전산화 단층촬영상 종괴 병소가 없는 두부 손상 환자의 핵자기공명영상의 소견에 관한 연구 = Lesions on MRI in Patients of Head Injury Without Mass Image on CT Scan

국문 초록 (Abstract)

비개방성 두부 손상 환자의 MRI 추적 소견을 조사하여 외상으로 인한 뇌실질의 손상위치 및 그 정도와 환자의 경과, 최종 결과와의 관계를 조사하였다.

다국어 초록 (Multilingual Abstract)

Thirty five patients of closed head injury were studied by magnetic resonance imaging(MRI) during long term follow up of a head injury. Abnormality indicating primary brain damage are found in 31 patients compared to 27 patients with computed tomography Cortical contusion is the most common finding, irrespective of the effect of injury on the level of consciousness. Intraaxial lesion were found in 2 patients which had lost consciousness briefly and arrived at hospital in alert state with negative CT finding. Lesions in deep white matter of the hemisphere and deep gray or brain stem were highly correlated with duration of impaired consciousness and patient's final outcome. We also found lesion in stem without lesion in deep white matter which Showed different clinical course from cases of stem lesion combined with deep white matter lesion. These findings suggested strong possibility that primary brain stem injury and lesions in cerebral hemisphere may be primary factor in impaired consciousness of head injury.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.대상 및 방법
• Ⅲ.결과
• Ⅳ.고찰
• Ⅴ.결론