Time Course of Changes in Diffusion-Weighted Magnetic Resonance Imaging in a Case of Neonatal Encephalopathy With Defined Onset and Duration of Hypoxic-Ischemic Insult
The onset and duration of hypoxic-ischemic (HI) insults rarely can be determined precisely in perinatal asphyxia. The need to establish the timing of HI insults will be critical for the successful application of evolving neuroprotective therapies that may be administered to the asphyxiated newborn....
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| Veröffentlicht in: | Pediatrics (Evanston) 2001-11, Vol.108 (5), p.1211-1214 |
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| creator | Soul, Janet S Robertson, Richard L Tzika, A. Aria du Plessis, Adre J Volpe, Joseph J |
| description | The onset and duration of hypoxic-ischemic (HI) insults rarely can be determined precisely in perinatal asphyxia. The need to establish the timing of HI insults will be critical for the successful application of evolving neuroprotective therapies that may be administered to the asphyxiated newborn. Diffusion-weighted magnetic resonance imaging has emerged as an imaging technique that can be used to identify HI brain injury before the detection of abnormalities by conventional magnetic resonance imaging. This case illustrates the early changes in diffusion-weighted and conventional magnetic resonance imaging studies and in quantitative values of the apparent diffusion coefficient in a unique case of neonatal asphyxia in which the onset and duration of the HI insult were known.hypoxia-ischemia, newborn brain, perinatal asphyxia, diffusion-weighted imaging, proton magnetic resonance spectroscopy. |
| doi_str_mv | 10.1542/peds.108.5.1211 |
| format | Article |
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This case illustrates the early changes in diffusion-weighted and conventional magnetic resonance imaging studies and in quantitative values of the apparent diffusion coefficient in a unique case of neonatal asphyxia in which the onset and duration of the HI insult were known.hypoxia-ischemia, newborn brain, perinatal asphyxia, diffusion-weighted imaging, proton magnetic resonance spectroscopy.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.108.5.1211</identifier><identifier>PMID: 11694704</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: Am Acad Pediatrics</publisher><subject>Babies ; Basal Ganglia - pathology ; Biological and medical sciences ; Brain ; Brain - pathology ; Brain Stem - pathology ; Diagnosis ; Fatal Outcome ; Fetal anoxia ; Heart Arrest - pathology ; Heart Arrest - therapy ; Humans ; Hypoxia-Ischemia, Brain - pathology ; Hypoxia-Ischemia, Brain - therapy ; Infant, Newborn ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Magnetic Resonance Spectroscopy ; Male ; Medical sciences ; Nervous system ; NMR ; Nuclear magnetic resonance ; Pediatrics ; Radiodiagnosis. 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Aria</creatorcontrib><creatorcontrib>du Plessis, Adre J</creatorcontrib><creatorcontrib>Volpe, Joseph J</creatorcontrib><title>Time Course of Changes in Diffusion-Weighted Magnetic Resonance Imaging in a Case of Neonatal Encephalopathy With Defined Onset and Duration of Hypoxic-Ischemic Insult</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>The onset and duration of hypoxic-ischemic (HI) insults rarely can be determined precisely in perinatal asphyxia. The need to establish the timing of HI insults will be critical for the successful application of evolving neuroprotective therapies that may be administered to the asphyxiated newborn. Diffusion-weighted magnetic resonance imaging has emerged as an imaging technique that can be used to identify HI brain injury before the detection of abnormalities by conventional magnetic resonance imaging. This case illustrates the early changes in diffusion-weighted and conventional magnetic resonance imaging studies and in quantitative values of the apparent diffusion coefficient in a unique case of neonatal asphyxia in which the onset and duration of the HI insult were known.hypoxia-ischemia, newborn brain, perinatal asphyxia, diffusion-weighted imaging, proton magnetic resonance spectroscopy.