Severe Brain Injury Recovery Stories. DAI produced the same types of mechanical ... validating the subjective complaint of poor sleep quality TBI patients often report. As with care giving and rehabilitation in chronic illnesses, the concern with traumatic brain injury (TBI), particularly with diffuse axonal injury (DAI), is that the caregivers are so overwhelmingly involved in caring and rehabilitation of the victim that in the process they become traumatized themselves. Diffuse axonal injury may disconnect the projection neuron to the cortex at multiple sites including the brainstem. Diffuse axonal injury can be caused by car accidents (e.g., whiplash), concussions, or abusive or violent events (such as violently shaking a baby). Huisman TA, Schwamm LH, Schaefer PW et al. In cardiac arrest, the areas most vulnerable to damage are the watershed areas of the cere … I’m also in the works to create my own Facebook support-group, specifically for DAI (diffuse axonal injury), the injury I have. Computed tomography (CT) remains the first imaging test performed in the acute phase of TBI, but has low sensitivity for detecting DAI, since DAI is a cellular lesion. Brainstem atrophy is also a common characteristic in survivors of severe traumatic brain injury (Kampfl et al., 1998) and in the present series (Fujiwara et al., 1993). I was put on life support and received a tracheotomy and PEG tube a few days later. Abstract Functional outcome and quality of life are difficult to predict in patients with diffuse axonal injury (DAI) after traumatic brain injury (TBI). Helping you find trustworthy answers on Diffuse Axonal Injury | Latest evidence made easy AJNR Am J Neuroradiol 2004;25(3):370–376. [3], 360 cases/100,000 inhabitants per year is the re-ported incidence of TBI in Brazil. Diffuse axonal injury predicted substantially more variability in white matter atrophy than other putative clinical or imaging measures, including baseline brain volume, age, clinical measures of injury severity and microbleeds (>50% for fractional anisotropy versus <5% for other measures). Pathophysiology Traumatic axonal injury, also referred as diffuse axonal injury (DAI), is responsible for almost one third of * Correspondence: iurineville@yahoo.com.br Diffuse axonal injury (DAI) is the rupture of multiple axons due to acceleration and deceleration forces during a closed head injury. Ten severe TBI survivors without visual impairments, but with known diffuse axonal injury, and 9 matched controls underwent diffusion tensor imaging (DTI) and fMRI. The primary aim of this cross-sectional cohort study was to assess the long-term functional outcome in patients with DAI and to identify prognostic factors. I was intubated on the scene and was flown to UT Medical Center, where I spent several hours in the ER and then transferred to the Neuro CCU. Most traumatic brain injuries (TBI) have some degree of DAI, especially severe TBI. Life after a severe traumatic brain injury is one learning experience after another. When we began this project in 2010, I had hoped to get to see a small snippet of records, such as the discharge summary with each participant. Diffuse Axonal Injury (DAI) is a common event in human TBI, ranging from mild (concussive) to severe, including lethal, TBI [13-17]. That helps me a lot. A relatively common sequela of blunt head injury, characterized by a global disruption of axons throughout the brain. Diffuse axonal injury (DAI) accounts for more than 30% of severe craniocerebral injury and is the main causes leading to a vegetative state or serious nerve dysfunction. I wrote the whole book myself first, when my ghostwriter started disregarding my writings and copying what the website described Diffuse Axonal Injury as, I got a little upset because it made me out to be a liar. to diffuse axonal injury mostly in the central structures such as the brain-stem and corpus callosum, often asso - ciated with contusions in the cerebral hemispheres (1). However, there are few studies describing the outcomes of DAI and the risk factors associated with it. About 90% of survivors with severe diffuse axonal injury remain unconscious. Every traumatic brain injury is different, and every survivor’s story is unique. Diffusion tensor imaging as potential biomarker of white matter injury in diffuse axonal injury. 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