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胼胝体的创伤性病变。

Traumatic lesions of the corpus callosum.

作者信息

Komatsu S, Sato T, Kagawa S, Mori T, Namiki T

出版信息

Neurosurgery. 1979 Jul;5(1 Pt 1):32-5. doi: 10.1227/00006123-197907010-00005.

DOI:10.1227/00006123-197907010-00005
PMID:471202
Abstract

We investigated the mechanism of damage to the corpus callosum in a study of 46 brains obtained at the autopsies of patients with head injuries. After correlating the gross findings with the site of impact on the head, we think that such lesions in the corpus callosum are caused by stretching of callosal fibers and/or shearing forces in cases in which lateral movement or twisting of the brain occurs. This mechanism of the dynamic development of callosal injuries is also supported by the retraction bulb formation of axons found histologically in the corpus callosum.

摘要

我们在一项对46例头部受伤患者尸检获得的大脑进行的研究中,调查了胼胝体受损的机制。在将大体检查结果与头部撞击部位相关联后,我们认为,在发生大脑侧向移动或扭转的情况下,胼胝体中的此类病变是由胼胝体纤维的拉伸和/或剪切力所致。组织学上在胼胝体中发现的轴突回缩球形成也支持了胼胝体损伤动态发展的这一机制。

相似文献

1
Traumatic lesions of the corpus callosum.胼胝体的创伤性病变。
Neurosurgery. 1979 Jul;5(1 Pt 1):32-5. doi: 10.1227/00006123-197907010-00005.
2
[Assessment of traumatic lesions of the corpus callosum].
Beitr Gerichtl Med. 1988;46:289-99.
3
[Lesions of the corpus callosum and syndromes of interhemispheric disconnection of traumatic origin].[胼胝体损伤与创伤性半球间分离综合征]
Neurochirurgie. 1995;41(2):98-107.
4
[Computerized tomography of the traumatic hematoma in the corpus callosum. --Report of 2 cases].[胼胝体创伤性血肿的计算机断层扫描——2例报告]
No Shinkei Geka. 1982 Dec;10(12):1299-301.
5
Proton magnetic resonance spectroscopy for detection of axonal injury in the splenium of the corpus callosum of brain-injured patients.质子磁共振波谱法用于检测脑损伤患者胼胝体压部的轴突损伤。
J Neurosurg. 1998 May;88(5):795-801. doi: 10.3171/jns.1998.88.5.0795.
6
[MR imaging of corpus callosal injuries].[胼胝体损伤的磁共振成像]
Nihon Igaku Hoshasen Gakkai Zasshi. 1992 Jul 25;52(7):949-59.
7
[Clinicopathological studies of diffuse axonal injury--five autopsy cases].弥漫性轴索损伤的临床病理研究——五例尸检病例
No Shinkei Geka. 1988;16(5 Suppl):647-53.
8
Posttraumatic cerebral hemispheric disconnection syndrome.创伤后脑半球分离综合征
Arch Neurol. 1977 Dec;34(12):750-5. doi: 10.1001/archneur.1977.00500240038006.
9
The autopsy in fatal non-missile head injuries.
Curr Top Pathol. 1988;76:1-22. doi: 10.1007/978-3-642-71353-8_1.
10
Acute alcohol intoxication, diffuse axonal injury and intraventricular bleeding in patients with isolated blunt traumatic brain injury.单纯钝性颅脑损伤患者的急性酒精中毒、弥漫性轴索损伤和脑室内出血
Brain Inj. 2013;27(12):1409-14. doi: 10.3109/02699052.2013.823655. Epub 2013 Oct 8.

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Adv Neurobiol. 2023;32:271-313. doi: 10.1007/978-3-031-32997-5_7.
2
Delayed Massive Traumatic Hematoma in the Corpus Callosum: Two Case Reports with Literature Review.胼胝体延迟性巨大创伤性血肿:两例报告并文献综述
NMC Case Rep J. 2014 Jul 4;1(1):37-41. doi: 10.2176/nmccrj.2013-0087. eCollection 2014 Oct.
3
Locations and clinical significance of non-hemorrhagic brain lesions in diffuse axonal injuries.
弥漫性轴索损伤中非出血性脑损伤的部位及临床意义
J Korean Neurosurg Soc. 2012 Oct;52(4):377-83. doi: 10.3340/jkns.2012.52.4.377. Epub 2012 Oct 22.
4
Massive traumatic haematoma of the corpus callosum.胼胝体巨大创伤性血肿。
Acta Neurochir (Wien). 1986;81(1-2):36-9. doi: 10.1007/BF01456262.
5
The Glasgow-Liège Scale. Prognostic value and evolution of motor response and brain stem reflexes after severe head injury.格拉斯哥-列日量表。重型颅脑损伤后运动反应和脑干反射的预后价值及演变
Acta Neurochir (Wien). 1988;91(1-2):1-11. doi: 10.1007/BF01400520.
6
Patterns of lesions of corpus callosum in inner cerebral trauma visualized by computed tomography.
Neuroradiology. 1992;34(2):126-30. doi: 10.1007/BF00588158.