Delayed diffusion-weighted MR abnormality in a patient with an extensive acute cerebral hypoxic injury - A case report

Delayed diffusion-weighted MR abnormality in a patient with an extensive acute cerebral hypoxic injury - A case report
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DOI:
10.1034/j.1600-0455.2003.00050.x
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发表时间:
2003-05-01
期刊:
影响因子:
1.3
通讯作者:
Wootton-Gorges, SL
Wootton-Gorges, SL
中科院分区:
医学4区
文献类型:
--
作者:
Hald, JK;Brunberg, JA;Wootton-Gorges, SL

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弥散加权(DW)磁共振成像通常确定急性脑梗死损伤的症状患者。我们报告一个病人,在上吊自杀后出现严重的缺氧性脑损伤,但在事件发生后5-6小时,脑磁共振成像正常。事件发生后3天的随访DW MR成像和随后的尸检显示广泛的脑缺氧损伤。
Diffusion-weighted (DW) MR imaging usually identifies acute cerebral infarction injury in symptomatic patients. We report a patient with severe hypoxic brain injury following suicide attempt by hanging, but with normal DW MR imaging 5-6 h after the event. Follow-up DW MR imaging 3 days after the event, and subsequent autopsy, revealed extensive cerebral anoxic injury.