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2017 ; 96
(7
): e6103
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
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]