Document Detail


Delayed postanoxic encephalopathy after strangulation. Serial neuroradiological and neurochemical studies.
MedLine Citation:
PMID:  1898266     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 13-year-old boy was the victim of attempted strangulation. His condition had returned to normal by the sixth day after the assault; however, from the seventh day, choreoathetosis, dystonia, and marked pseudobulbar paralysis developed in the boy. The computed tomographic scans and T2-weighted magnetic resonance images that were obtained at this time revealed low-density and high-signal intensities in the region of the bilateral putamen and caudate nucleus. These symptoms and the changes in his computed tomographic scans and magnetic resonance images subsided gradually during a 2-month period. Sequential analysis of the cerebrospinal fluid for gamma-aminobutyric acid and dopamine concentrations during his illness revealed reciprocal changes with normal recovery. Because of the delayed onset of neurological changes and the cerebrospinal fluid showing reversible symptoms, the delayed encephalopathy after strangulation had been related to the biochemical alterations that followed anoxia in the vulnerable basal ganglia.
Authors:
A Hori; G Hirose; S Kataoka; K Tsukada; K Furui; H Tonami
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Publication Detail:
Type:  Case Reports; Duplicate Publication; Journal Article    
Journal Detail:
Title:  Archives of neurology     Volume:  48     ISSN:  0003-9942     ISO Abbreviation:  Arch. Neurol.     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1991-10-24     Completed Date:  1991-10-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372436     Medline TA:  Arch Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  871-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurology, Kanazawa Medical University, Ishikawa, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Asphyxia / complications*,  physiopathology
Brain / pathology,  physiopathology
Brain Diseases / cerebrospinal fluid,  diagnosis,  etiology*
Caudate Nucleus / pathology
Crime
Dopamine / cerebrospinal fluid
Electroencephalography
Humans
Hypoxia, Brain / cerebrospinal fluid,  diagnosis,  etiology*,  physiopathology
Magnetic Resonance Imaging
Male
Putamen / pathology
Tomography, X-Ray Computed
gamma-Aminobutyric Acid / cerebrospinal fluid
Chemical
Reg. No./Substance:
56-12-2/gamma-Aminobutyric Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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