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      Rapid Regression of White Matter Changes in Hypoglycemic Encephalopathy

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      https://www.riss.kr/link?id=A101605747

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      다국어 초록 (Multilingual Abstract)

      Purpose : In a previous report, it took several days for white matter lesions to regress in hypoglycemic encephalopathy.
      We present a case of rapid diffusion-weighted image (DWI) changes in hypoglycemic encephalopathy.
      Case Report: A 58-year-old male patient was found semi-comatous with the only abnormality in his laboratory testsshowing hypoglycemia (44 mg/dL). After rapid correction of glucose level, immediate brain DWI showed bilateral subcorticalwhite matter lesions. After about 5 hours, follow-up DWI showed resolved subcortical white matter lesions, withnewly-appeared bilateral fronto-temporo-parietal cortical lesions.
      Conclusion: Both white matter and cortex involvement in hypoglycemic encephalopathy has been shown in severalreports, but rapid regression of white matter changes in hypoglycemic encephalopathy has been rarely reported. It isimportant to know that MR imaging changes in hypoglycemic encephalopathy can be made as quick as just a few-hourlong.
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      Purpose : In a previous report, it took several days for white matter lesions to regress in hypoglycemic encephalopathy. We present a case of rapid diffusion-weighted image (DWI) changes in hypoglycemic encephalopathy. Case Report: A 58-year-old male ...

      Purpose : In a previous report, it took several days for white matter lesions to regress in hypoglycemic encephalopathy.
      We present a case of rapid diffusion-weighted image (DWI) changes in hypoglycemic encephalopathy.
      Case Report: A 58-year-old male patient was found semi-comatous with the only abnormality in his laboratory testsshowing hypoglycemia (44 mg/dL). After rapid correction of glucose level, immediate brain DWI showed bilateral subcorticalwhite matter lesions. After about 5 hours, follow-up DWI showed resolved subcortical white matter lesions, withnewly-appeared bilateral fronto-temporo-parietal cortical lesions.
      Conclusion: Both white matter and cortex involvement in hypoglycemic encephalopathy has been shown in severalreports, but rapid regression of white matter changes in hypoglycemic encephalopathy has been rarely reported. It isimportant to know that MR imaging changes in hypoglycemic encephalopathy can be made as quick as just a few-hourlong.

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      참고문헌 (Reference)

      1 Fujioka M, "Specific changes in human brain after hypoglycemic injury" 28 : 584-587, 1997

      2 Hasegawa Y, "Severe transient hypoglycemia causes reversible change in the apparent diffusion coefficient of water" 27 : 1648-1655, 1996

      3 Lee CY, "Serial magnetic resonance imaging changes in hypoglycemic encephalopathy" 22 : 22-25, 2013

      4 Aoki T, "Reversible hyperintensity lesion on diffusion-weighted MRI in hypoglycemic coma" 63 : 392-393, 2004

      5 Auer RN, "Progress review: hypoglycemic brain damage" 17 : 699-708, 1986

      6 Ma JH, "MR imaging of hypoglycemic encephalopathy: lesion distribution and prognosis prediction by diffusion-weighted imaging" 51 : 641-649, 2009

      7 Mori F, "Hypoglycemic encephalopathy with extensive lesions in the cerebral white matter" 26 : 147-152, 2006

      8 Hassel B, "Glutamate transport, glutamine synthetase and phosphateactivated glutaminase in rat CNS white matter. A quantitative study" 87 : 230-237, 2003

      9 Pelligrino D, "Effects of insulin-induced hypoglycemia on intracellular pH and impedance in the cerebral cortex of the rat" 221 : 129-147, 1981

      10 Yoneda Y, "Cerebral cortical laminar necrosis on diffusion-weighted MRI in hypoglycaemic encephalopathy" 22 : 1098-1100, 2005

      1 Fujioka M, "Specific changes in human brain after hypoglycemic injury" 28 : 584-587, 1997

      2 Hasegawa Y, "Severe transient hypoglycemia causes reversible change in the apparent diffusion coefficient of water" 27 : 1648-1655, 1996

      3 Lee CY, "Serial magnetic resonance imaging changes in hypoglycemic encephalopathy" 22 : 22-25, 2013

      4 Aoki T, "Reversible hyperintensity lesion on diffusion-weighted MRI in hypoglycemic coma" 63 : 392-393, 2004

      5 Auer RN, "Progress review: hypoglycemic brain damage" 17 : 699-708, 1986

      6 Ma JH, "MR imaging of hypoglycemic encephalopathy: lesion distribution and prognosis prediction by diffusion-weighted imaging" 51 : 641-649, 2009

      7 Mori F, "Hypoglycemic encephalopathy with extensive lesions in the cerebral white matter" 26 : 147-152, 2006

      8 Hassel B, "Glutamate transport, glutamine synthetase and phosphateactivated glutaminase in rat CNS white matter. A quantitative study" 87 : 230-237, 2003

      9 Pelligrino D, "Effects of insulin-induced hypoglycemia on intracellular pH and impedance in the cerebral cortex of the rat" 221 : 129-147, 1981

      10 Yoneda Y, "Cerebral cortical laminar necrosis on diffusion-weighted MRI in hypoglycaemic encephalopathy" 22 : 1098-1100, 2005

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      공동연구자 (7)

      유사연구자 (20) 활용도상위20명

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 계속평가 신청대상 (계속평가)
      2021-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
      2020-12-01 평가 등재후보 탈락 (계속평가)
      2019-12-01 평가 등재후보로 하락 (계속평가) KCI등재후보
      2018-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2015-03-31 학술지명변경 한글명 : 대한자기공명의과학회지 -> Investigative Magnetic Resonance Imaging
      외국어명 : Journal of the Korean Society of Magnetic Resonance in Medicine -> Investigative Magnetic Resonance Imaging
      KCI등재
      2015-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2011-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2010-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2009-01-01 평가 등재후보학술지 유지 (등재후보1차) KCI등재후보
      2008-01-01 평가 등재후보학술지 유지 (등재후보1차) KCI등재후보
      2007-01-01 평가 등재후보학술지 유지 (등재후보2차) KCI등재후보
      2006-06-23 학술지명변경 외국어명 : Journal of Korean Society of Magnetic Resonancein Medicine -> Journal of the Korean Society of Magnetic Resonance in Medicine KCI등재후보
      2006-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2004-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.03 0.03 0.02
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.03 0.03 0.178 0.03
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