W. Takahashi et al., NEUROIMAGING ON DELAYED POSTANOXIC ENCEPHALOPATHY WITH LESIONS LOCALIZED IN BASAL GANGLIA, Clinical imaging, 22(3), 1998, pp. 188-191
A 59-year-old woman suffered from prolonged hypotension with myocardia
l infarction. Sixteen days after the episode, she showed bradykinesia,
gait disturbance, and postural tremor. MRI revealed low signa intensi
ties in the bilateral caudate nuclei and putamen of the T1-weighted im
age and high signal intensities on the T2-weighted image. PET with F-1
8-FDG revealed a severe decrease in glucose metabolism in bilateral ba
sal ganglia. It is concluded that prolonged hypotension may induce loc
alized delayed anoxic lesions in basal ganglia. (C) Elsevier Science I
nc., 1998.