Corticospinal tract recovery in a patient with traumatic transtentorial herniation

doi:10.3969/j.issn.1673-5374.2013.05.011

Neural Regeneration Research ›› 2013, Vol. 8 ›› Issue (5): 474-478.doi: 10.3969/j.issn.1673-5374.2013.05.011

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Corticospinal tract recovery in a patient with traumatic transtentorial herniation

Sang Seok Yeo, Sung Ho Jang

Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu 705-717, Republic of Korea

Received:2012-11-10 Revised:2013-01-06 Online:2013-02-15 Published:2013-02-15
Contact: Sung Ho Jang, M.D., Professor, Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, 317-1, Daemyungdong, Namku, Daegu, 705-717, Republic of Korea , strokerehab@ hanmail.net.
About author:Sang Seok Yeo★, M.S., PT.
Supported by:
This study was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology, No. 2012R1A1A4A01001873.

Abstract

Abstract:

Transtentorial herniation is one of the causes of motor weakness in traumatic brain injury. In this study, we report on a patient who underwent decompressive craniectomy due to traumatic intracerebral hemorrhage. Brain CT images taken after surgery showed intracerebral hemorrhage in the left fronto-temporal lobe and left transtentorial herniation. The patient presented with severe paralysis of the right extremities at the time of intracerebral hemorrhage onset, but the limb motor function recovered partially at 6 months after onset and to nearly normal level at 27 months. Through diffusion tensor tractography, the left corticospinal tract was disrupted below the cerebral peduncle at 1 month after onset and the disrupted left corticospinal tract was reconstructed at 27 months. These findings suggest that recovery of limb motor function in a patient with traumatic transtentorial herniation can come to be true by recovery of corticospinal tract.

Key words: neural regeneration, neuroimaging, diffusion tensor imaging, diffusion tensor tractography, transcranial magnetic stimulation, traumatic brain injury, intracerebral hemorrhage, transtentorial herniation, corticospinal tract, motor paralysis, neuroimaing, grants-supported paper, photographs-containing paper, neuroregeneration

Sang Seok Yeo, Sung Ho Jang. Corticospinal tract recovery in a patient with traumatic transtentorial herniation[J]. Neural Regeneration Research, 2013, 8(5): 474-478.

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Corticospinal tract recovery in a patient with traumatic transtentorial herniation

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