• Neurocritical care · Jun 2012

    Review Case Reports

    Boomerang sign on MRI.

    • Karen G Hirsch.
    • Department of Neurology, Neurovascular Service and Neurocritical Care Program, UCSF Medical Center, University of California, 505 Parnassus Avenue, Room M830, San Francisco, CA 94143-0114, USA. kghirsch@yahoo.com
    • Neurocrit Care. 2012 Jun 1;16(3):450-1.

    IntroductionAltered mental status and more subtle cognitive and personality changes after traumatic brain injury (TBI) are pervasive problems in patients who survive initial injury. MRI is not necessarily part of the diagnostic evaluation of these patients.MethodsCase report with relevant image and review of the literature.ResultsInjury to the corpus callosum is commonly described in traumatic brain injury; however, extensive lesions in the splenium are not well described. This image shows an important pattern of brain injury and demonstrates a common clinical syndrome seen in patients with corpus callosum pathology.ConclusionInjury to the splenium of the corpus callosum due to trauma may be extensive and can cause significant neurologic deficits. MRI is important in the diagnostic evaluation of patients with cognitive changes after TBI.

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