Diffusion-weighted MRI in cyclosporin A neurotoxicity for the classification of cerebral edema

被引:21
作者
Debaere, C [1 ]
Stadnik, T [1 ]
De Maeseneer, M [1 ]
Osteaux, M [1 ]
机构
[1] Free Univ Brussels, Acad Hosp, Dept Radiol, B-1090 Brussels, Belgium
关键词
cyclosporine; diffusion-weighted MRI; brain; vasogenic edema;
D O I
10.1007/s003300050948
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Cyclosporin A, an immunosuppressive agent, is known to have neurotoxic effects, but until now, there has not been agreement on the underlying mechanism. Our report suggests, by using diffusion-weighted MRI, that the brain lesions caused by cyclosporin A, are probably related to vasogenic edema. This may explain the complete recovery of the lesions on imaging when cyclosporine therapy is stopped.
引用
收藏
页码:1916 / 1918
页数:3
相关论文
共 9 条
[1]   Watershed imaging features and clinical vascular injury in cyclosporin A neurotoxicity [J].
Bartynski, WS ;
Grabb, BC ;
Zeigler, Z ;
Lin, L ;
Andrews, DF .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1997, 21 (06) :872-880
[2]  
BERDEN JHM, 1985, LANCET, V1, P219
[3]   CYCLOSPORINE TOXICITY AT THERAPEUTIC BLOOD-LEVELS AND CYTOCHROME-P-450 IIIA [J].
LUCEY, MR ;
KOLARS, JC ;
MERION, RM ;
CAMPBELL, DA ;
ALDRICH, M ;
WATKINS, PB .
LANCET, 1990, 335 (8680) :11-15
[4]   Clinical utility of diffusion-weighted magnetic resonance imaging in the assessment of ischemic stroke [J].
Lutsep, HL ;
Albers, GW ;
DeCrespigny, A ;
Kamat, GN ;
Marks, MP ;
Moseley, ME .
ANNALS OF NEUROLOGY, 1997, 41 (05) :574-580
[5]   THE PREVENTIVE EFFECT OF CYCLOSPORINE-A, AN IMMUNOSUPPRESSANT, ON THE LATE ONSET REDUCTION OF MUSCARINIC ACETYLCHOLINE-RECEPTORS IN GERBIL HIPPOCAMPUS AFTER TRANSIENT FOREBRAIN ISCHEMIA [J].
OGAWA, N ;
TANAKA, K ;
KONDO, Y ;
ASANUMA, M ;
MIZUKAWA, K ;
MORI, A .
NEUROSCIENCE LETTERS, 1993, 152 (1-2) :173-176
[6]   CYCLOSPORINE NEUROTOXICITY AND ITS RELATIONSHIP TO HYPERTENSIVE ENCEPHALOPATHY - CT AND MR FINDINGS IN 16 CASES [J].
SCHWARTZ, RB ;
BRAVO, SM ;
KLUFAS, RA ;
HSU, LG ;
BARNES, PD ;
ROBSON, CD ;
ANTIN, JH .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1995, 165 (03) :627-631
[7]   CYCLOSPORINE-A PROTECTS AGAINST ISCHEMIA-REPERFUSION INJURY IN THE BRAIN [J].
SHIGA, Y ;
ONODERA, H ;
MATSUO, Y ;
KOGURE, K .
BRAIN RESEARCH, 1992, 595 (01) :145-148
[8]  
THOMPSON CB, 1984, LANCET, V2, P1116
[9]  
TRUWIT CL, 1991, AM J NEURORADIOL, V12, P651