MRI DEMONSTRATION OF CORTICAL LAMINAR NECROSIS AND DELAYED WHITE MATTER INJURY IN ANOXIC ENCEPHALOPATHY

被引:87
作者
SAWADA, H [1 ]
UDAKA, F [1 ]
SERIU, N [1 ]
SHINDOU, K [1 ]
KAMEYAMA, M [1 ]
TSUJIMURA, M [1 ]
机构
[1] SUMITOMO HOSP,DEPT PATHOL,OSAKA 530,JAPAN
关键词
Anoxic encephalopathy; Cortical laminar necrosis; Delayed-onset progressive white matter lesion; MRI;
D O I
10.1007/BF00593053
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We performed serial radiological examinations on a patient with anoxic encephalopathy. In the early term after the anoxic insult, T1-weighted MRI revealed high signal intensity areas distributed laminarly in the cerebral cortex and diffusely in the putamen, which were thought to refect the cortical necrosis and necrosis in the putamen. Single photon emission computed tomography using I-123 isopropylamphetamine showed persistent hypoperfusion in the arterial watershed zones. T2-weighted MRI performed several months after the anoxic episode revealed diffuse high-intensity lesions in the arterial water-shed zones. These delayed-onset white matter lesions continued to extend over several months. © 1990 Springer-Verlag.
引用
收藏
页码:319 / 321
页数:3
相关论文
共 13 条
[1]  
[Anonymous], [No title captured]
[2]  
BRIERLEY JB, 1984, GREENFIELDS NEUROPAT, P125
[3]   HYPOXIC-ISCHEMIC LEUKOENCEPHALOPATHY IN MAN [J].
GINSBERG, MD ;
HEDLEYWHYTE, ET ;
RICHARDSON, EP .
ARCHIVES OF NEUROLOGY, 1976, 33 (01) :5-14
[4]   EXPERIMENTAL CARBON-MONOXIDE ENCEPHALOPATHY IN PRIMATE .1. PHYSIOLOGIC AND METABOLIC ASPECTS [J].
GINSBERG, MD ;
MYERS, RE .
ARCHIVES OF NEUROLOGY, 1974, 30 (03) :202-208
[5]   EARLY CT FINDINGS OF GLOBAL CENTRAL NERVOUS-SYSTEM HYPOPERFUSION [J].
KJOS, BO ;
BRANTZAWADZKI, M ;
YOUNG, RG .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1983, 141 (06) :1227-1232
[6]  
LIWNICZ BH, 1987, AM J NEURORADIOL, V8, P157
[7]  
MITCHELL MR, 1988, MAGNETIC RESONANCE I, P87
[8]  
NEUBUERGER KT, 1954, J NEUROPATH EXP NEUR, V13, P144
[9]   THE PATHOGENESIS OF CARBON-MONOXIDE ENCEPHALOPATHY IN THE ACUTE PHASE - PHYSIOLOGICAL AND MORPHOLOGICAL CORRELATION [J].
OKEDA, R ;
FUNATA, N ;
TAKANO, T ;
MIYAZAKI, Y ;
HIGASHINO, F ;
YOKOYAMA, K ;
MANABE, M .
ACTA NEUROPATHOLOGICA, 1981, 54 (01) :1-10
[10]  
RICHARDSON ML, 1981, AM J NEURORADIOL, V2, P366