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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): ä
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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): ä PMID28207526show 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.
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