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Báo cáo y học: "Clinical review: Prognostic value of magnetic resonance imaging in acute brain injury and coma"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Prognostic value of magnetic resonance imaging in acute brain injury and coma. | Available online http ccforum.eom content 11 5 230 Review Clinical review Prognostic value of magnetic resonance imaging in acute brain injury and coma Nicolas Weiss1 Damien Galanaud2 Alexandre Carpentier3 Lionel Naccache4 and Louis Puybasset1 1 Department of Anesthesiology and Critical Care Pitié-Salpêtrière Teaching Hospital Assistance Publique - Hopitaux de Paris and Pierre et Marie Curie University Bd de l hopital 75013 Paris France 2Department of Neuroradiology Pitié-Salpêtrière Teaching Hospital Assistance Publique - Hopitaux de Paris and Pierre et Marie Curie University Bd de l hopital 75013 Paris France 3Department of Neurosurgery Pitié-Salpêtrière Teaching Hospital Assistance Publique - Hopitaux de Paris and Pierre et Marie Curie University Bd de l hopital 75013 Paris France 4Department of Neurophysiology Pitié-Salpêtrière Teaching Hospital Assistance Publique - Hopitaux de Paris and Pierre et Marie Curie University Bd de l hopital 75013 Paris France Corresponding author Louis Puybasset louis.puybasset@psl.aphp.fr Published 18 October 2007 This article is online at http ccforum.com content 11 5 230 2007 BioMed Central Ltd Critical Care 2007 11 230 doi 10.1186 cc6107 Abstract Progress in management of critically ill neurological patients has led to improved survival rates. However severe residual neurological impairment such as persistent coma occurs in some survivors. This raises concerns about whether it is ethically appropriate to apply aggressive care routinely which is also associated with burdensome long-term management costs. Adapting the management approach based on long-term neurological prognosis represents a major challenge to intensive care. Magnetic resonance imaging MRI can show brain lesions that are not visible by computed tomography including early cytotoxic oedema after ischaemic stroke diffuse axonal injury after traumatic brain injury and cortical laminar necrosis after cardiac arrest. Thus MRI increases the accuracy of neurological .