Jang SH, Kwon YH, Lee SJ. Contrecoup injury of the prefronto-thalamic tract in a patient with mild traumatic brain injury: A case report.
Medicine (Baltimore) 2020;
99:e21601. [PMID:
32769915 PMCID:
PMC7593034 DOI:
10.1097/md.0000000000021601]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE
We report on a patient with mild traumatic brain injury (TBI) with contrecoup injury of the prefronto-thalamic tract (PTT), as demonstrated by diffusion tensor tractography (DTT).
PATIENT CONCERNS
A 62-year-old female patient suffered a head trauma after falling backward. While working at a height of 85cm above the floor, she fell backward and struck the occipital area of her head on the ground. The patient experienced cognitive dysfunction and depressive mood after the head trauma.
DIAGNOSES
The patient was diagnosed as mild TBI due to falling backward.
INTERVENTIONS
Clinical evaluation of her brain was performed at 2 months after onset.
OUTCOMES
DTT at 2 months after onset revealed narrowings in the right ventrolateral and both orbitofrontal PTTs, whereas both the dorsolateral and left ventrolateral PTTs were not reconstructed.
LESSONS
Injuries of the PTTs associated with a contrecoup brain injury were demonstrated in a patient with mild TBI.
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