Transient hypermetabolism of the basal ganglia following perinatal hypoxia.
Positron emission tomography can be used to evaluate brain function following perinatal hypoxia. This case report demonstrates transient hypermetabolism in the basal ganglia detected by glucose metabolism positron emission tomography study in a newborn who suffered hypoxic-ischemic encephalopathy and developed dystonic cerebral palsy later. A scan repeated at 4 years of age showed severe hypometabolism in the lentiform nuclei and thalami. Transient hypermetabolism in the basal ganglia following perinatal hypoxia may be related to excitotoxic damage causing permanent neurological symptoms in the form of dystonic cerebral palsy. Thus, positron emission tomography can help predict this form of cerebral palsy in neonates.
Batista
Carlos E A
CE
Carman and Ann Adams, Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan 48201, USA. hchugani@pet.wayne.edu
Chugani
Harry T
HT
Juhász
Csaba
C
Behen
Michael E
ME
Shankaran
Seetha
S
D001479:Basal Ganglia / Q000378:metabolism*; D001928:Brain Diseases, Metabolic / Q000150:complications* / Q000000981:diagnostic imaging; D002547:Cerebral Palsy / Q000000981:diagnostic imaging / Q000209:etiology* / Q000378:metabolism; D002675:Child, Preschool; D005260:Female; D005947:Glucose / Q000378:metabolism*; D006801:Humans; D002534:Hypoxia, Brain / Q000150:complications*; D007231:Infant, Newborn; D049268:Positron-Emission Tomography; D013788:Thalamus / Q000378:metabolism*
D005947:Glucose