Corpus callosum lesions after closed head injury in children: MRI, clinical features and outcome.
Thirty-four children who sustained moderate to severe closed head injury underwent magnetic resonance imaging (MRI). Eight (24%) had MRI evidence of corpus callosum injury, most commonly within the posterior body and splenium. In contradistinction to reports in adults, there was no definite relationship between callosal injury and lower initial Glasgow Coma Scale scores, nor was there a significantly higher incidence of primary brain-stem lesions, diffuse axonal shear injury or intraventricular hemorrhage. In none of these 8 children did the initial admission computed tomography show evidence of callosal injury. Callosal injuries on MRI are not necessarily a poor prognostic finding, the majority of the 8 children showing good functional recovery.
Mendelsohn
D B
DB
Department of Radiology, University of Texas Southwestern Medical Center, Dallas.
Levin
H S
HS
Harward
H
H
Bruce
D
D
D000293:Adolescent; D001933:Brain Stem / Q000293:injuries / Q000473:pathology; D002540:Cerebral Cortex / Q000293:injuries / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D003243:Consciousness; D003337:Corpus Callosum / Q000293:injuries* / Q000473:pathology; D005260:Female; D015600:Glasgow Coma Scale; D016489:Head Injuries, Closed / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011379:Prognosis; D011446:Prospective Studies; D013997:Time Factors