Diffuse axonal injury

Case contributed by A.Prof Frank Gaillard

Presentation

Head injury.

Patient Data

Age: Adult
Gender: Male
Modality: MRI

Note the multiple sites of oedema and haemorrhage, involving the brain stem and corpus callosum as well as subcortical white matter and left cerebral peduncle. High FLAIR signal is also seen in the dorsal midbrain. EVD insitu.

Case Discussion

Diffuse axonal injury can be subtle on CT but have devastating consequences for the patient. This is a case of grade III injury (involvement of brainstem) and carries a poor prognosis. 

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Case Information

rID: 4851
Case created: 25th Oct 2008
Last edited: 3rd Dec 2015
Inclusion in quiz mode: Included

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