Transcallosal fibers from corticospinal tract in patients with cerebral infarct.

Diffusion tensor image tractography (DTT) can visualize white matter tracts and provide a powerful vehicle with which to investigate the neural pathway at the subcortical level. We attempted to demonstrate the clinical significance of transcallosal fibers (TCF) originating from the corticospinal tra...

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Publicado en:NeuroRehabilitation Vol. 24; no. 2; pp. 159 - 165
Autores principales: Jang SH, Park K, Ahn SH, Cho YW, Byun WM, Son SM, Choi JH, Kwon YH
Formato: diagnostic images research tables/charts Journal Article
Publicado: Sage Publications Inc. 2009
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
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        atl: Transcallosal fibers from corticospinal tract in patients with cerebral infarct.
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          Jang SH
          Park K
          Ahn SH
          Cho YW
          Byun WM
          Son SM
          Choi JH
          Kwon YH
        affil: Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Republic of Korea. strokerehab@hanmail.net
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        subj:
          Brain Pathology
          Brain Physiology
          Infarction Physiopathology
          Spinal Cord Physiology
          Stroke Physiopathology
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      ab: Diffusion tensor image tractography (DTT) can visualize white matter tracts and provide a powerful vehicle with which to investigate the neural pathway at the subcortical level. We attempted to demonstrate the clinical significance of transcallosal fibers (TCF) originating from the corticospinal tract in patients with corona radiata infarct located below the corpus callosum, using diffusion tensor image tractography (DTT). Forty patients with corona radiata infarct located below the corpus callosum and 26 control subjects were enrolled in this study. We classified the DTT findings as follows: no transcallosal fiber from the CST (type A), transcallosal fiber ended in the corpus callosum or connected to the cortex of the opposite hemisphere (type B), and transcallosal fiber that descended toward the lesion after passing through the corpus callosum (type C). Type C indicated that the presence of transcallosal fibers starting from the CST of the unaffected hemisphere was significantly more prevalent in the patients, and these patients showed the poorest motor function. It seems that transcallosal fibers originated from the CST of the unaffected hemisphere, and fibers descending toward the lesion in patients with corona radiata infarct may act to compensate for motor deficits.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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