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2017 ; 96
(43
): e8253
Nephropedia Template TP
gab.com Text
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Aggravation of an injured dentato-rubro-thalamic tract in a patient with mild
traumatic brain injury: A case report
#MMPMID29068990
Jang SH
; Kwon HG
Medicine (Baltimore)
2017[Oct]; 96
(43
): e8253
PMID29068990
show ga
RATIONALE: We report on a patient with mild traumatic brain injury (TBI) by
follow-up diffusion tensor tractography (DTT), and observed for approximately
nine monthsby serial diffusion tensor tractography (DTT). PATIENT CONCERNS: A
66-year-old male patient was injured in a car crash. Approximately four weeks
after the crash, he developed a tremor in the right hand and leg. His symptoms
worsened over time. DIAGNOSES: Approximately six months after the crash, he
developed a mild tremor in the left hand. Nine months after the crash, he
manifested severe tremor in his right hand, mild resting and intentional tremor
in his left hand and both legs, and mild trunkal ataxia. INTERVENTIONS: N/A.
OUTCOMES: On 3-week DTT, well reconstructed DRTTs were observed in both
hemispheres, except for the thinned lower portion of the right DRTT. On 9-month
DTT, the right lower DRTT had thinned compared with the 3-week DTT and showed a
disruption at the upper portion. The left DRTT showed thinning in the lower
portion and tearing in the upper portion compared with 3-week DTT. LESSONS:
Aggravation of an injured DRTT was demonstrated in a patient with mild TBI, using
serial DTT examination.