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BMC Medical Imaging
Published in: BMC Medical Imaging 1/2009

Open Access 01-12-2009 | Research article

Magnetic resonance imaging after most common form of concussion

Authors: Harald Schrader, Dalia Mickevičiene, Rymante Gleizniene, Silvija Jakstiene, Danguole Surkiene, Lars Jacob Stovner, Diana Obelieniene

Published in: BMC Medical Imaging | Issue 1/2009

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Abstract

Background

Until now there is a lack of carefully controlled studies with conventional MR imaging performed exclusively in concussion with short lasting loss of consciousness (LOC).

Methods

A MR investigation was performed within 24 hours and after 3 months in 20 patients who had suffered a concussion with a verified loss of consciousness of maximally 5 minutes. As a control group, 20 age- and gender matched patients with minor orthopaedic injuries had a MR investigation using the same protocol.

Results

In a concussion population with an average LOC duration of 1. 4 minutes no case with unequivocal intracranial traumatic pathology was detected.

Conclusion

An ordinary concussion with short lasting LOC does not or only seldom result in a degree of diffuse axonal injury (DAI) that is visualized by conventional MR with field strength of 1.0 Tesla (T). Analysis of earlier MR studies in concussion using field strength of 1.5 T as well as of studies with diffusion tensor MR imaging (MR DTI) reveal methodological shortcomings, in particular use of inadequate control groups. There is, therefore, a need for carefully controlled studies using MR of higher field strength and/or studies with MR DTI exclusively in common concussion with LOC of maximally 5 minutes.
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Metadata
Title
Magnetic resonance imaging after most common form of concussion
Authors
Harald Schrader
Dalia Mickevičiene
Rymante Gleizniene
Silvija Jakstiene
Danguole Surkiene
Lars Jacob Stovner
Diana Obelieniene
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Medical Imaging / Issue 1/2009
Electronic ISSN: 1471-2342
DOI
https://doi.org/10.1186/1471-2342-9-11

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