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10.1097/MD.0000000000006103

http://scihub22266oqcxt.onion/10.1097/MD.0000000000006103
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C5319515!5319515 !28207526
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suck abstract from ncbi


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pmid28207526
      Medicine+(Baltimore) 2017 ; 96 (7 ): e6103
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  • Restoration of the ascending reticular activating system compressed by hematoma in a stroke patient #MMPMID28207526
  • Jang SH ; Seo JP
  • Medicine (Baltimore) 2017[Feb]; 96 (7 ): e6103 PMID28207526 show ga
  • RATIONALE: We report on restoration of the ascending reticular activating system (ARAS), compressed by an intracerebral hematoma and perihematomal edema following a stroke. The restoration of the ARAS was demonstrated by diffusion tensor tractography (DTT). PATIENT CONCERNS: In a 60-year-old male, a brain MRI taken at 2 weeks after the surgery showed a hematoma and perihematomal edema in the left posterolateral pons and cerebellum, which were markedly resolved on a brain MRI after 5 weeks. DIAGNOSES: Intraventricular hemorrhage. INTERVENTIONS: Navigation-guided stereotactic drainage of a hematoma in the left cerebellum, comprehensive rehabilitative therapy, including hypersomnia medication (modafinil), physical therapy, and occupational therapy. OUTCOMES: His hypersomnia improved significantly with rehabilitation, with no daytime hypersomnia beginning 3 weeks after the surgery. On 2-week DTT, neither the neural tract of the left lower dorsal or ventral ARAS were reconstructed, but these neural tracts were wellreconstructed on 5-week DTT. LESSONS: In conclusion, restoration of nonreconstructed neural tracts of the lower ARAS with the resolution of the hematoma and perihematomal edema was demonstrated in a stroke patient, using DTT.
  • |Brain Edema/etiology/*therapy [MESH]
  • |Diffusion Tensor Imaging [MESH]
  • |Disorders of Excessive Somnolence/etiology/*physiopathology/*therapy [MESH]
  • |Hematoma/etiology/*therapy [MESH]
  • |Humans [MESH]
  • |Magnetic Resonance Imaging [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]


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