Value of magnetic resonance imaging in diagnosis and prognosis prediction of brain stem injury at acute stage

VernacularTitle:磁共振在脑干损伤急性期诊断及预后判断中的价值
Author: Wei YE ; Mingkun YU
Publication Type:Journal Article
Keywords: Brain injuries; Brain stem; Magnetic resonance imaging; Prognosis
From: Chinese Journal of Trauma 2010;26(3):199-202
CountryChina
Language:Chinese
Abstract: Objective To study in patients characteristics of head CT and MRI of patients with brain stem injury at acute stage(＜7 days)and discuss the relationship of head MRI manifestations and prognosis so as to provide indicators for imaging diagnosis and prognostic evaluation.Methods The patients with brain stem injury from November 2007 to September 2008 were involved in the study.Cranial CT and MRI were performed at early stage after brain stem injury.The patients were followed up for six months to evaluate prognosis and life quality of the patients based on disable rating scale(DRS)and Barthal score.Results MRI could detect more brain stem injuries than CT.The patients with injury at different parts of brain stem showed a statistical difference in regard of prognosis.Conclusions At acute stage of brain stem injury,cranial MRI has higher detection rate and clearer display of the brain stem lesions compared with CT.MRI manifestations can not only help classification of the brain stem injury,but also cater basis for diagnosis and prognosis evaluation of patients with brain stem injury.