Document Detail


Imaging analysis of the brain in a primate model of cerebral malaria.
MedLine Citation:
PMID:  19467218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper reviews our studies concerning imaging analysis of the brain in a primate model of cerebral malaria. To elucidate the clinical features of cerebral malaria, we performed positron emission tomography with (18)F-fluorodeoxyglucose (FDG-PET) scanning and magnetic resonance imaging (MRI) of the brain in Japanese macaques (Macaca fuscata) infected with Plasmodium coatneyi, a primate model of severe human malaria with cerebral involvement. On FDG-PET scanning, we observed diffuse and heterogeneous reduction of metabolism in the cerebral cortex in the acute phase of malaria infection. Although the monkey exhibited severe clinical signs, MR imaging did not reveal any significant changes during the course of infection. Histopathologic examination frequently revealed preferential sequestration of PRBCs in the cerebral and cerebellum capillaries, but neither parenchymal injury nor neuronal necrosis was found in the tissues. These results suggest that heterogeneous metabolic reduction and lack of abnormalities on MRI in the acute phase of CM may be due to any avoidance mechanisms from ischemia caused by sequestration. This may be one reason why more than half of CM patients have no neurological sequelae following recovery.
Authors:
Satoru Kawai; Munehiro Sugiyama
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2009-05-23
Journal Detail:
Title:  Acta tropica     Volume:  114     ISSN:  1873-6254     ISO Abbreviation:  Acta Trop.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-03-29     Completed Date:  2010-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370374     Medline TA:  Acta Trop     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  152-6     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 Elsevier B.V. All rights reserved.
Affiliation:
Center for Tropical Medicine and Parasitology, Dokkyo Medical University, Mibu, Tochigi, Japan. skawai@dokkyomed.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Animals
Brain / parasitology,  pathology*,  radiography*
Disease Models, Animal
Histocytochemistry
Image Processing, Computer-Assisted
Macaca
Magnetic Resonance Imaging
Malaria, Cerebral / pathology*
Plasmodium / pathogenicity
Positron-Emission Tomography

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


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