Figure 4.

Despite high mortality in severe cases, may patients with DAI survive. This is a susceptibility weighted brain MRI sequence from this 24-year-old woman, an unbelted driver who was ejected from her vehicle on crash. Brain shows numerous magnetic field-distorting, black-appearing microbleeds from the structural disruption of small vessels, also marking the sites of colocalized axonal injury. The patient had some cognitive deficits and organic personality changes with mood lability, but adjusted reasonably well to a domestic setting. Confluence of lesions in the left internal capsule/peduncle/pons caused right-side weakness.