Citation

Aragão MFV, Law M, Netto JP, Valença MM, Naidich T. Arq. Neuropsiquiatr. 2009; 67(1): 55-57.

Affiliation

Department of Radiology, Mount Sinai School of Medicine, New York, NY, USA. aragao@truenet.com

Copyright

(Copyright © 2009, Associacao Arquivos De Neuro-Psiquitria)

DOI

unavailable

PMID

19330212

Abstract

In two children with near drowning hypoxic encephalopathy and normal-appearing structural MRI, acute proton magnetic resonance spectroscopy ((1)H MRS) showed biochemical alterations that correctly indicated prognosis and helped to guide management decisions. Elevation of the lipid-lactate and glutamine-glutamate peaks, on the early (72 hour) (1)H MRS, predicts a poor prognosis. Absence of lipid-lactate and glutamine-glutamate peaks on the early (1)H MRS and reversibility of early mild metabolite abnormalities on follow up examination relates with good outcome.

Language: en