Journal of Southern Medical University ›› 2006, Vol. 26 ›› Issue (03): 352-354.

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Evaluation of cerebral vasospasm resulting from subarachnoid hemorrhage with ~1H-magnetic resonance spectroscopy

QUAN Wei1,2,LI Tie-lin1,CHEN Guang-zhong1,JIANG Xiao-dan1,XU Ru-xiang1,KE Yi-quan1,DUAN Chuan-zhi1,L Jian-ping2,ZHANG Hao2,XIE Wei2,ZHONG Wen-jun2,CHEN Ying-dong2,CHEN Fan-fan21Department of Neurosurgery,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China;2Department of Neurosurgery,First Municipal People’s Hospital of Guangzhou,Guangzhou 510180,China   

  1. 南方医科大学珠江医院神经外科; 广州市第一人民医院神经外科; 广州市第一人民医院神经外科 广东广州510282; 广东广州510180; 广东广州510282;
  • Online:2006-03-20 Published:2006-03-20

Abstract: Objective To assess the value of 1H-magnetic resonance spectroscopy(1H-MRS) in evaluating cerebral vasospasm resulting from subarachnoid hemorrhage(SAH).Methods Six dogs were subjected to autologous non-heparinized blood injection via cisternal puncture twice at one-day interval to establish models of SAH,and another 6 received injections with normal saline in an identical manner.1H-MRS scan was performed on the 3rd,7th and 14th days after the injections to measure the changes of N-acetylaspartate(NAA),creatine(Cr) and choline(Cho).After the 1H-MRS scan,all the dogs underwent brain digital subtraction angiography(DSA) for determining the basilar artery diameter.Results DSA results on day 3 presented development of obvious vasospasm of the basilar artery,which was most evident on day 7 and recovered obviously on day 14.1H-MRS results demonstrated obvious changes of NAA,Cho and Cr on days 3 and 7 in SAH model group,and NAA declined to the lowest level on day 3 followed by gradual ascending till reaching the normal level on day 14.Cho decreased slightly on day 3,then increased and reached the peak level on day 7 and then decreased.Cr rose steadily from day 3 to 14,but since day 7,the rise slowed down obviously and Cr maintain a level not significantly different from that on day 14(P>0.05).The functional results of 1H-MRS were consistent with the DSA results.Conclusion 1H-MRS can be used to monitor the development of cerebral vasospasm resulting from SAH as a good evaluation method for functional imaging.

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