Diffuse axonal injury

Discussion:

SWI is the most sensitive sequence to detect cerebral microbleeds. Diffuse axonal injury has a predilection to grey-white matter junction. In this case, it is considered stage I as it spares the corpus callosum and brainstem.

In the setting of trauma, the medial right temporal lobe changes are in keeping with cortical contusion, as it involves the cortex rather than the grey-white matter junction.

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