Jang Sung Ho, Seo You Sung
Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea.
Neuroophthalmology. 2019 Dec 12;44(4):270-273. doi: 10.1080/01658107.2019.1676263. eCollection 2020.
The introduction of diffusion tensor tractography (DTT) has made three-dimensional reconstruction of the optic radiation (OR) possible in the human brain. A 19-year-old female patient underwent conservative management for hypoxic-ischaemic brain injury. Four months after onset she was transferred to the rehabilitation department of our university hospital. The patient was in a vegetative state with a coma recovery scale-revised (CRS-R) score of nine. She underwent comprehensive rehabilitation, which included medications, physical therapy, and occupational therapy. Transcranial direct current stimulation was applied to the upper occipital area. After one month of rehabilitation, she had recovered to a minimally conscious state with a CRS-R score of 15. Some recovery of the injured ORs was demonstrated by DTT.
扩散张量纤维束成像（DTT）的引入使得在人脑内对视辐射（OR）进行三维重建成为可能。一名19岁女性患者因缺氧缺血性脑损伤接受了保守治疗。发病四个月后，她被转至我校医院康复科。该患者处于植物人状态，昏迷恢复量表修订版（CRS-R）评分为9分。她接受了综合康复治疗，包括药物治疗、物理治疗和职业治疗。经颅直流电刺激应用于枕叶上部区域。经过一个月的康复治疗，她恢复到了最低意识状态，CRS-R评分为15分。DTT显示受伤的视辐射有一定程度的恢复。
