Abstract
Background: Diffusion tensor imaging is a newly developed technique used to visualize the white matter fibers in the human brain. In previous reports, DTI has been applied in patients with neoplasms, lacunar infarction, ischemic stroke, degenerative motor disease, and diffuse axonal injury, and has become a powerful tool in predicting clinical outcome. However, the implementation of DTI in patients with spontaneous ICH treated by stereotactic evaluation of hematoma has never been reported. Case Description: The authors describe a case of a well-predicted outcome of DTI in a 37-year-old right-handed man who presented with sudden onset of vomiting and weakness of right extremities 2 hours before admission. Computed tomographic head scan revealed 1 hyperdense hematoma measuring about 3.9 × 2.2 × 2.6 cm (about 15 mL in volume) located in the left putamen, compressing the posterior limb of left internal capsule. Preoperative DTI revealed that white matter tracts were compressed by the hematomas. After the patient underwent stereotactic evacuation of hematoma, good recovery of muscle power was noted in the right extremities. Postoperative DTI revealed the restoration of white matter tracts. Conclusion: Diffuse tensor imaging is a useful tool for the visualization of white matter tracts, especially the corticospinal tract, which regulates motor function in human beings. In patients with ICH treated by stereotactic aspiration of hematomas, clinical outcome could be more precisely predicted by preoperative DTI.
| Original language | English |
|---|---|
| Pages (from-to) | 75-78 |
| Number of pages | 4 |
| Journal | Surgical Neurology |
| Volume | 70 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jul 2008 |
| Externally published | Yes |
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Keywords
- Diffusion tensor imaging
- Fiber tracking
- Hematoma
- Stereotactic aspiration
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
Cite this
Role of diffusion tensor imaging in a patient with spontaneous intracerebral hematoma treated by stereotactic evacuation. / Hsieh, Cheng Ta; Chen, Cheng Yu; Chiang, Yung Hsiao; Chang, Chin Hong; Chang, Cheng Fu.
In: Surgical Neurology, Vol. 70, No. 1, 07.2008, p. 75-78.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Role of diffusion tensor imaging in a patient with spontaneous intracerebral hematoma treated by stereotactic evacuation
AU - Hsieh, Cheng Ta
AU - Chen, Cheng Yu
AU - Chiang, Yung Hsiao
AU - Chang, Chin Hong
AU - Chang, Cheng Fu
PY - 2008/7
Y1 - 2008/7
N2 - Background: Diffusion tensor imaging is a newly developed technique used to visualize the white matter fibers in the human brain. In previous reports, DTI has been applied in patients with neoplasms, lacunar infarction, ischemic stroke, degenerative motor disease, and diffuse axonal injury, and has become a powerful tool in predicting clinical outcome. However, the implementation of DTI in patients with spontaneous ICH treated by stereotactic evaluation of hematoma has never been reported. Case Description: The authors describe a case of a well-predicted outcome of DTI in a 37-year-old right-handed man who presented with sudden onset of vomiting and weakness of right extremities 2 hours before admission. Computed tomographic head scan revealed 1 hyperdense hematoma measuring about 3.9 × 2.2 × 2.6 cm (about 15 mL in volume) located in the left putamen, compressing the posterior limb of left internal capsule. Preoperative DTI revealed that white matter tracts were compressed by the hematomas. After the patient underwent stereotactic evacuation of hematoma, good recovery of muscle power was noted in the right extremities. Postoperative DTI revealed the restoration of white matter tracts. Conclusion: Diffuse tensor imaging is a useful tool for the visualization of white matter tracts, especially the corticospinal tract, which regulates motor function in human beings. In patients with ICH treated by stereotactic aspiration of hematomas, clinical outcome could be more precisely predicted by preoperative DTI.
AB - Background: Diffusion tensor imaging is a newly developed technique used to visualize the white matter fibers in the human brain. In previous reports, DTI has been applied in patients with neoplasms, lacunar infarction, ischemic stroke, degenerative motor disease, and diffuse axonal injury, and has become a powerful tool in predicting clinical outcome. However, the implementation of DTI in patients with spontaneous ICH treated by stereotactic evaluation of hematoma has never been reported. Case Description: The authors describe a case of a well-predicted outcome of DTI in a 37-year-old right-handed man who presented with sudden onset of vomiting and weakness of right extremities 2 hours before admission. Computed tomographic head scan revealed 1 hyperdense hematoma measuring about 3.9 × 2.2 × 2.6 cm (about 15 mL in volume) located in the left putamen, compressing the posterior limb of left internal capsule. Preoperative DTI revealed that white matter tracts were compressed by the hematomas. After the patient underwent stereotactic evacuation of hematoma, good recovery of muscle power was noted in the right extremities. Postoperative DTI revealed the restoration of white matter tracts. Conclusion: Diffuse tensor imaging is a useful tool for the visualization of white matter tracts, especially the corticospinal tract, which regulates motor function in human beings. In patients with ICH treated by stereotactic aspiration of hematomas, clinical outcome could be more precisely predicted by preoperative DTI.
KW - Diffusion tensor imaging
KW - Fiber tracking
KW - Hematoma
KW - Stereotactic aspiration
UR - http://www.scopus.com/inward/record.url?scp=45449088687&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=45449088687&partnerID=8YFLogxK
U2 - 10.1016/j.surneu.2007.04.004
DO - 10.1016/j.surneu.2007.04.004
M3 - Article
VL - 70
SP - 75
EP - 78
JO - World Neurosurgery
JF - World Neurosurgery
SN - 1878-8750
IS - 1
ER -