Voigt G E, Löwenhielm C G, Ljung C B
Acta Neuropathol. 1977 Aug 31;39(3):201-9. doi: 10.1007/BF00691698.
Traumatic lesions near the superior margin of the brain frequently are caused by an anterior or posterior blow to the head. The injuries consist of disruptions of one or a few (with subdural bleeding) or of numerous or all (with instant death or immediate unconsciousness and later death because of simultaneous brain stem injuries) parasagittal bridging veins. Cerebral injuries close beneath the superior margin of the brain occur either alone or together with disruptions of parasagittal bridging veins. These injuries consist mainly of subcortical, perivascular or larger, hemorrhages and of injuries to the white matter. No extensive complete necrosis occurs. The lesions are most frequently found in the posterior part of the superior frontal gyrus and the central gyri and often are combined with brain stem injuries. By reconstruction of trauma events the injuries seem to be caused by a rotational acceleration of the head. By model experiments and simulations it is shown that a rotational acceleration of the skull leads to an "inner deformation" of the brain tissue. This deformation may be the explanation of the subcortical injuries, which are therefore designated rotational cerebral injuries (RC-injuries).
靠近脑上缘的创伤性病变通常是由头部的前部或后部撞击所致。损伤包括一条或几条矢状旁桥静脉的断裂（伴有硬膜下出血），或者许多条或所有矢状旁桥静脉的断裂（导致即刻死亡或即刻昏迷，随后因同时发生的脑干损伤而死亡）。脑上缘下方紧邻的脑损伤可单独出现，也可与矢状旁桥静脉断裂同时发生。这些损伤主要包括皮质下、血管周围或较大面积的出血以及白质损伤。不会发生广泛的完全坏死。这些病变最常出现在额上回后部和中央回，并且常常合并脑干损伤。通过对创伤事件的重建，这些损伤似乎是由头部的旋转加速引起的。通过模型实验和模拟表明，颅骨的旋转加速会导致脑组织的“内部变形”。这种变形可能是皮质下损伤的原因，因此将其称为旋转性脑损伤（RC损伤）。
