Neural Regeneration Research, 2018 · DOI: 10.4103/1673-5374.224384 · Published: January 1, 2018
This case study explores the brain injury in a patient with both traumatic spinal cord injury (TSCI) and mild traumatic brain injury (TBI). It focuses on the Papez circuit, a brain structure important for memory. The patient, who experienced a spinal cord injury after a fall, also showed signs of mild TBI and memory problems. Brain scans using a technique called diffusion tensor tractography (DTT) revealed damage to specific parts of the Papez circuit. The findings suggest that in patients with TSCI and mild TBI who have memory issues, evaluating the Papez circuit with DTT could be beneficial, especially when standard brain scans don't show any clear damage.
DTT can be a useful tool for identifying brain injuries in patients with TSCI and mild TBI, even when conventional MRI shows no abnormalities.
The Papez circuit should be evaluated in patients with TSCI, mild TBI, and memory complaints.
Traumatic axonal injury may be the primary mechanism behind the injury of the Papez circuit in such cases.