Literature DB >> 19159924

The DWI 'reversal sign' of white matter hypoxic ischaemic injury in older children: an unusual MRI pattern for age.

Savvas Andronikou1, Ronald Van Toorn.   

Abstract

We present two children beyond the neonatal and infant age who suffered global hypoxic events and showed an MRI appearance of reversal of the diffusion-weighted (DWI) and apparent diffusion coefficient (ADC) signal involving exclusively the white matter. This is an unusual distribution for this age group and may represent delayed postanoxic leukoencephalopathy. The appearance of this type of insult has been described as occurring in younger children more frequently than in adults. Awareness of this condition, the fact that it may occur earlier, and the peculiar and possibly deceptive DWI/ADC signal reversal pattern exclusively involving the white matter is critical for making a correct diagnosis and giving a prognosis.

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Year:  2009        PMID: 19159924     DOI: 10.1007/s00247-008-1095-3

Source DB:  PubMed          Journal:  Pediatr Radiol        ISSN: 0301-0449


  8 in total

1.  MR imaging and prognosis of hypoxic-ischemic leukoencephalopathy.

Authors:  Pasquale F Finelli; Francis J DiMario
Journal:  Neurocrit Care       Date:  2006       Impact factor: 3.210

2.  Diffusion-weighted MR imaging of global cerebral anoxia.

Authors:  A Arbelaez; M Castillo; S K Mukherji
Journal:  AJNR Am J Neuroradiol       Date:  1999 Jun-Jul       Impact factor: 3.825

3.  Value of MR imaging of the brain in children with hypoxic coma.

Authors:  Catherine Christophe; Christine Fonteyne; France Ziereisen; Florence Christiaens; Paul Deltenre; Viviane De Maertelaer; Bernard Dan
Journal:  AJNR Am J Neuroradiol       Date:  2002-04       Impact factor: 3.825

4.  Diffusion-weighted imaging in the setting of diffuse cortical laminar necrosis and hypoxic-ischemic encephalopathy.

Authors:  Alexander M McKinney; Mehmet Teksam; Ross Felice; Sean O Casey; Ronald Cranford; Charles L Truwit; Stephen Kieffer
Journal:  AJNR Am J Neuroradiol       Date:  2004 Nov-Dec       Impact factor: 3.825

Review 5.  Hypoxic-ischemic brain injury: imaging findings from birth to adulthood.

Authors:  Benjamin Y Huang; Mauricio Castillo
Journal:  Radiographics       Date:  2008 Mar-Apr       Impact factor: 5.333

6.  Recurrent postnatal infections are associated with progressive white matter injury in premature infants.

Authors:  Hannah C Glass; Sonia L Bonifacio; Vann Chau; David Glidden; Kenneth Poskitt; A James Barkovich; Donna M Ferriero; Steven P Miller
Journal:  Pediatrics       Date:  2008-08       Impact factor: 7.124

7.  MR of hypoxic encephalopathy in children after near drowning: correlation with quantitative proton MR spectroscopy and clinical outcome.

Authors:  D J Dubowitz; S Bluml; E Arcinue; R B Dietrich
Journal:  AJNR Am J Neuroradiol       Date:  1998-10       Impact factor: 3.825

Review 8.  Selective vulnerability in brain hypoxia.

Authors:  J Cervós-Navarro; N H Diemer
Journal:  Crit Rev Neurobiol       Date:  1991
  8 in total
  2 in total

Review 1.  Anatomical patterns and correlated MRI findings of non-perinatal hypoxic-ischaemic encephalopathy.

Authors:  M L White; Y Zhang; J T Helvey; M F Omojola
Journal:  Br J Radiol       Date:  2013-01       Impact factor: 3.039

Review 2.  CT and MR in non-neonatal hypoxic-ischemic encephalopathy: radiological findings with pathophysiological correlations.

Authors:  Leonardo Guilhermino Gutierrez; Alex Rovira; Luiz Antonio Pezzi Portela; Claudia da Costa Leite; Leandro Tavares Lucato
Journal:  Neuroradiology       Date:  2010-06-29       Impact factor: 2.804

  2 in total

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