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MRI demonstration of cortical laminar necrosis and delayed white matter injury in anoxic encephalopathy

Neuroradiology volume 32, pages 319–321 (1990)Cite this article

Summary

We performed serial radiological examinations on a patient with anoxic encephalopathy. In the early term after the anoxic insult, T1-weighted MRI revealed high signal intensity areas distributed laminarly in the cerebral cortex and diffusely in the putamen, which were thought to refect the cortical necrosis and necrosis in the putamen. Single photon emission computed tomography using I-123 isopropylamphetamine showed persistent hypoperfusion in the arterial watershed zones. T2-weighted MRI performed several months after the anoxic episode revealed diffuse high-intensity lesions in the arterial water-shed zones. These delayed-onset white matter lesions continued to extend over several months.

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Affiliations

  1. Department of Neurology, Sumitomo Hospital, Oska, Japan

    H. Sawada, F. Udaka, N. Seriu, K. Shindou & M. Kameyama

  2. Department of Pathology, Sumitomo Hospital, Osaka, Japan

    M. Tsujimura

Authors
  1. H. Sawada
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  2. F. Udaka
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  3. N. Seriu
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  4. K. Shindou
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  5. M. Kameyama
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  6. M. Tsujimura
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Sawada, H., Udaka, F., Seriu, N. et al. MRI demonstration of cortical laminar necrosis and delayed white matter injury in anoxic encephalopathy. Neuroradiology 32, 319–321 (1990). https://doi.org/10.1007/BF00593053

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  • DOI: https://doi.org/10.1007/BF00593053

Key words

  • Anoxic encephalopathy
  • Cortical laminar necrosis
  • Delayed-onset progressive white matter lesion
  • MRI