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Diffuse axonal injury
  1. Miguel Quintas-Neves,
  2. João Paulo Soares-Fernandes,
  3. Virgínia Mendes
  1. Neuroradiology Department, Hospital de Braga, Braga, Portugal
  1. Correspondence to Dr Miguel Quintas-Neves, Neuroradiology Department, Hospital de Braga, Braga 4710-243, Portugal; mlqneves{at}

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A young adult patient was brought to the emergency department after a violent motorcycle accident. Neurological examination revealed absent verbal response, eye opening or movements with pain stimulation, and bilateral pupillary miosis. Brain MRI revealed lesions in the corpus callosum, and in the subcortical and periventricular white matter, which were hyperintense on fluid-attenuated inversion recovery sequence (figure 1A), and showed restricted diffusion on diffusion-weighted imaging (figure 1B). Subcortical microhaemorrhages were detected on T2* gradient echo sequence (figure …

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  • Contributors MQ-N: acquisition of data, clinical and imaging data review, literature review and final manuscript writing. VM: clinical and imaging data review and important intellectual contribution. JPS-F: imaging data review, important intellectual contribution and final manuscript writing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication As all the identifiable information of the patient was removed, consent was not obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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