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Brain Imaging in Intensive Care Medicine

期刊

SEMINARS IN NEUROLOGY
卷 28, 期 5, 页码 631-644

出版社

THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0028-1105977

关键词

Traumatic brain injury; encephalopathy; magnetic resonance imaging; diffusion tensor imaging; susceptibility-weighted imaging; magnetic resonance spectroscopy; positron emission tomography; single photon emission tomography; cerebral blood flow; cerebral ischemia

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The management of severe brain in injury requires a comprehensive approach in which imaging is an indispensable complement to the clinical and physiological information acquired at the bedside. Neuroimaging methods are routinely used in the diagnosis and prognosis of a broad spectrum of patients with acute neurological dysfunction. With incremental theoretical and technological refinements, imaging modalities are helping to unravel fundamental questions regarding the pathophysiology and neuroplasticity associated with critical neurological injury, and it is anticipated that this knowledge will lead to new and effective therapeutic interventions. We review some of the established and emerging structural and physiological imaging methods, and discuss their applications in patients with critical injuries including trauma and encephalopathy due to anoxia, liver failure, and sepsis.

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