• 대한방사선기술학회지:방사선기술과학
• /
• 제31권3호
• /
• pp.277-285
• /
• 2008

MRI를 이용하여 정상의 뇌량 크기를 측정한 결과 다음과 같은 결론을 얻었다. 1. 전체 대상자의 부위별 평균, 최소, 최대 1) Anteroposterior length는 평균 69.30mm, 최소 50.70mm, 최대 80.40mm이었다. 2) Diameter of genu는 평균 11.93mm, 최소 6.00mm, 최대 18.50mm이었다. 3) Diameter of mid body는 평균 7.00mm, 최소 3.40mm, 최대 10.40mm이었다. 4) Diameter of narrowing portion은 평균 4.51mm, 최소 0.80mm, 최대 9.50mm이었다. 5) Diameter of splenium은 평균 12.17mm, 최소 6.90mm, 최대 17.20mm이었다. 2. 전체 대상자의 성별에 따른 부위별 비교 1) Anteroposterior length는 남자가 여자보다 컸으며, 성별에 따라 유의미한 차이를 보였다. 2) Diameter of genu와 diameter of mid body, diameter of narrowing portion은 남자가 여자보다 컸으나 유의미한 차이는 아니었다. 3) Diameter of splenium은 남자가 여자보다 컸으며, 통계적으로도 유의미한 차이를 보였다. 3. 전체 대상자의 부위별 상관관계 1) Diameter of genu는 anteroposterior length와 통계적으로 유의미한 정적 상관관계를 보였다. 2) Diameter of mid body는 anteroposterior length, diameter of genu와 통계적으로 유의미한 정적 상관 관계를 보였다. 3) Diameter of narrowing portion은 anteroposterior length와 통계적으로 유의미한 상관관계를 보이지 않았으나 diameter of genu, diameter of mid body와 통계적으로 유의미한 정적 상관관계를 보였다. 4) Diameter of splenium은 anteroposterior length와 diameter of genu, diameter of mid body, 그리고 diameter of narrowing portion과 통계적으로 유의미한 정적 상관관계를 보였다.

• 한국자기공명학회논문지
• /
• 제13권2호
• /
• pp.84-95
• /
• 2009

The purpose of this study was to evaluate the usefulness of the measurement of corpus callosum (CC) size in the Alzheimer patient by using magnetic resonance (MR) midsagittal image. We performed MR scanning in 20 normal high age group, and in 20 mild cognitive impairment (MCI) group, and in 20 Alzheimer disease (AD) group. The following parameters were employed in AD group: TRITE/FA 6650ms/66ms/$90^{\circ}$, NEX 2, Thickness/Gap 2/0, FOV 220mm. The magnetic field strength was used at 3.0 Tesla. We selected midsagittal image of the brain by using view forum program, measured CC size, which were anteroposterior length, diameter of genu, body, narrowing portion, and splenium. The present study demonstrates that CC size of Alzheimer disease can be useful for clinical assessment concerning the diameter of genu, body, and splenium.

• Journal of Korean Neurosurgical Society
• /
• 제52권4호
• /
• pp.377-383
• /
• 2012

Objective : Detection of focal non-hemorrhagic lesion (NHL) has become more efficient in diffuse axonal injury (DAI) patients using an MRI. The aims of this study are to find out the radiological distribution, progress of NHL and its clinical significance. Methods : Between September 2005 and October 2011, 32 individuals with NHLs on brain MRI were enrolled. NHLs were classified by brain location into 4 major districts and 13 detailed locations including cortical and subcortical, corpus callosum, deep nuclei and adjacent area, and brainstem. The severity of NHL was scored from grades 1 to 4, according to the number of districts involved. Fourteen patients with NHL were available for MRI follow-up and an investigation of the changes was conducted. Results : Thirty-two patients had 59 NHLs. The most common district of NHL was cortical and subcortical area; 15 patients had 20 NHSs. However the most common specific location was the splenium of the corpus callosum; 14 patients had 14 lesions. The more lesions patients had, the lower the GCS, however, this was not a statistically meaningful difference. On follow-up MRI in 14 patients, out of 24 lesions, 13 NHLs resolved, 5 showed cystic change, and 6 showed atrophic changes. Conclusion : NHLs were located most commonly in the splenium and occur frequently in the thalamus and the mesial temporal lobe. Because most NHS occur concomitantly with hemorrhagic lesions, it was difficult to determine their effects on prognosis. Since most NHLs resolve completely, they are probably less significant to prognosis than hemorrhagic lesions.

