Anest. intenziv. Med. 2001;12(4):209-212

Diffuse Axonal InjuryArticles

B. Drugová, T. Hyánek, R. Druga, J. Pokorný, A. Cypriánová, I. Procházka

Radiodiagnostické oddělení Nemocnice Na Homolce, Praha, primář MUDr. L. Janoušková, ARO Nemocnice Na Homolce, Praha, primář MUDr. M. Ročeň, Pracoviště funkční anatomie, 2. LF UK v Praze, přednosta prof. MUDr. I. Dylevský, Ústav soudního lékařství, FN Na B

Diffuse axonal injury (DAI) is widespread damage to axons in the white matter of the hemispheres and brain stem. Axonal damage was producedby mechanical forces shearing the fibers at the moment of impact. The paper present four patients. Of these three were injured in a road traffic accident.The true extent of brain involvement is better appreciated with MR imaging. MR imaging in our patients demonstrated multiple focal lesions of thewhite matter of the cerebral hemisphere (centrum semiovale, corpus callosum) and the brain stem (midbrain and pontine tegmentum, substantia nigra,cerebral peduncles and the dorsolateral quadrant of the pontomesencephalic transition).

Keywords: head trauma; traumatic brain injury; magnetic resonance

Published: August 1, 2001  Show citation