Proton magnetic resonance spectroscopy in deep cerebral venous thrombosis.
A 63-year-old man developed a severe left frontal headache followed by an acute change of mentality 6 days later. Magnetic resonance imaging revealed bilateral thalamic ischemia. Angiography confirmed the occlusion of deep cerebral veins. Proton magnetic resonance spectroscopy (1H-MRS) of the thalami showed normal N-acetylaspartate (NAA) peak and the presence of lactate peak, indicating a relatively preserved neuronal viability. The patient improved during the follow-up period, and returned to work 45 days after the onset of the disease. With 1H-MRS, prognosis following venous infarctions may be feasible.
Hsu
L C
LC
The Neurological Institute, Veterans General Hospital-Taipei and National Yang-Ming University School of Medicine, Taiwan, ROC. lchsu@mail.vghtpe.gov.tw
Lirng
J F
JF
Fuh
J L
JL
Wang
S J
SJ
Shyu
H Y
HY
Liu
H C
HC
D006801:Humans; D008279:Magnetic Resonance Imaging; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis*; D013788:Thalamus / Q000473:pathology