The blood-brain barrier disruption after syncope: a dynamic contrast-enhanced magnetic resonance imaging study A case report
- Authors
- Huh, Hyungkyu; Lee, Eun-Hee; Oh, Sung Suk; Kim, Jong-Hoon; Seo, Young Beom; Choo, Yoo Jin; Park, Juyoung; Chang, Min Cheol
- Issue Date
- Dec-2021
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- blood-brain barrier; brain damage; hypoxia; magnetic resonance imaging; syncope
- Citation
- MEDICINE, v.100, no.50, pp.E28258
- Journal Title
- MEDICINE
- Volume
- 100
- Number
- 50
- Start Page
- E28258
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/83004
- DOI
- 10.1097/MD.0000000000028258
- ISSN
- 0025-7974
- Abstract
- Rationale: Using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI), we demonstrated blood-brain barrier (BBB) disruption following syncope. Patient concerns: A 45-year-old man experienced syncope with a chief complaint of syncope (duration: 1 minutes), 1 day before visiting a university hospital for examination. He had no history of medical problems and was not taking any medications. This episode was the first in his lifetime. Diagnoses: After syncope, the patient did not have any illnesses or symptoms, such as headache, cognitive deficits, or somnolence. Interventions: Cardiac evaluation did not reveal any abnormal findings. In addition, in conventional brain and chest computed tomography and brain MRI, no abnormal lesions were observed. Outcomes: DCE-MRI of the patient showed bright blue colored lines within the sulci throughout the cerebral cortex. The regions of interest, including bright blue colored lines, had significantly higher K-trans values (6.86 times higher) than those in healthy control participants. These findings are indicative of BBB disruption of the vessels in the sulci. Lessons: Using DCE-MRI, we demonstrated BBB disruption following syncope. DCE-MRI is a useful tool for the detection of BBB disruption following syncope.
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