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Subacute MR Imaging: Traumatic Axonal Injury, Brainstem Lesions and Prognostic Factors

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Management of Severe Traumatic Brain Injury

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Abstract

Magnetic resonance imaging (MRI) is the superior image modality to gain an overview of the traumatic lesions in the brain parenchyma. T2∗-weighted gradient echo sequence or susceptibility-weighted imaging sequences are most suitable in detecting haemorrhagic lesions. The non-haemorrhagic lesions are best visible in T2-weighted imaging, especially fluid-attenuated inversion recovery (FLAIR). The neuroanatomic and prognostic information provided by MRI is important during the subacute phase of clinical management and rehabilitation. Diffusion tensor imaging is a promising and constantly developing technique that might prove to be clinically useful in the future in the detection of axonal injury.

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Author information

Authors and Affiliations

  1. Faculty of Medicine and Health Sciences, Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway

    Toril Skandsen & Kent Gøran Moen

  2. Department of Physical Medicine and Rehabilitation, St. Olav’s Hospital, Trondheim University Hospital, Trondheim, Norway

    Toril Skandsen

  3. Department of Radiology, Nord-Trøndelag Hospital Trust, Levanger Hospital, Levanger, Norway

    Kent Gøran Moen

  4. Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway

    Anne Vik

  5. Department of Neurosurgery, St. Olav’s Hospital, Trondheim University Hospital, Trondheim, Norway

    Anne Vik

Authors
  1. Toril Skandsen
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  2. Kent Gøran Moen
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  3. Anne Vik
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Corresponding author

Correspondence to Toril Skandsen .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Haukeland University Hospital, Bergen, Norway

    Terje Sundstrøm

  2. Department of Anaesthesia and Intensive Care, Lund University Hospital, Lund, Sweden

    Per-Olof Grände

  3. Department of Neurosurgery, Tampere University Hospital, Tampere, Finland

    Teemu Luoto

  4. Department of Neurosurgery, Odense University Hospital, Odense, Denmark

    Christina Rosenlund

  5. Department of Operation and Intensive Care, Halmstad Hospital, Halmstad, Sweden

    Johan Undén

  6. Department of Clinical Medicine K1, University of Bergen, Bergen, Norway

    Knut Gustav Wester

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Skandsen, T., Moen, K.G., Vik, A. (2020). Subacute MR Imaging: Traumatic Axonal Injury, Brainstem Lesions and Prognostic Factors. In: Sundstrøm, T., Grände, PO., Luoto, T., Rosenlund, C., Undén, J., Wester, K. (eds) Management of Severe Traumatic Brain Injury. Springer, Cham. https://doi.org/10.1007/978-3-030-39383-0_85

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  • DOI: https://doi.org/10.1007/978-3-030-39383-0_85

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-39382-3

  • Online ISBN: 978-3-030-39383-0

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