PT - JOURNAL ARTICLE AU - A Falini AU - A J Barkovich AU - G Calabrese AU - D Origgi AU - F Triulzi AU - G Scotti TI - Progressive brain failure after diffuse hypoxic ischemic brain injury: a serial MR and proton MR spectroscopic study. DP - 1998 Apr 01 TA - American Journal of Neuroradiology PG - 648--652 VI - 19 IP - 4 4099 - http://www.ajnr.org/content/19/4/648.short 4100 - http://www.ajnr.org/content/19/4/648.full SO - Am. J. Neuroradiol.1998 Apr 01; 19 AB - The findings at sequential MR imaging and proton MR spectroscopy of a patient with profound hypoxic-ischemic brain injury are reported. The pattern of structural and biochemical changes observed closely reflected the known evolution of postasphyxic brain degeneration. Particularly noteworthy were the sharp decrease of cortical N-acetylaspartate in the acute phase, suggesting the severity of the neuronal insult, and the subsequent progressive increase of choline, paralleling the delayed degeneration of white matter.