Magnetic Resonance Imaging after Closed Head Injury in Children

Magnetic resonance imaging (MRI) was performed in a series of 21 children and adolescents who had been hospitalized after sustaining closed head injuries of varying severity at least 6 months previously. Areas of high intensity in the parenchyma were present in 8 of the 11 severely injured patients,...

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Veröffentlicht in:Neurosurgery 1989-02, Vol.24 (2), p.223-227
Hauptverfasser: Levin, Harvey S., Amparo, Eugenio G., Eisenberg, Howard M., Miner, Michael E., High, Walter M., Ewing-Cobbs, Linda, Fletcher, Jack M., Guinto, Faustino C.
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container_end_page 227
container_issue 2
container_start_page 223
container_title Neurosurgery
container_volume 24
creator Levin, Harvey S.
Amparo, Eugenio G.
Eisenberg, Howard M.
Miner, Michael E.
High, Walter M.
Ewing-Cobbs, Linda
Fletcher, Jack M.
Guinto, Faustino C.
description Magnetic resonance imaging (MRI) was performed in a series of 21 children and adolescents who had been hospitalized after sustaining closed head injuries of varying severity at least 6 months previously. Areas of high intensity in the parenchyma were present in 8 of the 11 severely injured patients, whereas MRI findings were normal in all 10 patients with mild-to-moderate head injuries. Lesions involving the subcortical white matter were confined to severely injured patients whose clinical features were compatible with diffuse axonal injury. Neuropsychological assessment disclosed deficits primarily in the severely injured patients; these deficits were significantly associated with persistent lesions visualized by MRI. Serial MRI and neurobehavioral assessment following early injury may be useful in documenting cognitive impairment in relation to structural alterations of the young brain.
doi_str_mv 10.1227/00006123-198902000-00011
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title Magnetic Resonance Imaging after Closed Head Injury in Children
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