Document Detail


MR imaging and 1H-MR spectroscopy in a case of cerebral infarction with transient cerebral arteriopathy.
MedLine Citation:
PMID:  15533656     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case of cerebral infarction with transient cerebral arteriopathy in a 12-year-old female is described. The child showed with an acute onset of left hemiplegia, central facial palsy and aphasia. She was diagnosed with right internal carotid artery obstruction with no predisposing factors for cerebral infarction. A serial MR image and MR spectroscopy of the brain was performed. MR angiography revealed reversible vascular changes in the right middle cerebral artery after several months. The ratio of choline/creatine was elevated and that of N-acetylaspartate (NAA)/creatine was depressed in the cerebral lesion, however, they were normalized during the remission phase with long echo time-MR spectroscopy. The elevation of the lactate peak was clarified with short echo time-MR spectroscopy. The longitudinal follow up using MR angiography, and MR spectroscopy with long and short echo time was useful for the evaluation of reversible vascular change with cerebral infarction in children.
Authors:
Atsushi Imamura; Naoki Matsuo; Masako Ariki; Hiroko Horikoshi; Tatsuaki Hattori
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Brain & development     Volume:  26     ISSN:  0387-7604     ISO Abbreviation:  Brain Dev.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-11-09     Completed Date:  2005-03-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909235     Medline TA:  Brain Dev     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  535-8     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Gifu Prefectural Gifu Hospital, 4-6-1, Noishiki, Gifu 500-8717, Japan. aimamura30@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aspartic Acid / analogs & derivatives*,  metabolism
Brain / blood supply,  pathology,  physiopathology
Carotid Artery, Internal, Dissection / complications,  diagnosis*,  physiopathology
Cerebral Infarction / diagnosis*,  etiology,  physiopathology
Child
Choline / metabolism
Creatinine / metabolism
Female
Humans
Infarction, Middle Cerebral Artery / diagnosis,  etiology,  physiopathology
Lactic Acid / metabolism
Longitudinal Studies
Magnetic Resonance Imaging
Magnetic Resonance Spectroscopy
Middle Cerebral Artery / pathology,  physiopathology
Predictive Value of Tests
Time Factors
Chemical
Reg. No./Substance:
50-21-5/Lactic Acid; 56-84-8/Aspartic Acid; 60-27-5/Creatinine; 62-49-7/Choline; 997-55-7/N-acetylaspartate

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


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