Jang Sung Ho, Kwon Hyeok Gyu
Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Gyeongsangbuk-do Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan, Pusan, Republic of Korea.
Medicine (Baltimore). 2017 Dec;96(49):e8749. doi: 10.1097/MD.0000000000008749.
We report on a patient with injury of the cortico-ponto-cerebellar tract (CPCT) following mild traumatic brain injury (TBI), diagnosed by diffusion tensor tractography (DTT).
A 53-year-old female patient was injured in a car crash. While under treatment at a local medical center for headache, mild motor weakness, and cognitive impairment that developed following the car crash, she fell, hitting her head on the ground, about six weeks after the car crash.
Approximately three months after the car crash, she began to show tremor on both hands and mild truncal ataxia. Twenty months after the car crash, when she underwent neurological evaluation at the rehabilitation department of a university hospital, she presented with mild resting and intentional tremor on both hands, and mild truncal ataxia.
N/A.
On 20-month DTT, the left CPCT showed tearing at the level of the subcortical white matter and pons, and discontinuation at the cerebellar portion. However, the integrity of the DRTT was well-preserved in both hemispheres.
Using DTT, injury of the CPCT was demonstrated in a patient with ataxia and tremor following mild TBI.
我们报告了一例轻度创伤性脑损伤（TBI）后皮质桥脑小脑束（CPCT）损伤的患者，通过弥散张量纤维束成像（DTT）进行诊断。
一名53岁女性患者在车祸中受伤。在当地医疗中心因车祸后出现的头痛、轻度运动无力和认知障碍接受治疗时，车祸后约六周，她摔倒在地，头部着地。
车祸后约三个月，她开始出现双手震颤和轻度躯干共济失调。车祸后20个月，当她在一家大学医院康复科接受神经评估时，表现为双手轻度静止性和意向性震颤，以及轻度躯干共济失调。
无。
在20个月的DTT检查中，左侧CPCT在皮质下白质和脑桥水平显示撕裂，在小脑部分中断。然而，双侧半球的背侧丘脑束（DRTT）完整性保存良好。
使用DTT，在轻度TBI后出现共济失调和震颤的患者中证实了CPCT损伤。
