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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한자기공명의과학회 Investigative Magnetic Resonance Imaging Investigative Magnetic Resonance Imaging 제22권 제1호
- 발행연도
- 2018.1
- 수록면
- 56 - 60 (5page)
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초록· 키워드
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Therapeutic hypothermia in cardiac arrest patients is associated with favorable outcomes mediated via neuroprotective mechanisms. We report a rare case of a 32-year-old male who demonstrated complete recovery of signal changes on perfusion-weighted imaging after therapeutic hypothermia due to cardiac arrest. Brain MRI with perfusion-weighted imaging, performed three days after ending the hypothermia therapy, showed a marked decrease in relative cerebral blood flow (rCBF) and delay in mean transit time (MTT) in the bilateral basal ganglia, thalami, brain stem, cerebellum, occipitoparietal cortex, and frontotemporal cortex. However, no cerebral ischemia was not noted on diffusion-weighted imaging (DWI) or fluidattenuated inversion recovery (FLAIR) sequences. A follow-up brain MRI after one week showed complete resolution of the perfusion deficit and the patient was discharged without any neurologic sequelae. The mechanism and interpretation of the perfusion changes in cardiac arrest patients treated with therapeutic hypothermia are discussed.
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등록된 정보가 없습니다.
참고문헌 (7)
참고문헌 신청
Holzer M / 2005 / Hypothermia for neuroprotection after cardiac arrest: systematic review and individual patient data meta-analysis / Crit Care Med 33:414~418
Li F / 2002 / Acute postischemic renormalization of the apparent diffusion coefficient of water is not associated with reversal of astrocytic swelling and neuronal shrinkage in rats / AJNR Am J Neuroradiol 23:180~188
Jarnum H / 2009 / Diffusion and perfusion MRI of the brain in comatose patients treated with mild hypothermia after cardiac arrest: a prospective observational study / Resuscitation 80:425~430
Liu R / 2012 / The changes of brain water diffusion and blood flow on diffusion-weighted and perfusion-weighted imaging in a canine model of cardiac arrest / Resuscitation 83:645~651
Youn CS / 2015 / Repeated diffusion weighted imaging in comatose cardiac arrest patients with therapeutic hypothermia / Resuscitation 96:1~8
Li F / 2002 / Acute postischemic renormalization of the apparent diffusion coefficient of water is not associated with reversal of astrocytic swelling and neuronal shrinkage in rats / AJNR Am J Neuroradiol 23:180~188
Jarnum H / 2009 / Diffusion and perfusion MRI of the brain in comatose patients treated with mild hypothermia after cardiac arrest: a prospective observational study / Resuscitation 80:425~430
Liu R / 2012 / The changes of brain water diffusion and blood flow on diffusion-weighted and perfusion-weighted imaging in a canine model of cardiac arrest / Resuscitation 83:645~651
Youn CS / 2015 / Repeated diffusion weighted imaging in comatose cardiac arrest patients with therapeutic hypothermia / Resuscitation 96:1~8
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