</description><subject>Babies</subject><subject>Basal Ganglia - pathology</subject><subject>Biological and medical sciences</subject><subject>Brain</subject><subject>Brain - pathology</subject><subject>Brain Stem - pathology</subject><subject>Diagnosis</subject><subject>Fatal Outcome</subject><subject>Fetal anoxia</subject><subject>Heart Arrest - pathology</subject><subject>Heart Arrest - therapy</subject><subject>Humans</subject><subject>Hypoxia-Ischemia, Brain - pathology</subject><subject>Hypoxia-Ischemia, Brain - therapy</subject><subject>Infant, Newborn</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Magnetic Resonance Spectroscopy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Pediatrics</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Resuscitation - methods</subject><subject>Suffocation</subject><subject>Thalamus - pathology</subject><subject>Time Factors</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkl1r2zAUhs3YWLNu17sbYrCxizqVbMkfl8Xp2kC2wOjopTmRj20VR3YlmTW_aH9zMgm0GUEX-nrOeaWXNwg-MjpngkeXA1Z2zmg2F3MWMfYqmDGaZyGPUvE6mFEas5BTKs6Cd9Y-UEq5SKO3wRljSc5TymfB3zu1RVL0o7FI-poULegGLVGaLFRdj1b1OrxH1bQOK_IDGo1OSfILba9BSyTLLTRKN1MBkAL2XX6iv3XQkWuPDC10_QCu3ZF75VqywFpp32ytLToCuiKL0YDzQlPp7W7on5QMl1a2uPVSS23Hzr0P3tTQWfxwmM-D39-v74rbcLW-WRZXq1CKWLhwk_hPprSOOU1lJaKMI68x34gkS1KeM5HEwCuoZQaQ5BVgnIgqlYgb2MiUivg8-LrvO5j-cUTryq2yErsONPajLdMoEiJniQc__wc-eBO1f1sZRVmceWrqdrGHGuiwVLrunQHZoEbjPdHeCH98ldEoYjnPPB6ewP2oJidO8d-OeI84fHINjNaW2c3qCL04hcq-67DB0ntYrI_wyz0uTW-twbocjNqC2ZWMllPyyil5fpOVopyS5ys-HfwYN1usnvlD1Dzw5QCAldDVxsdH2WeOs4gfSbc-dH-UwUlKgTNK2hfLF9L_AGYP8Us</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>Soul, Janet S</creator><creator>Robertson, Richard L</creator><creator>Tzika, A. 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Aria ; du Plessis, Adre J ; Volpe, Joseph J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-b600070f3407cd5284e4fe9b56867491563a4dafc8aa69dae365d7ceebabc7053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Babies</topic><topic>Basal Ganglia - pathology</topic><topic>Biological and medical sciences</topic><topic>Brain</topic><topic>Brain - pathology</topic><topic>Brain Stem - pathology</topic><topic>Diagnosis</topic><topic>Fatal Outcome</topic><topic>Fetal anoxia</topic><topic>Heart Arrest - pathology</topic><topic>Heart Arrest - therapy</topic><topic>Humans</topic><topic>Hypoxia-Ischemia, Brain - pathology</topic><topic>Hypoxia-Ischemia, Brain - therapy</topic><topic>Infant, Newborn</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Magnetic Resonance Spectroscopy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Pediatrics</topic><topic>Radiodiagnosis. 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Aria</au><au>du Plessis, Adre J</au><au>Volpe, Joseph J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Time Course of Changes in Diffusion-Weighted Magnetic Resonance Imaging in a Case of Neonatal Encephalopathy With Defined Onset and Duration of Hypoxic-Ischemic Insult</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>108</volume><issue>5</issue><spage>1211</spage><epage>1214</epage><pages>1211-1214</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>The onset and duration of hypoxic-ischemic (HI) insults rarely can be determined precisely in perinatal asphyxia. The need to establish the timing of HI insults will be critical for the successful application of evolving neuroprotective therapies that may be administered to the asphyxiated newborn. 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| subjects | Babies Basal Ganglia - pathology Biological and medical sciences Brain Brain - pathology Brain Stem - pathology Diagnosis Fatal Outcome Fetal anoxia Heart Arrest - pathology Heart Arrest - therapy Humans Hypoxia-Ischemia, Brain - pathology Hypoxia-Ischemia, Brain - therapy Infant, Newborn Investigative techniques, diagnostic techniques (general aspects) Magnetic resonance imaging Magnetic Resonance Imaging - methods Magnetic Resonance Spectroscopy Male Medical sciences Nervous system NMR Nuclear magnetic resonance Pediatrics Radiodiagnosis. Nmr imagery. Nmr spectrometry Resuscitation - methods Suffocation Thalamus - pathology Time Factors |
| title | Time Course of Changes in Diffusion-Weighted Magnetic Resonance Imaging in a Case of Neonatal Encephalopathy With Defined Onset and Duration of Hypoxic-Ischemic Insult |
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