Carey M E, Tutton R H, Strub R L, Black F W, Tobey E A
J Neurosurg. 1984 May;60(5):947-54. doi: 10.3171/jns.1984.60.5.0947.
The occurrence of distant brain damage following an apparent focal missile injury to the brain has not been well documented until computerized tomography scanning demonstrated this phenomenon. Mechanisms of additional or distant damage within the brain may include a high deposit of kinetic energy from the penetrating missile, additional vascular damage, and possibly neuronal and axonal degeneration. Widespread and distant brain changes may explain some instances of late neuropsychological and psychiatric dysfunction or rehabilitation failure following a brain wound. Brain imaging should be used to properly evaluate the full extent of brain damage following wounding.
在计算机断层扫描显示这一现象之前，脑的明显局灶性贯通伤后远处脑损伤的发生情况尚未得到充分记录。脑内额外或远处损伤的机制可能包括穿透性导弹的高动能沉积、额外的血管损伤，以及可能的神经元和轴突变性。广泛和远处的脑改变可能解释脑损伤后一些晚期神经心理和精神功能障碍或康复失败的情况。脑成像应用于正确评估伤后脑损伤的全部范围。
