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Research ArticleBrainF

The Fate of Injured Corticospinal Tracts in Patients with Intracerebral Hemorrhage: Diffusion Tensor Imaging Study

Y.J. Jung and S.H. Jang
American Journal of Neuroradiology October 2012, 33 (9) 1775-1778; DOI: https://doi.org/10.3174/ajnr.A3027
Y.J. Jung
aDepartment of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea.
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S.H. Jang
aDepartment of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea.
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    Fig 1.

    Classification of DTT for an injured CST (red). A, T2-weighted brain MR images, coronal images of DTT (B), axial images of DTT at or around or below the lesion level and at the cortex level (showing the integrity or disintegrity of DTT) (C and D): type A, the CST originating from the cerebral cortex is preserved around the hematoma; type B, the CST is interrupted at or around the hematoma; and type C, the CST does not reach the hematoma due to wallerian degeneration.

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    Table 1:

    Demographic data according to corticospinal tract type on diffusion tensor tractography

    CST Type on 1st DTTCST Type on 2nd DTTTotal
    ABCABC
    No. (%)14 (31.1)12 (26.7)19 (42.2)26 (57.8)2 (4.4)17 (37.8)45 (100.0)
    Sex (M:F)8:66:612:715:111:110:726:19
    Age (years)61.6 ± 11.356.7 ± 9.949.9 ± 9.157.5 ± 11.965.0 ± 2.850.9 ± 8.655.4 ± 11.0
    ICH side (R:L)4:105:79:1010:160:28:918:27
    Duration (days)17.0 ± 9.018.8 ± 7.824.8 ± 9.717.3 ± 7.328.5 ± 13.425.3 ± 10.220.8 ± 9.5
    • Note:—For Age and Duration, values are means ± standard deviation. Duration is the duration from stroke onset to rehabilitation.

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    Table 2:

    Motor function according to corticospinal tract type on diffusion tensor tractography

    CST Type on 1st DTTCST Type on 2nd DTTTotal
    ABCABC
    MI81.4 ± 18.274.2 ± 20.440.4 ± 24.3ab81.1 ± 16.757.8 ± 29.033.7 ± 16.7a62.2 ± 28.4
    MBC4.43 ± 1.093.83 ± 1.341.53 ± 1.50ab4.31 ± 0.933.00 ± 2.831.12 ± 1.11a3.04 ± 1.87
    FAC4.43 ± 1.023.92 ± 1.002.32 ± 1.53ab4.35 ± 0.853.50 ± 2.121.94 ± 1.25a3.40 ± 1.56
    • Note:—Values are means ± standard deviation.

    • ↵a P < 0.01 when compared with type A.

    • ↵b P < 0.01 when compared with type B.

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    Table 3:

    The change of corticospinal tract type

    CST Type on 1st DTTCST Type on 2nd DTT
    ABC
    A (n = 14)12 (85.7%)2 (14.3%)0 (0%)
    B (n = 12)11 (91.7%)0 (0%)1 (8.3%)
    C (n = 19)3 (15.8%)0 (0%)16 (84.2%)
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American Journal of Neuroradiology: 33 (9)
American Journal of Neuroradiology
Vol. 33, Issue 9
1 Oct 2012
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Cite this article
Y.J. Jung, S.H. Jang
The Fate of Injured Corticospinal Tracts in Patients with Intracerebral Hemorrhage: Diffusion Tensor Imaging Study
American Journal of Neuroradiology Oct 2012, 33 (9) 1775-1778; DOI: 10.3174/ajnr.A3027

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The Fate of Injured Corticospinal Tracts in Patients with Intracerebral Hemorrhage: Diffusion Tensor Imaging Study
Y.J. Jung, S.H. Jang
American Journal of Neuroradiology Oct 2012, 33 (9) 1775-1778; DOI: 10.3174/ajnr.A3027
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