Prognostic value of proton magnetic resonance spectroscopy findings in near drowning patients: reversibility of the early metabolite abnormalities relates with a good outcome

Arquivos de Neuro-Psiquiatria

Maria De Fátima Vasco Aragão²  Meng Law²  João Prola Netto²  Marcelo Moraes Valença¹  Thomas Naidich² 

[1] ,Mount Sinai School of Medicine Department of Radiology New York NY ,USA

关键词: hypoxia;    near drowning;    magnetic resonance spectroscopy;    hipóxia;    quase-afogamento;    espectroscopia;    ressonância magnética;   

DOI  :  10.1590/S0004-282X2009000100014

来源: SciELO

【 摘 要 】

In two children with near drowning hypoxic encephalopathy and normal-appearing structural MRI, acute proton magnetic resonance spectroscopy (¹H MRS) showed biochemical alterations that correctly indicated prognosis and helped to guide management decisions. Elevation of the lipid-lactate and glutamine-glutamate peaks, on the early (72 hour) ¹H MRS, predicts a poor prognosis. Absence of lipid-lactate and glutamine-glutamate peaks on the early ¹H MRS and reversibility of early mild metabolite abnormalities on follow up examination relates with good outcome.

【 授权许可】

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