@article{ref1,
title="Prognostic value of proton magnetic resonance spectroscopy findings in near drowning patients: reversibility of the early metabolite abnormalities relates with a good outcome",
journal="Arquivos de Neuro-Psiquiatria",
year="2009",
author="Aragão, Maria de Fátima Vasco and Law, Meng and Netto, João Prola and Valença, Marcelo Moraes and Naidich, Thomas",
volume="67",
number="1",
pages="55-57",
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.<p /><p>Language: en</p>",
language="en",
issn="0004-282X",
doi="",
url="http://dx.doi.org/"
}