• Journal of Korean Neurosurgical Society
• /
• 제52권3호
• /
• pp.273-276
• /
• 2012

Metronidazole-induced encephalopathy is a very rare complication of the long standing use of metronidazole. The encephalopathy is bilateral and symmetric in nature. We report on the magnetic resonance imaging (MRI) and clinical course of metronidazole-induced encephalopathy in a 60-year-old female with a persistent anaerobic brain abscess after draining of the abscess. After 3 months of metronidazole administration, the patient complained of dysarthria, tingling sense of all extremities, and left hemiparesis. MRI revealed symmetric hyperintensity lesions in medulla, pons, dentate nuclei of cerebellum, and splenium of corpus callosum, all of which represent typical findings of metronidazole-induced encephalopathy. In addition, asymmetric lesions in midbrain, thalamus, putamen and cerebral subcortical white matter were noted. The patient recovered after discontinuation of metronidazole and the remaining abscess was successfully treated with meropenem and levofloxacine.

• Investigative Magnetic Resonance Imaging
• /
• 제24권3호
• /
• pp.174-177
• /
• 2020

Multiple studies have established that mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) exhibits reversible diffusion restriction in the white matter, including the splenium. There have been a few previous reports of the change in fractional anisotropy (FA) of MERS cases. Herein, we report the longitudinal changes in axial and radial diffusivity (AD and RD), and FA in a 15-year-old boy patient with MERS. Our case demonstrated that a MERS lesion had a significant drop of AD in the early period and gradual recovery. On the contrary, RD did not show any significant change.

• Clinical and Experimental Pediatrics
• /
• 제53권9호
• /
• pp.859-862
• /
• 2010

Transient magnetic resonance (MR) signal changes in the splenium of the corpus callosum (SCC) arise from many different conditions, including encephalopathy or encephalitis caused by infection, seizures, metabolic derangements, and asphyxia. Few case reports exist on reversible SCC lesions associated with rotavirus infection. A benign convulsion with mild gastroenteritis (CwG) is frequently associated with rotaviral infections. This entity is characterized by normal laboratory findings, electroencephalogram, neuroimaging, and good prognosis. We report a case of a 2.5-year-old Korean girl with rotavirus-associated CwG demonstrating a reversible SCC lesion on diffusion-weighted MR images. She developed 2 episodes of brief generalized tonic-clonic seizure with mild acute gastroenteritis without any other neurologic abnormality. Stool test for rotavirus antigen was positive. Brain MRI done on the day of admission showed a linear high signal intensity and decreased apparent diffusion coefficient values on the SCC. The lesion completely disappeared on follow-up MRI 6 days later. The patient fully recovered without any sequelae.

• 대한영상의학회지
• /
• 제83권6호
• /
• pp.1354-1359
• /
• 2022

글루포시네이트 암모늄은 세계적으로 널리 사용되는 제초제로서, 글루포시네이트 암모늄을 함유하는 제초제의 사용이 증가하면서 그에 따른 급성중독 사례도 증가하고 있는 추세이다. 이에 저자들은 글루포시네이트 암모늄 중독 후 발견되는 뇌 확산자기공명영상 소견에 대해 보고하고자 한다. 증례에서 환자는 양측 속섬유막, 중간소뇌다리, 뇌량팽대에서 세포독성부종 소견을 보였다.

