Delayed Postanoxic Encephalopathy After Strangulation Serial Neuroradiological and Neurochemical Studies

作者: A. Hori , G. Hirose , S. Kataoka , K. Tsukada , K. Furui

DOI: 10.1001/ARCHNEUR.1991.00530200113030

关键词:

摘要: A 13-year-old boy was the victim of attempted strangulation. His condition had returned to normal by sixth day after assault; however, from seventh day, choreoathetosis, dystonia, and marked pseudobulbar paralysis developed in boy. The computed tomographic scans T2-weighted magnetic resonance images that were obtained at this time revealed low-density high-signal intensities region bilateral putamen caudate nucleus. These symptoms changes his subsided gradually during a 2-month period. Sequential analysis cerebrospinal fluid for gamma-aminobutyric acid dopamine concentrations illness reciprocal with recovery. Because delayed onset neurological showing reversible symptoms, encephalopathy strangulation been related biochemical alterations followed anoxia vulnerable basal ganglia.

参考文章(24)
B.S. Glaeser, W.H. Vogel, D.B. Oleweiler, T.A. Hare, GABA levels in cerebrospinal fluid of patients with Huntington's chorea: A preliminary report Biochemical Medicine. ,vol. 12, pp. 380- 385 ,(1975) , 10.1016/0006-2944(75)90070-8
Mordecai Y.-T. Globus, Myron D. Ginsberg, W.Dalton Dietrich, Raul Busto, Peritz Scheinberg, Substantia nigra lesion protects against ischemic damage in the striatum. Neuroscience Letters. ,vol. 80, pp. 251- 256 ,(1987) , 10.1016/0304-3940(87)90463-0
M. Y.-T. Globus, M. D. Ginsberg, S. I. Harik, R. Busto, W. D. Dietrich, Role of dopamine in ischemic striatal injury: Metabolic evidence Neurology. ,vol. 37, pp. 1712- 1712 ,(1987) , 10.1212/WNL.37.11.1712
T Brannan, J Weinberger, P Knott, I Taff, H Kaufmann, D Togasaki, J Nieves-Rosa, H Maker, Direct evidence of acute, massive striatal dopamine release in gerbils with unilateral strokes. Stroke. ,vol. 18, pp. 108- 110 ,(1987) , 10.1161/01.STR.18.1.108
Gary E. Gibson, Gary B. Freeman, Victoria Mykytyn, Selective damage in striatum and hippocampus with in vitro anoxia. Neurochemical Research. ,vol. 13, pp. 329- 335 ,(1988) , 10.1007/BF00972482
N. V. B. Manyam, L. Katz, T. A. Hare, J. C. Gerber, M. H. Grossman, Levels of γ-Aminobutyric Acid in Cerebrospinal Fluid in Various Neurologic Disorders JAMA Neurology. ,vol. 37, pp. 352- 355 ,(1980) , 10.1001/ARCHNEUR.1980.00500550054006
Takaaki Kirino, Delayed neuronal death in the gerbil hippocampus following ischemia Brain Research. ,vol. 239, pp. 57- 69 ,(1982) , 10.1016/0006-8993(82)90833-2
E. C. Dooling, E. P. Richardson, Delayed encephalopathy after strangling. JAMA Neurology. ,vol. 33, pp. 196- 199 ,(1976) , 10.1001/ARCHNEUR.1976.00500030052011
Bo K. Siesjö, Cell Damage in the Brain: A Speculative Synthesis Journal of Cerebral Blood Flow and Metabolism. ,vol. 1, pp. 155- 185 ,(1981) , 10.1038/JCBFM.1981.18