The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Neural Tract Injuries by Penetration of Foreign Body: a Diffusion Tensor Tractography Study

  • Kwon, Hyeok-Gyu (Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University) ;
  • Hong, Ji-Heon (Department of Physical Therapy, Sun Moon University) ;
  • Kwon, Yong-Hyun (Department of Physical Therapy, Yeungnam College of Science and Technology) ;
  • Lee, Mi-Young (Department of Physical Therapy, College of Health and Therapy, Daegu Haany University) ;
  • Kim, Seong-Ho (Department of Neurosurgery, College of Medicine Yeungnam University) ;
  • Jang, Sung-Ho (Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University)
  • Received : 2013.03.06
  • Accepted : 2013.03.04
  • Published : 2013.06.25
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Abstract

We presented with a patient who showed injury of the cingulum and fornix by penetration of a foreign body into the brain on diffusion tensor tractography (DTT). A 63-year-old man suffered a brain injury by a part of a power saw blade that was suddenly detached from a power saw during work. A part of the power saw blade penetrated his right frontal skull and advanced to the right posterior horn of the lateral ventricle. This penetration caused traumatic intracerebral hemorrhage in the right frontal lobe and intraventricular hemorrhage in the lateral ventricle. He underwent craniotomy and removal of intracranial foreign bodies (bony pieces and saw blade). The patient's Memory Assessment Scale scores were 74 (4%ile) for global memory, 78 (7%ile) for verbal memory, and 80 (9%ile) for visual memory. DTTs showed disruptions in the anterior portion of the fornical body, right fornical crus, the anterior portion of the right cingulum, and the middle portion of the left cingulum, compared to the control. It seems that the sustained memory impairment of this patient might be related to injury of the cingulum and fornix.

Keywords

References

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