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Case of clinical Reye syndrome presenting characteristic CT changes

Abstract

A 9-month-old male infant was admitted to our hospital on the second day of cold like syndrome because of high fever, convulsion, coma, and decerebrate rigidity. Serum GOT, GPT, LDH, and CPK were markedly elevated. Serum ammonia was slightly increased, and hypoglycemia was present. The cerebrospinal fluid showed no pleocytosis, normal sugar content, but increased protein. Thus we made a diagnosis of clinical Reye syndrome according to the criteria by Yamashita, et al. A CT on the day of admission showed symmetrical low-density areas in the posterior fossa and the regions of thalamus. Ringed enhancements were seen around the areas of low density in the thalamus on the twenty-second hospital day. We consider that these lesions may represent the infarction due to obstruction of the thalamoperforant arteries caused by cerebral edema in the early stage of the disease.
Authors:
Hino, Tamaki; Sai, Hoshun; Morikawa, Yuji; Mizuta, Ryuzo; [1]  Okuno, Takehiko
  1. Kyoto Second Red Cross Hospital (Japan)
Publication Date:
May 01, 1984
Product Type:
Journal Article
Reference Number:
AIX-16-024047; EDB-85-116582
Resource Relation:
Journal Name: No To Hattatsu; (Japan); Journal Volume: 16:3
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; NERVOUS SYSTEM DISEASES; DIAGNOSIS; THALAMUS; CAT SCANNING; CEREBRUM; EDEMA; IMAGES; INFANTS; PATIENTS; TIME DEPENDENCE; AGE GROUPS; BODY; BRAIN; CENTRAL NERVOUS SYSTEM; CHILDREN; COMPUTERIZED TOMOGRAPHY; DIAGNOSTIC TECHNIQUES; DISEASES; NERVOUS SYSTEM; ORGANS; PATHOLOGICAL CHANGES; SYMPTOMS; TOMOGRAPHY; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
5551180
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: CODEN: NTHAA
Submitting Site:
HEDB
Size:
Pages: 210-217
Announcement Date:
Mar 01, 1985

Citation Formats

Hino, Tamaki, Sai, Hoshun, Morikawa, Yuji, Mizuta, Ryuzo, and Okuno, Takehiko. Case of clinical Reye syndrome presenting characteristic CT changes. Japan: N. p., 1984. Web.
Hino, Tamaki, Sai, Hoshun, Morikawa, Yuji, Mizuta, Ryuzo, & Okuno, Takehiko. Case of clinical Reye syndrome presenting characteristic CT changes. Japan.
Hino, Tamaki, Sai, Hoshun, Morikawa, Yuji, Mizuta, Ryuzo, and Okuno, Takehiko. 1984. "Case of clinical Reye syndrome presenting characteristic CT changes." Japan.
@misc{etde_5551180,
title = {Case of clinical Reye syndrome presenting characteristic CT changes}
author = {Hino, Tamaki, Sai, Hoshun, Morikawa, Yuji, Mizuta, Ryuzo, and Okuno, Takehiko}
abstractNote = {A 9-month-old male infant was admitted to our hospital on the second day of cold like syndrome because of high fever, convulsion, coma, and decerebrate rigidity. Serum GOT, GPT, LDH, and CPK were markedly elevated. Serum ammonia was slightly increased, and hypoglycemia was present. The cerebrospinal fluid showed no pleocytosis, normal sugar content, but increased protein. Thus we made a diagnosis of clinical Reye syndrome according to the criteria by Yamashita, et al. A CT on the day of admission showed symmetrical low-density areas in the posterior fossa and the regions of thalamus. Ringed enhancements were seen around the areas of low density in the thalamus on the twenty-second hospital day. We consider that these lesions may represent the infarction due to obstruction of the thalamoperforant arteries caused by cerebral edema in the early stage of the disease.}
journal = []
volume = {16:3}
journal type = {AC}
place = {Japan}
year = {1984}
month = {May}
}