Diffuse axonal injury

Case contributed by Dr Utkarsh Kabra

Presentation

Past history of trauma.

Patient Data

Age: 25 years
Gender: Male
MRI

Multiple tiny foci of blooming are seen along grey-white matter interface in bilateral cerebral hemispheres and body and left side of splenium of the corpus callosum suggestive of hemorrhagic foci.

Case Discussion

The above case demonstrates the importance of GRE sequences where routine T1, T2, FLAIR sequences are unremarkable and GRE shows multiple tiny foci of hemorrhage along grey-white matter interface in bilateral cerebral hemispheres and body, splenium of corpus callosum. Given the history of trauma, no history of hypertension and characteristic location of the hemorrhages, findings are consistent with diffuse axonal injury - grade II.

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Case information

rID: 70169
Published: 12th Aug 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Getwell Poly Clinic & Hospital

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