Cerebral proton magnetic resonance spectroscopy demonstrates reversibility of N-acetylaspartate/creatine in gray matter after delayed encephalopathy due to carbon monoxide intoxication: a case report. | Canada Hyperbarics Skip to main content
Case Study Journal of medical case reports 2014

Cerebral proton magnetic resonance spectroscopy demonstrates reversibility of N-acetylaspartate/creatine in gray matter after delayed encephalopathy due to carbon monoxide intoxication: a case report.

Hansen MB, Kondziella D, Danielsen ER, Larsen VA, Jansen EC, Hyldegaard O — Journal of medical case reports, 2014

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers reported on a 40-year-old woman with delayed encephalopathy after carbon monoxide poisoning, monitoring her brain substance changes with proton magnetic resonance spectroscopy during hyperbaric oxygen therapy.

What They Found

Initially, the patient recovered but became encephalopathic after four weeks, showing dramatically decreased N-acetylaspartate to total creatine ratios and elevated lactate in gray matter. After additional hyperbaric oxygen therapy, at six-month follow-up (217 days post insult), she showed significant cognitive improvement and full reversal of these brain substance abnormalities.

What This Means for Canadian Patients

This case suggests that brain substance abnormalities in delayed encephalopathy following carbon monoxide poisoning may be reversible with treatment. This offers potential hope for recovery and could inform treatment strategies for affected Canadian patients.

Canadian Relevance

This study has no direct Canadian connection.

Study Limitations

As a case report, the findings from this study cannot be generalized to a broader patient population.

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Study Details

Study Type Case Study
Category Carbon Monoxide Poisoning
Source Pubmed
PubMed ID 24947173
Year Published 2014
Journal Journal of medical case reports
MeSH Terms Adult; Aspartic Acid; Brain; Brain Diseases; Carbon Monoxide Poisoning; Creatine; Female; Humans; Magnetic Resonance Imaging; Neuroimaging; Proton Magnetic Resonance Spectroscopy

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.