Diffuse Axonal Injury : Changes of Cerebral Blood Flow, Intracranial Pressure and Evoked Potentials
Journal of Korean Neurosurgical Society
; : 382-391, 1990.
Article
in Ko
| WPRIM
| ID: wpr-170687
Responsible library:
WPRO
ABSTRACT
Fifteen cases of diffuse axonal injury(DAI) brought about by nonmissile head injury in humans are analyzed. All cases were subjected to comprehensive clinical studies such as measurement of cerebral blood flow by SPECT, continuous intracranial pressure monitoring and multimodality evoked potentials(MEPs). In the patients with DAI, a high incidence of low cerebral perfusion and abnormal MEPs. especially auditory evoked potentials, were found, with high incidence of high velocity traffic accident injury mechanism. On the other hand, a low incidence of increased intracranial pressure was found and dehydrating agents such as glycerol and mannitol did not exert a beneficial influence upon the clinical courses or the outcomes. The outcome of the patients with DAI depended upon the duration of coma and whether or not brain stem signs were noted.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Perfusion
/
Axons
/
Brain Stem
/
Accidents, Traffic
/
Intracranial Pressure
/
Tomography, Emission-Computed, Single-Photon
/
Incidence
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Coma
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Diffuse Axonal Injury
/
Evoked Potentials
Type of study:
Incidence_studies
/
Prognostic_studies
Limits:
Humans
Language:
Ko
Journal:
Journal of Korean Neurosurgical Society
Year:
1990
Type:
Article