DOI QR코드

DOI QR Code

Injury of the Arcuate Fasciculus in the Nondominant Hemisphere by Subfalcine Herniation in Patients with Intracerebral Hemorrhage : Two Case Reports and Literature Review

  • Jang, Sung Ho (Department of Physical Medicine and Rehabilitation,College of Medicine, Yeungnam University) ;
  • Kim, Seong Ho (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Chang, Min Cheol (Department of Physical Medicine and Rehabilitation, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2014.09.19
  • 심사 : 2015.02.10
  • 발행 : 2016.05.01

초록

Using diffusion tensor tractography (DTT), we demonstrated injury of the arcuate fasciculus (AF) in the nondominant hemisphere in two patients who showed subfalcine herniation after intracerebral hemorrhage (ICH) in the dominant hemisphere. Two patients (patient 1 and patient 2) with ICH and six age-matched control patients who have ICH on the left corona radiata and basal ganglia without subfalcine herniation were recruited for this study. DTT was performed at one month after onset in patient 1 and patient 2. AFs of both hemispheres in both patients were disrupted between Wernicke's and Broca's areas. The fractional anisotropy value and tract numbers of the right AFs in both patients were found to be more than two standard deviations lower than those of control patients. In contrast, the apparent diffusion coefficient value was more than two standard deviations higher than those of control patients. Using the configuration and parameters of DTT, we confirmed injury of the AF in the nondominant hemisphere in two patients with subfalcine herniation following ICH in the dominant hemisphere. Therefore, DTT would be a useful tool for detection of underlying injury of the AF in the nondominant hemisphere in patients with subfalcine herniation.

키워드

참고문헌

  1. Adams RD, Victor M, Ropper AH : Principles of neurology, ed 6. New York : McGraw-Hill, 1997
  2. Assaf Y, Pasternak O : Diffusion tensor imaging (DTI)-based white matter mapping in brain research : a review. J Mol Neurosci 34 : 51-61, 2008 https://doi.org/10.1007/s12031-007-0029-0
  3. Bartha L, Benke T : Acute conduction aphasia : an analysis of 20 cases. Brain Lang 85 : 93-108, 2003 https://doi.org/10.1016/S0093-934X(02)00502-3
  4. Byard RW : Patterns of cerebral and cerebellar herniation. Forensic Sci Med Pathol 9 : 260-264, 2013 https://doi.org/10.1007/s12024-012-9339-9
  5. Catani M, Mesulam M : The arcuate fasciculus and the disconnection theme in language and aphasia : history and current state. Cortex 44 : 953-961, 2008 https://doi.org/10.1016/j.cortex.2008.04.002
  6. Duffau H, Capelle L, Sichez N, Denvil D, Lopes M, Sichez JP, et al. : Intraoperative mapping of the subcortical language pathways using direct stimulations. An anatomo-functional study. Brain 125 (Pt 1) : 199-214, 2002 https://doi.org/10.1093/brain/awf016
  7. Heiss WD, Kessler J, Thiel A, Ghaemi M, Karbe H : Differential capacity of left and right hemispheric areas for compensation of poststroke aphasia. Ann Neurol 45 : 430-438, 1999 https://doi.org/10.1002/1531-8249(199904)45:4<430::AID-ANA3>3.0.CO;2-P
  8. Heiss WD, Thiel A : A proposed regional hierarchy in recovery of post-stroke aphasia. Brain Lang 98 : 118-123, 2006 https://doi.org/10.1016/j.bandl.2006.02.002
  9. Hong JH, Kim SH, Kim OL, Byun WM, Jang SH : Neural tract injuries by brain herniations after head trauma. J Head Trauma Rehabil 27 : 154-158, 2012 https://doi.org/10.1097/HTR.0b013e31820fc480
  10. Hosomi A, Nagakane Y, Yamada K, Kuriyama N, Mizuno T, Nishimura T, et al. : Assessment of arcuate fasciculus with diffusion-tensor tractography may predict the prognosis of aphasia in patients with left middle cerebral artery infarcts. Neuroradiology 51 : 549-555, 2009 https://doi.org/10.1007/s00234-009-0534-7
  11. Kim H, Na DL : Normative data on the Korean version of the Western Aphasia Battery. J Clin Exp Neuropsychol 26 : 1011-1020, 2004 https://doi.org/10.1080/13803390490515397
  12. Kim SH, Jang SH : Prediction of aphasia outcome using diffusion tensor tractography for arcuate fasciculus in stroke. AJNR Am J Neuroradiol 34 : 785-790, 2013 https://doi.org/10.3174/ajnr.A3259
  13. Lee AY, Shin DG, Park JS, Hong GR, Chang PH, Seo JP, et al. : Neural tracts injuries in patients with hypoxic ischemic brain injury : diffusion tensor imaging study. Neurosci Lett 528 : 16-21, 2012 https://doi.org/10.1016/j.neulet.2012.08.053
  14. Neil JJ : Diffusion imaging concepts for clinicians. J Magn Reson Imaging 27 : 1-7, 2008 https://doi.org/10.1002/jmri.21087
  15. Nucifora PG, Verma R, Melhem ER, Gur RE, Gur RC : Leftward asymmetry in relative fiber density of the arcuate fasciculus. Neuroreport 16 : 791-794, 2005 https://doi.org/10.1097/00001756-200505310-00002
  16. Payabvash S, Kamalian S, Fung S, Wang Y, Passanese J, Kamalian S, et al. : Predicting language improvement in acute stroke patients presenting with aphasia : a multivariate logistic model using location-weighted atlas-based analysis of admission CT perfusion scans. AJNR Am J Neuroradiol 31 : 1661-1668, 2010 https://doi.org/10.3174/ajnr.A2125
  17. Rosner MJ, Rosner SD, Johnson AH : Cerebral perfusion pressure : management protocol and clinical results. J Neurosurg 83 : 949-962, 1995 https://doi.org/10.3171/jns.1995.83.6.0949
  18. Thulborn KR, Carpenter PA, Just MA : Plasticity of language-related brain function during recovery from stroke. Stroke 30 : 749-754, 1999 https://doi.org/10.1161/01.STR.30.4.749

피인용 문헌

  1. White matter tractography for neurosurgical planning: A topography-based review of the current state of the art vol.15, pp.None, 2016, https://doi.org/10.1016/j.nicl.2017.06.011
  2. Recovery of an injured corticobulbar tract in a patient with stroke : A case report vol.96, pp.38, 2017, https://doi.org/10.1097/md.0000000000007636
  3. Tractography in Neurosurgery: A Systematic Review of Current Applications vol.81, pp.5, 2016, https://doi.org/10.1055/s-0039-1691823