SERIAL PROTON MAGNETIC-RESONANCE SPECTROSCOPY OF ISCHEMIC BRAIN INJURY IN HUMANS

被引:66
作者
FENSTERMACHER, MJ [1 ]
NARAYANA, PA [1 ]
机构
[1] UNIV TEXAS,SCH MED,DEPT RADIOL,6431 FANNIN,ROOM 2132,HOUSTON,TX 77030
关键词
Brain; Ischemia; Proton magnetic resonance spectroscopy; Spatial localization;
D O I
10.1097/00004424-199009000-00016
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
Four patients were observed serially with 1H magnetic resonance spectroscopy (MRS) at times ranging from 3 days to 10 weeks after a documented ischemic event. Spectra were obtained from 8 cc volumes in infarcted regions and contralateral matched normal regions. Reproducible variations in a-acetyl aspartate (NAA), creatine + phosphocreatine (Cr + PCr), and the sequential changes in lactate and lipid resonances are related to the pathophysiology of stroke. A conspicuous lack of significant change in the choline (Cho) resonance with concomittant decrease in NAA and Cr + PCr is reported as a possible marker of ischemic injury. © Lippincott-Raven Publishers.
引用
收藏
页码:1034 / 1039
页数:6
相关论文
共 32 条
[1]   ACUTE CEREBRAL-ISCHEMIA - CONCURRENT CHANGES IN CEREBRAL BLOOD-FLOW, ENERGY METABOLITES, PH, AND LACTATE MEASURED WITH HYDROGEN CLEARANCE AND P-31 AND H-1 NUCLEAR MAGNETIC-RESONANCE SPECTROSCOPY .3. CHANGES FOLLOWING ISCHEMIA [J].
ALLEN, K ;
BUSZA, AL ;
CROCKARD, HA ;
FRACKOWIAK, RSJ ;
GADIAN, DG ;
PROCTOR, E ;
RUSSELL, RWR ;
WILLIAMS, SR .
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 1988, 8 (06) :816-821
[2]   BIOLOGICAL DIFFERENCES BETWEEN ISCHEMIA, HYPOGLYCEMIA, AND EPILEPSY [J].
AUER, RN ;
SIESJO, BK .
ANNALS OF NEUROLOGY, 1988, 24 (06) :699-707
[3]   INVIVO H-1 SPECTROSCOPY IN HUMANS AT 1.5-T [J].
BARANY, M ;
LANGER, BG ;
GLICK, RP ;
VENKATASUBRAMANIAN, PN ;
WILBUR, AC ;
SPIGOS, DG .
RADIOLOGY, 1988, 167 (03) :839-844
[4]  
BAX A, 1982, 2 DIMENSIONAL NMR LI
[5]   ELEVATION OF THE EXTRACELLULAR CONCENTRATIONS OF GLUTAMATE AND ASPARTATE IN RAT HIPPOCAMPUS DURING TRANSIENT CEREBRAL-ISCHEMIA MONITORED BY INTRACEREBRAL MICRODIALYSIS [J].
BENVENISTE, H ;
DREJER, J ;
SCHOUSBOE, A ;
DIEMER, NH .
JOURNAL OF NEUROCHEMISTRY, 1984, 43 (05) :1369-1374
[6]   A RE-EXAMINATION OF THE INTERACTION OF N-ACETYL-L-ASPARTYL-L-GLUTAMATE WITH A SUBPOPULATION OF RAT-BRAIN MEMBRANE L-[H-3]GLUTAMATE BINDING-SITES [J].
BLAKELY, RD ;
ROBINSON, MB ;
GUARDA, AS ;
COYLE, JT .
EUROPEAN JOURNAL OF PHARMACOLOGY, 1988, 151 (03) :419-426
[7]   METABOLIC CHANGES DURING EXPERIMENTAL CEREBRAL-ISCHEMIA IN HYPERGLYCEMIC RATS, OBSERVED BY P-31 AND H-1 MAGNETIC-RESONANCE SPECTROSCOPY [J].
BOLAS, NM ;
RAJAGOPALAN, B ;
MITSUMORI, F ;
RADDA, GK .
STROKE, 1988, 19 (05) :608-614
[8]   CHRONIC ADULT CEREBRAL INFARCTION STUDIED BY PHOSPHORUS NMR-SPECTROSCOPY [J].
BOTTOMLEY, PA ;
DRAYER, BP ;
SMITH, LS .
RADIOLOGY, 1986, 160 (03) :763-766
[9]  
BRANTZAWADZKI M, 1987, AM J NEURORADIOL, V8, P39
[10]   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