MRI demonstration of orbital lipolysis in anorexia nervosa

The purpose of this article is to describe the orbital changes due to lipolysis in anorexia nervosa. We examined a cachectic patient with MR imaging using T1-weighted images before and after contrast enhancement. Orbital fat edema has been observed in extreme forms of cachexia and the CT and MR find...

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Veröffentlicht in:European radiology 2002-12, Vol.12 Suppl 3 (S3), p.S4-S6
Hauptverfasser: Demaerel, Philippe, Dekimpe, Piet, Muls, Erik, Wilms, Guy
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creator Demaerel, Philippe
Dekimpe, Piet
Muls, Erik
Wilms, Guy
description The purpose of this article is to describe the orbital changes due to lipolysis in anorexia nervosa. We examined a cachectic patient with MR imaging using T1-weighted images before and after contrast enhancement. Orbital fat edema has been observed in extreme forms of cachexia and the CT and MR findings have recently been reported. The imaging appearances have been explained by the disappearance of the fat tissue and the appearance of edema due to a disturbance in the electrolyte fluid balance. In the recent literature particular attention has been paid to the increased lipid peroxidation and lipolysis in anorexia nervosa. These metabolic processes result in an increased permeability of the vessel wall endothelium, which can explain the extravasation of the contrast agent in the orbital fat on MR imaging.
doi_str_mv 10.1007/s00330-002-1365-7
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subjects Adipose Tissue - diagnostic imaging
Adipose Tissue - metabolism
Adult
Anorexia Nervosa - complications
Anorexia Nervosa - diagnostic imaging
Anorexia Nervosa - metabolism
Edema - complications
Edema - diagnostic imaging
Edema - metabolism
Female
Gadolinium - metabolism
Humans
Lipolysis - physiology
Magnetic Resonance Imaging
Orbit - diagnostic imaging
Orbit - metabolism
Radioisotopes - metabolism
Tomography, X-Ray Computed
title MRI demonstration of orbital lipolysis in anorexia nervosa
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