Evidence of corticospinal tract injury at midbrain in patients with subarachnoid hemorrhage.

Abstract:

BACKGROUND AND PURPOSE:Clear elucidation of the exact pathophysiological mechanisms of motor weakness in patients with subarachnoid hemorrhage has not yet been achieved. We attempted to investigate injury to the corticospinal tract in patients with subarachnoid hemorrhage using diffusion tensor imaging. METHODS:Twenty-two patients with subarachnoid hemorrhage and 24 control subjects were recruited for this study. DTI-Studio software was used for reconstruction of the corticospinal tract. We measured fractional anisotropy and apparent diffusion coefficient values at 5 regions of interest along the corticospinal tract pathway including: the corona radiata, the posterior limb of the internal capsule, the upper midbrain, the midpons, and the upper medulla. RESULTS:Fractional anisotropy value for the midbrain region of interest was lower in the patient group compared with the control group without change of apparent diffusion coefficient value (P<0.05). By contrast, fractional anisotropy and apparent diffusion coefficient values of the other 4 regions of interest were not different between the patient and control groups. CONCLUSIONS:Injury of the corticospinal tract at the midbrain was observed in patients with subarachnoid hemorrhage. Injury of the corticospinal tract at the midbrain appears to be one of the various pathophysiological mechanisms for motor weakness after subarachnoid hemorrhage.

journal_name

Stroke

journal_title

Stroke

authors

Yeo SS,Choi BY,Chang CH,Kim SH,Jung YJ,Jang SH

doi

10.1161/STROKEAHA.112.661116

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

2239-41

issue

8

eissn

0039-2499

issn

1524-4628

pii

STROKEAHA.112.661116

journal_volume

43

pub_type

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