Document Detail


Dynamic susceptibility contrast enhanced MRI in reversible posterior leukoencephalopathy syndrome associated with haemolytic uraemic syndrome.
MedLine Citation:
PMID:  10844872     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a case of reversible posterior leukoencephalopathy associated with haemolytic uraemic syndrome. Following remission confirmed on MRI, the patient relapsed several months later. Neuroimaging findings on conventional MRI and FLAIR sequences and dynamic susceptibility contrast enhanced MRI are described. White matter abnormalities may be shown on CT or MRI in this syndrome. However, dynamic susceptibility contrast enhanced MRI showed far more extensive abnormality within the brain. In addition, phase contrast angiographic measurement of flow in the carotid and basilar arteries indicated a significant elevation of cerebral blood flow, suggesting a decrease in global cerebrovascular resistance. These observations support existing theories that the disorder is manifested by autoregulatory disturbance in small cerebral vessels. Our findings suggest that this abnormality is far more extensive than is demonstrated on T2 weighted MR images and that it is associated with global abnormality of cerebrovascular autoregulation.
Authors:
M B Taylor; A Jackson; J M Weller
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The British journal of radiology     Volume:  73     ISSN:  0007-1285     ISO Abbreviation:  Br J Radiol     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-06-14     Completed Date:  2000-06-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  438-42     Citation Subset:  AIM; IM    
Affiliation:
Stopford Medical School, University of Manchester, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain Diseases / diagnosis*,  etiology*
Female
Follow-Up Studies
Hemolytic-Uremic Syndrome / complications*
Humans
Magnetic Resonance Imaging
Occipital Lobe / pathology
Syndrome

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


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