PROTON MR SPECTROSCOPY OF THE BRAIN IN AIDS DEMENTIA COMPLEX

被引:85
作者
MENON, DK
AINSWORTH, JG
COX, IJ
COKER, RC
SARGENTONI, J
COUTTS, GA
BAUDOUIN, CJ
KOCSIS, AE
HARRIS, JRW
机构
[1] ST MARKS HOSP,DEPT GENITOURINARY MED,LONDON EC1V 2PS,ENGLAND
[2] GEC LTD,HIRST RES CTR,WEMBLEY,MIDDX,ENGLAND
关键词
MAGNETIC RESONANCE; SPECTROSCOPY; ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS); DEMENTIA;
D O I
10.1097/00004728-199207000-00007
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
Proton MR spectroscopy of the brain has been undertaken in 8 healthy volunteers and in 11 patients with human immunodeficiency virus infection and varying stages of AIDS dementia complex (ADC). Spectral appearances in patients with no ADC or early ADC were not significantly different from normal volunteers. Spectra from patients with moderate to severe ADC exhibited significant reductions in levels of N-acetyl aspartate (NAA) relative to creatine (Cr) and also showed elevations in choline containing compounds (relative to Cr). Because NAA is thought to be a metabolic marker for normally functioning neurons, these findings suggest the presence of neuronal injury or loss in moderate to severe ADC. The significance of these findings is discussed.
引用
收藏
页码:538 / 542
页数:5
相关论文
共 24 条
[1]   THE MANAGEMENT OF THE NEUROLOGICAL COMPLICATIONS OF HIV INFECTION AND AIDS [J].
ARONOW, HA ;
BREW, BJ ;
PRICE, RW .
AIDS, 1988, 2 :S151-S159
[2]   NEURONAL CELL KILLING BY THE ENVELOPE PROTEIN OF HIV AND ITS PREVENTION BY VASOACTIVE INTESTINAL PEPTIDE [J].
BRENNEMAN, DE ;
WESTBROOK, GL ;
FITZGERALD, SP ;
ENNIST, DL ;
ELKINS, KL ;
RUFF, MR ;
PERT, CB .
NATURE, 1988, 335 (6191) :639-642
[3]   CEREBRAL METABOLISM IN MAN AFTER ACUTE STROKE - NEW OBSERVATIONS USING LOCALIZED PROTON NMR-SPECTROSCOPY [J].
BRUHN, H ;
FRAHM, J ;
GYNGELL, ML ;
MERBOLDT, KD ;
HANICKE, W ;
SAUTER, R .
MAGNETIC RESONANCE IN MEDICINE, 1989, 9 (01) :126-131
[4]   NONINVASIVE DIFFERENTIATION OF TUMORS WITH USE OF LOCALIZED H-1 MR SPECTROSCOPY INVIVO - INITIAL EXPERIENCE IN PATIENTS WITH CEREBRAL-TUMORS [J].
BRUHN, H ;
FRAHM, J ;
GYNGELL, ML ;
MERBOLDT, KD ;
HANICKE, W ;
SAUTER, R ;
HAMBURGER, C .
RADIOLOGY, 1989, 172 (02) :541-548
[5]  
BRUNETTI A, 1989, J NUCL MED, V30, P581
[6]   BRAIN PATHOLOGY INDUCED BY INFECTION WITH THE HUMAN IMMUNODEFICIENCY VIRUS (HIV) - A HISTOLOGICAL, IMMUNOCYTOCHEMICAL, AND ELECTRON MICROSCOPICAL STUDY OF 100 AUTOPSY CASES [J].
BUDKA, H ;
COSTANZI, G ;
CRISTINA, S ;
LECHI, A ;
PARRAVICINI, C ;
TRABATTONI, R ;
VAGO, L .
ACTA NEUROPATHOLOGICA, 1987, 75 (02) :185-198
[7]   NEURONAL LOSS IN THE FRONTAL-CORTEX IN HIV-INFECTION [J].
EVERALL, IP ;
LUTHERT, PJ ;
LANTOS, PL .
LANCET, 1991, 337 (8750) :1119-1121
[8]   PROTON MR SPECTROSCOPY OF INTRACRANIAL TUMORS - INVIVO AND INVITRO STUDIES [J].
GILL, SS ;
THOMAS, DGT ;
VANBRUGGEN, N ;
GADIAN, DG ;
PEDEN, CJ ;
BELL, JD ;
COX, IJ ;
MENON, DK ;
ILES, RA ;
BRYANT, DJ ;
COUTTS, GA .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1990, 14 (04) :497-504
[9]   EVIDENCE FOR EARLY CENTRAL-NERVOUS-SYSTEM INVOLVEMENT IN THE ACQUIRED-IMMUNODEFICIENCY-SYNDROME (AIDS) AND OTHER HUMAN-IMMUNODEFICIENCY-VIRUS (HIV) INFECTIONS - STUDIES WITH NEUROPSYCHOLOGICAL TESTING AND MAGNETIC-RESONANCE-IMAGING [J].
GRANT, I ;
ATKINSON, JH ;
HESSELINK, JR ;
KENNEDY, CJ ;
RICHMAN, DD ;
SPECTOR, SA ;
MCCUTCHAN, JA .
ANNALS OF INTERNAL MEDICINE, 1987, 107 (06) :828-836
[10]  
LAMPMAN D, 1986, Magnetic Resonance Imaging, V4, P115, DOI 10.1016/0730-725X(86)90929-X