• Investigative Magnetic Resonance Imaging
• /
• 제17권1호
• /
• pp.1-7
• /
• 2013

목적: 이 연구의 목적은 뇌량 팽대에 일과성 병변을 보이는 환자의 영상 소견과 임상 양상의 연관성을 연구하는 데 있다. 대상과 방법: 2006년 11월부터 2011년 4월까지 일과성 뇌량 팽대 병변을 보인 총 7명의 환자 (남성: 여성 = 4:3, 연령 11-38세, 평균연령 25.5세)를 대상으로 하였다. 모든 환자의 자기 공명 영상 소견과 임상 소견을 후향적으로 검토하였다. 자기 공명 영상에서는 병변의 위치, 신호 강도, 확산 제한, 조영 증강과 추적 검사에서의 병변의 가역성에 대하여 평가하였다. 증상과 증후, 치료 및 결과에 대한 임상 소견도 후향적으로 검토하였다. 결과: 모든 환자에서 병변은 뇌량 팽대에 국한되었다. 모든 병변은 확산 강조 영상에서 고신호 강도를 보였으며 6명의 환자는 겉보기 확산 계수 영상에서 확산 제한을 보였다. 한 명의 환자에서는 겉보기 확산 계수 영상을 얻지 못하였다. 모든 환자(7명)는 T2 강조 영상에서 고신호 강도를 보였다. 5명 (71.4%)의 환자는 추적 검사 영상 (범위 7-34일) 중 확산 강조 영상과 겉보기 확산 계수 영상에서 고신호 강도와 확산 제한의 완전한 회복이 있었으며 T2 강조 영상에서도 완전한 회복을 보였다. 모든 병변에서 조영제 주입 후 조영 증강은 보이지 않았다. 모든 병변은 항결핵제를 포함한 다양한 원인으로 젊은 환자에서 발생하였고 보존적 치료로 7일 이상의 시간 뒤에는 회복되었다. 결론: 모든 일과성 뇌량 팽대 병변은 최초 확산 강조 영상과 겉보기 확산 계수 영상에서 확산 제한과 같은 비특이적 영상 소견을 보였다. 그렇지만 젊은 환자에서 호발한 점과 7일 이상의 시간 뒤에 가역적인 변화를 보인다는 것은 일과성 뇌량 팽대 병변의 특징이 될 수 있다. 또한, 영상의학과 의사뿐 아니라 임상의사는 항결핵제를 포함한 다양한 원인이 이러한 병변을 일으킬 수 있다는 것을 명심해야 한다.

• Animal cells and systems
• /
• 제15권4호
• /
• pp.274-278
• /
• 2011

The changes in the corpus callosum (CC) with age and gender remain largely subject to dispute, which might come from the different strategies for analyzing the size and shape of CC. We have investigated this issue by measuring some variables reflecting the spatial orientation of CC on magnetic resonance imaging in Koreans, which minimize individual variances in the brain. The subjects were composed of young adults in their twenties (51 male, 59 female) and elderly adults in their sixties and seventies (60 male, 71 female). The total area of CC, length and height of CC, the central angle and the four angles suggested by Oka et al. were measured. The whole area and the central angle of CC were not significantly affected by age and gender. The height and length of CC were significantly greater in elderly people. The angle connecting genu, upper notch of pons and splenium was significantly larger in the elderly group. Furthermore, all four angles were significantly different between male and female subjects. These results confirm that the spatial orientation of CC is influenced by age and gender.

• 대한자기공명의과학회:학술대회논문집
• /
• 대한자기공명의과학회 2003년도 제8차 학술대회 초록집
• /
• pp.20-20
• /
• 2003

Purpose： To investigate the difference of fractional anisotropy (FA) values between 6- and 25-direction diffusion tensor images (DTI) in normal adult brain. Materials and Methods： DTI was peformed in 28 normal subjects (15 subjects with 6-direction, 13 subjects with 25-direction) in a 1.5 T MR system. DTI was done with SE-EPI sequence with TR/TE/NEX 10000/84/1, 5mm slice thickness and b=1000 s/mm2. FA values were measured from 8 different anatomical locations which included both cerebral peduncles, both posterior limbs of the internal capsules, both corona radiata, genu and splenium of the corpus callosum. Statistical difference of FA was tested between 6-and 25-direction DTI.