MR imaging of head trauma: review of the distribution and radiopathologic features of traumatic lesions
- 1 March 1988
- journal article
- research article
- Published by American Roentgen Ray Society in American Journal of Roentgenology
- Vol. 150 (3) , 663-672
- https://doi.org/10.2214/ajr.150.3.663
Abstract
The distribution and extent of traumatic lesions were prospectively evaluated with MR imaging in 40 patients with closed head injuries. Primary intraaxial lesions were classified according to their distinctive topographical distribution within the brain and were of four main types: (1) diffuse axonal injury (48.2%), (2) cortical contusion (43.7%), (3) subcortical gray-matter injury (4.5%), and (4) primary brainstem injury (3.6%). Diffuse axonal injury most commonly involved the white matter of the frontal and temporal lobes, the body and splenium of the corpus callosum, and the corona radiata. Cortical contusions most frequently involved the inferior, lateral, and anterior aspects of the frontal and temporal lobes. Primary brainstem lesions were most commonly seen in the dorsolateral aspects of the rostral brainstem. The pattern and distribution of primary lesions seen by MR were compared with those expected from previous pathologic studies and found to be quite similar. Our data and review of the literat...This publication has 1 reference indexed in Scilit:
- Influence of the type of intracranial lesion on outcome from severe head injuryJournal of Neurosurgery, 1982