Birbamer G, Gerstenbrand F, Aichner F, Burtscher J, Chemelli A, Puffer P, De Bartolo M, Rifici C, Bramanti P
Department of Neurology, University of Innsbruck, Austria.
Acta Neurol (Napoli). 1994 Jun;16(3):114-20.
The concept of "Inner cerebral trauma" (ICT) has been preliminary defined as a characteristic topographic pattern of deep brain lesions produced by physical forces occurring within the cranial cavity in closed head injury of the acceleration/deceleration type. The lesions, based on neuropathological examinations, are characteristically localized in the "centro-axial" regions of the brain. The extent of ICT is often underestimated by CT. Due to assess the value of MR imaging, 83 patients with ICT were examined on a 1.5 T unit in different stages after trauma. The pattern of lesions, as shown with MR imaging, correlated well with neuropathological studies, suggesting a multifocal pathogenesis of severe traumatic brain injury.
