损伤所致。(2)常规大脑MRI检查不到这一损伤。在分析ARAS前,我们推测损伤主要位于右侧ARAS和左侧上ARAS,因为大脑MRI显示双侧大脑额叶和右侧丘脑均有损伤。然而此次DTT检测结果显示,损伤仅发生在脑桥网状结果与丘脑ILN间的左侧下ARAS。(3)说明应用DTT对ARAS进行分析,将有助于阐释该例患者发生意识障碍的原因。