Article
Sepsis-associated encephalopathy: a magnetic resonance imaging and spectroscopy study
Registro en:
BOZZA, Fernando A. et al. Sepsis-associated encephalopathy: a magnetic resonance imaging and spectroscopy study. Journal of Cerebral Blood Flow & Metabolism, v. 30, p. 440–448, 2010.
0271-678X
10.1038/jcbfm.2009.215
1559-7016
Autor
Bozza, Fernando A.
Garteiser, Philippe
Oliveira, Marcos F.
Doblas, Sabrina
Cranford, Rebecca
Saunders, Debra
Jones, Inna
Towner, Rheal A.
Faria Neto, Hugo C. Castro
Resumen
Brain dysfunction is frequently observed in sepsis as a consequence of changes in cerebral structure and metabolism, resulting in worse outcome and reduced life-quality of surviving patients. However, the mechanisms of sepsis-associated encephalopathy development and a better characterization of this syndrome in vivo are lacking. Here, we used magnetic resonance imaging (MRI) techniques to assess brain morphology and metabolism in a murine sepsis model (cecal ligation and puncture, CLP). Sham-operated and CLP mice were subjected to a complete MRI session at baseline, 6 and 24h after surgery. Accumulation of vasogenic edematic fluid at the base of the brain was observed in T2-weighted image at 6 and 24h after CLP. Also, the water apparent diffusion coefficients in both hippocampus and cortex were decreased, suggesting a cytotoxic edema in brains of nonsurvival septic animals. Moreover, the N-acetylaspartate/choline ratio was reduced in brains of septic mice, indicating neuronal damage. In conclusion, noninvasive assessment by MRI allowed the identification of new aspects of brain damage in sepsis, including cytotoxic and vasogenic edema as well as neuronal damage. These findings highlight the potential applications of MRI techniques for the diagnostic and therapeutic studies in sepsis. 2030-01-01