In two children with near drowning hypoxic encephalopathy and normal-appearing structural MRI, acute proton magnetic resonance spectroscopy (1H MRS) showed biochemical alterations that correctly indicated prognosis and helped to guide management decisions. Elevation of the lipid-lactate and glutamine-glutamate peaks, on the early (72 hour) 1H MRS, predicts a poor prognosis. Absence of lipid-lactate and glutamine-glutamate peaks on the early 1H MRS and reversibility of early mild metabolite abnormalities on follow up examination relates with good outcome.
CITATION STYLE
Aragão, M. D. F. V. V., Law, M., Netto, J. P., Valença, M. M., & Naidich, T. (2009). Prognostic value of proton magnetic resonance spectroscopy findings in near drowning patients: Reversibility of the early metabolite abnormalities relates with a good outcome. Arquivos de Neuro-Psiquiatria, 67(1), 55–57. https://doi.org/10.1590/S0004-282X2009000100014
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