Literature DB >> 8936354

Prognostic significance of metabolic changes detected by proton magnetic resonance spectroscopy in ischaemic stroke.

F Federico1, I L Simone, C Conte, V Lucivero, P Giannini, M Liguori, E Picciola, C Tortorella.   

Abstract

Proton magnetic resonance spectroscopy has proved to be useful for monitoring a number of metabolites in cerebral infarction. Combined magnetic resonance imaging and spectroscopy investigations were carried out in 14 patients with a recent ischaemic stroke (< 1 week); follow-up examinations were performed from day 28 to day 252 after stroke. The aim of this study was to assess the correlation between the changes of N-acetyl-aspartate, choline, creatine-phosphocreatine, lactate and clinical evolution measured by the Scandinavian Neurological Scale (SNS). Initially the lactate magnetic resonance signal was present in all patients and the other metabolite contents were significantly reduced (P < 0.001; unpaired t-test) as compared with those on the contralateral side. Spearman's rank correlation test showed a positive correlation between the initial reduction of N-acetyl-aspartate content and the SNS (P < 0.05), and between the final N-acetyl-aspartate content and the SNS (P < 0.001). Our results suggest that serial examination in stroke patients may provide further prognostic information and encourage controlled clinical studies.

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Year:  1996        PMID: 8936354     DOI: 10.1007/bf00868521

Source DB:  PubMed          Journal:  J Neurol        ISSN: 0340-5354            Impact factor:   4.849


  26 in total

1.  On the N-acetyl methyl resonance in localized 1H NMR spectra of human brain in vivo.

Authors:  J Frahm; T Michaelis; K D Merboldt; W Hänicke; M L Gyngell; H Bruhn
Journal:  NMR Biomed       Date:  1991-08       Impact factor: 4.044

2.  Human brain infarction: proton MR spectroscopy.

Authors:  J H Duijn; G B Matson; A A Maudsley; J W Hugg; M W Weiner
Journal:  Radiology       Date:  1992-06       Impact factor: 11.105

3.  Multicenter trial of hemodilution in ischemic stroke--background and study protocol. Scandinavian Stroke Study Group.

Authors: 
Journal:  Stroke       Date:  1985 Sep-Oct       Impact factor: 7.914

4.  Diagnosis of acute cerebral infarction: comparison of CT and MR imaging.

Authors:  R N Bryan; L M Levy; W D Whitlow; J M Killian; T J Preziosi; J A Rosario
Journal:  AJNR Am J Neuroradiol       Date:  1991 Jul-Aug       Impact factor: 3.825

5.  Serial proton magnetic resonance spectroscopy of ischemic brain injury in humans.

Authors:  M J Fenstermacher; P A Narayana
Journal:  Invest Radiol       Date:  1990-09       Impact factor: 6.016

6.  A comparison of five stroke scales with measures of disability, handicap, and quality of life.

Authors:  R De Haan; J Horn; M Limburg; J Van Der Meulen; P Bossuyt
Journal:  Stroke       Date:  1993-08       Impact factor: 7.914

Review 7.  New magnetic resonance techniques for evaluating cerebrovascular disease.

Authors:  M Fisher; C H Sotak; K Minematsu; L Li
Journal:  Ann Neurol       Date:  1992-08       Impact factor: 10.422

8.  Elevated lactate and alkalosis in chronic human brain infarction observed by 1H and 31P MR spectroscopic imaging.

Authors:  J W Hugg; J H Duijn; G B Matson; A A Maudsley; J S Tsuruda; D F Gelinas; M W Weiner
Journal:  J Cereb Blood Flow Metab       Date:  1992-09       Impact factor: 6.200

9.  Early time course of N-acetylaspartate, creatine and phosphocreatine, and compounds containing choline in the brain after acute stroke. A proton magnetic resonance spectroscopy study.

Authors:  P Gideon; O Henriksen; B Sperling; P Christiansen; T S Olsen; H S Jørgensen; P Arlien-Søborg
Journal:  Stroke       Date:  1992-11       Impact factor: 7.914

10.  Early temporal variation of cerebral metabolites after human stroke. A proton magnetic resonance spectroscopy study.

Authors:  G D Graham; A M Blamire; D L Rothman; L M Brass; P B Fayad; O A Petroff; J W Prichard
Journal:  Stroke       Date:  1993-12       Impact factor: 7.914

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  6 in total

1.  MR spectroscopic findings in a case of Alpers-Huttenlocher syndrome.

Authors:  Katharina Flemming; Stefan Ulmer; Barbara Duisberg; Andreas Hahn; Olav Jansen
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2.  Magnetization transfer imaging and proton MR spectroscopy in the evaluation of axonal injury: correlation with clinical outcome after traumatic brain injury.

Authors:  G Sinson; L J Bagley; K M Cecil; M Torchia; J C McGowan; R E Lenkinski; T K McIntosh; R I Grossman
Journal:  AJNR Am J Neuroradiol       Date:  2001-01       Impact factor: 3.825

3.  Localised 1H-MR spectroscopy for metabolic characterisation of diffuse and focal brain lesions in patients infected with HIV.

Authors:  I L Simone; F Federico; C Tortorella; C F Andreula; G B Zimatore; P Giannini; G Angarano; V Lucivero; P Picciola; D Carrara; A Bellacosa; P Livrea
Journal:  J Neurol Neurosurg Psychiatry       Date:  1998-04       Impact factor: 10.154

4.  Proton magnetic resonance spectroscopy in Parkinson's disease and progressive supranuclear palsy.

Authors:  F Federico; I L Simone; V Lucivero; M De Mari; P Giannini; G Iliceto; D M Mezzapesa; P Lamberti
Journal:  J Neurol Neurosurg Psychiatry       Date:  1997-03       Impact factor: 10.154

5.  Neuronal metabolic changes in the cortical region after subcortical infarction: a proton MR spectroscopy study.

Authors:  D W Kang; J K Roh; Y S Lee; I C Song; B W Yoon; K H Chang
Journal:  J Neurol Neurosurg Psychiatry       Date:  2000-08       Impact factor: 10.154

6.  Alterations of Brain Metabolites in Adults With HIV: A Systematic Meta-analysis of Magnetic Resonance Spectroscopy Studies.

Authors:  Sophia Dahmani; Nicholas Kaliss; John W VanMeter; David J Moore; Ronald J Ellis; Xiong Jiang
Journal:  Neurology       Date:  2021-07-12       Impact factor: 11.800

  6 in total

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