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Clinical significance of dilated Virchow-Robin spaces in mild traumatic brain injury.

作者信息

Inglese Matilde, Grossman Robert I, Diller Leonard, Babb James S, Gonen Oded, Silver Jonathan M A, Rusinek Henry

机构信息

Department of Radiology, New York University School of Medicine, NY 10016, USA.

出版信息

Brain Inj. 2006 Jan;20(1):15-21. doi: 10.1080/02699050500309593.

DOI:10.1080/02699050500309593
PMID:16403696
Abstract

PRIMARY OBJECTIVE

To investigate the relationship between the number of dilated Virchow-Robin spaces (VRS) and neurocognitive findings in patients with traumatic brain injury (TBI).

RESEARCH DESIGN

Thirty-eight patients with TBI and 21 controls were studied.

METHODS AND PROCEDURES

Fifteen patients underwent MRI within a mean interval of 5.4 (range 1-12) days from the brain injury and 23 after an average period of 5.5 (range 0.2-31) years. All subjects were examined with a battery of 13 neuropsychological tests (NP).

MAIN OUTCOMES AND RESULTS

The average number of VRS was significantly higher in patients than in controls. There were no significant differences between patients and controls in terms of NP tests. The number of VRS showed a significant inverse correlation with processing speed and a positive correlation with visual perceptual of attention only in patients studied within a short delay of trauma.

CONCLUSIONS

VRS are not directly associated to neurocognitive findings, suggesting that they may represent a result of the shear-strain injury.

摘要

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