Diffuse axonal injury (DAI) is a brain injury in which extensive lesions in white matter tracts occur over a widespread area. DAI is one of the most common and. lesión axonal difusa. Artículo. Facial emotion recognition in patients with focal and diffuse axonal injury. Autor/es: Yassin W, Callahan BL, Ubukata S, Sugihara G. Toda lesión en la cabeza puede causar una lesión cerebral traumática. Existen daño a los nervios (lesión axonal difusa): se deriva de una fuerza cortante o.

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Las Lesiones Cerebrales Traumáticas

Management and staging of traumatic brain injury. Non-contrast CT of the brain is routine in patients presenting with head injuries. The axial gradient-echo sequence on the right confirms microhemorrhages in the right frontal lobe from diffuse axonal injury DAI.

Loading Stack – lesiob images remaining. Recommended MRI sequences include T1-weighted, T2-weighted, T2—gradient-echo, proton density—weighted, and diffusion-weighted images. Articles Cases Courses Quiz. Central Nervous SystemTrauma.

Diffuse axonal injury – Wikipedia

Neuroimaging Clinics of North America. Gradient echo-sequence-based susceptibility-weighted imaging has been found to be sensitive and accurate for microbleed detection. Magnetic resonance imaging of diffuse axonal injury: Diffusion-weighted axial image on the left demonstrates multiple foci of increased signal intensity in axonsl right frontal lobe, corresponding to areas that surround hemorrhage.

Non-haemorrhagic lesions are hypodense. Radiographs can also clearly demonstrate skull fractures, but this is not helpful in DAI, as DAI is rarely associated with skull fracture. Classically, DAI has been considered a primary-type injury, with damage occurring at the time of the accident.


Gradient-echo imaging can often show signal abnormality in areas that appear normal in T1- and T2-weighted difuaa sequences. Note that the hemorrhages are characteristically located at the gray-white matter interface. Magnetic resonance imaging after most common form of concussion.

lesión axonal difusa

The American Speech-Language-Hearing Association ASHA is the national professional, scientific, and credentialing association formembers and affiliates who are audiologists; speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology support personnel; and students. Generally occurring one to six hours into the process of post-stretch injury, the presence of calcium in the cell initiates the caspase cascade, a process in cell injury that usually leads to apoptosisor “cell suicide”.

Imaging of Head Trauma. Retrieved through web archive on 17 January Depending on the severity and distribution of injury see: Diffuse axonal injury after traumatic cerebral microbleeds: Diffusion-weighted sequences can reveal hyperintensities in areas of axonal injury.

Las Lesiones Cerebrales Traumáticas

It is a potentially difficult diagnosis to make on imaging alone, especially on CT as the finding can be subtle, however, it has the potential to result in severe neurological impairment. Any patient with a closed head injury who experiences extensive loss of consciousness and neurological deficits warrants neuroimaging. When petechial hemorrhages are observed with the appropriate clinical findings, the sensitivity of CT scanning in the detection of DAI is high.

The volume of white-matter lesions has been correlated to difus degree of injury, as measured by MRI. Noncontrast axial computed tomography CT scan demonstrates why magnetic resonance imaging MRI is the study of choice in diagnosing diffuse axonal injury.

Figure 1 Figure 1.

La persona puede tener problemas para iniciar tareas y establecer metas para completarlas. Multiple sclerosis MS is a progressive neurologic disorder that can involve multiple foci of white-matter signal abnormality on MRI; however, MS lesions typically are oval or oblong and are oriented in a direction perpendicular to the border of the lateral ventricles Dawson fingers.


The appearance depends on whether or not the lesions are overtly haemorrhagic. However, although MRI is more sensitive in the detection of dufusa soft-tissue abnormalities, CT scanning is more available and practical in the current medical environment and is therefore, according to Teasdale, the “mainstay of acute investigation of head injury. Magn Reson Med Sci. There may also be small focal areas of low density on CT scans; these correspond to areas of edema occurring where shearing injury took place.

Axoplasmic transport and neuronal responses to injury Archived at the Wayback Machine. From Wikipedia, the free encyclopedia.

Prevalence and impact of diffuse axonal injury in patients with moderate and severe head injury: DAI currently lacks a specific treatment beyond what difisa done for any type of head injuryincluding stabilizing the patient and trying to limit increases in intracranial pressure Vifusa. Features typically demonstrate elevation of choline peak and reduction of NAA 3.

Nonmusculoskeletal injuries of head head injury and neck S00—S19— Challenges of diffuse axonal injury diagnosis. Thus, many false negatives are possible, because a negative skull radiograph in no way excludes a parenchymal brain injury.