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Reye's syndrome with cortical laminar necrosis: MRI
Authors:T. Kinoshita  S. Takahashi  K. Ishii  S. Higano  K. Matsumoto  K. Sakamoto  K. Haginoya  K. Iinuma
Affiliation:(1) Department of Radiology, Tohoku University School of Medicine, 1-1 Seiryomachi, Aoba-ku, 980 Sendai, Japan;(2) Department of Paediatrics, Tohoku University School of Medicine, 1-1 Seiryomachi, Aoba-ku, 980 Sendai, Japan;(3) Department of Radiology, Sendai City Hospital, 3-1 Shimizukouji, 980 Sendai, Japan
Abstract:Serial MRI findings are described in two patients with Reye's syndrome, demonstrating diffuse cortical and white matter changes. In the acute stage, T2-weighted images showed subtle but definite laminar high signal and contrast-enhanced T1-weighted images laminar enhancement, along the entire cerebral cortexbilateraly. In the chronic stage, unenhanced T1-weighted images showed diffuse cortical laminar high signal. These characteristic MRI features seemed very similar to those of laminar cortical necrosis in hypoxic brain damage. MRI also displayed delayed white matter changes with cerebral atrophy.
Keywords:Reye's syndrome  Cortical laminar necrosis  Magnetic resonance imaging
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