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Application progress of MRI in central nervous system of heat stroke
XU Haoran  LI Jun 

Cite this article as: Xu HR, Li J. Application progress of MRI in central nervous system of heat stroke[J]. Chin J Magn Reson Imaging, 2021, 12(9): 103-105. DOI:10.12015/issn.1674-8034.2021.09.026.


[Abstract] Heat stroke is a fatal emergency, which has a poor prognosis and often causes multiple organ dysfunction including central nervous system. The pathophysiological basis of central nervous system complications of heat stroke includes cerebral hypoperfusion, inflammatory reaction, thrombosis and microbleeds, which lead to different imaging manifestations. Therefore, magnetic resonance imaging (MRI), diffusion weighted imaging (DWI), magnetic resonance venography (MRV), susceptibility weighted imaging (SWI), magnetic resonance spectroscopy (MRS), diffusion tensor imaging (DTI) and diffusion tensor tractography (DTT) have the potential value to provide quantitative and objective evidence for the diagnosis, clinical treatment and prognosis of heat stroke. This article reviews the various MRI techniques used in the central nervous system of heat stroke.
[Keywords] heat stroke；magnetic resonance imaging；diffusion weighted imaging；magnetic resonance venography；susceptibility weighted imaging；magnetic resonance spectroscopy；diffusion tensor imaging；diffusion tensor tractography

XU Haoran   LI Jun*  

Department of Radiology, Yantai Affiliated Hospital of Binzhou Medical Universtiy, Yantai 264100, China

Li J, E-mail: bzmceducn@sina.com

Conflicts of interest   None.

ACKNOWLEDGMENTS This article is supported by Science and Technology Plan of Yantai Affiliated Hospital of Binzhou Medical Universtiy (No. 2019-001).
Received  2021-04-06
Accepted  2021-05-06
DOI: 10.12015/issn.1674-8034.2021.09.026
Cite this article as: Xu HR, Li J. Application progress of MRI in central nervous system of heat stroke[J]. Chin J Magn Reson Imaging, 2021, 12(9): 103-105. DOI:10.12015/issn.1674-8034.2021.09.026.

[1]
Epstein Y, Heatstroke Yanovich R.. N Engl J Med, 2019, 380(25): 2449-2459. DOI: 10.1056/NEJMra1810762.
[2]
Lee BH. Atypical brain imaging findings associated with heat stroke: a patient with rhabdomyolysis and acute kidney injury: a case report. Radiol Case Rep, 2020, 15(5): 560-563. DOI: 10.1016/j.radcr.2020.02.007.
[3]
Xue L, Guo W, Li L, et al. Metabolomic profiling identifies a novel mechanism for heat stroke-related acute kidney injury. Mol Med Rep, 2021, 23(4): 241. DOI: 10.3892/mmr.2021.11880.
[4]
Liu SY, Wang Q, Lou YP, et al. Interpretations and comments for expert consensus on the diagnosis and treatment of heat stroke in China. Mil Med Res, 2020, 7(1): 37. DOI: 10.1186/s40779-020-00266-4.
[5]
Kumar A, Singh DP. Heat stroke-related deaths in India: an analysis of natural causes of deaths, associated with the regional heatwave. J Therm Biol. 2021, 95: 102792. DOI: 10.1016/j.jtherbio.2020.102792.
[6]
Cao L, Wang J, Gao Y, et al. Magnetic resonance imaging and magnetic resonance venography features in heat stroke: a case report. BMC Neurol, 2019, 19(1): 133. DOI: 10.1186/s12883-019-1363-x.
[7]
Wan Y, Sun SS, Fu HY, et al. Adjuvant rhubarb alleviates organs dysfunction and inhibits inflammation in heat stroke. Exp Ther Med, 2018, 16(2): 1493-1498. DOI: 10.3892/etm.2018.6327.
[8]
Li J, Wang B, Zou ZM, et al. MR ifndings of brain after heat stroke. Chin J Magn Reson Imaging, 2014, 5(5): 339-342. DOI: 10.3969/j.issn.1674-8034.2014.05.005.
[9]
Kamidani R, Okada H, Kitagawa Y, et al. Severe heat stroke complicated by multiple cerebral infarctions: a case report. J Med Case Rep, 2021, 15(1): 24. DOI: 10.1186/s13256-020-02596-2.
[10]
Muccio CF, De Blasio E, Venditto M, et al. Heat-stroke in an epileptic patient treated by topiramate: follow-up by magnetic resonance imaging including diffusion-weighted imaging with apparent diffusion coefficient measure. Clin Neurol Neurosurg, 2013, 115(8): 1558-1560. DOI: 10.1016/j.clineuro.2013.01.005.
[11]
Liu K, Zhang X. Evolution of MRI characteristics of heatstroke in a patient with schizophrenia maintained with antipsychotic drugs. Acta Neurol Belg, 2020, 120(2): 507-509. DOI: 10.1007/s13760-018-0990-0.
[12]
Bazille C, Megarbane B, Bensimhon D, et al. Brain damage after heat stroke. J Neuropathol Exp Neurol, 2005, 64(11): 970-975. DOI: 10.1097/01.jnen.0000186924.88333.0d.
[13]
Ookura R, Shiro Y, Takai T, et al. Diffusion-weighted magnetic resonance imaging of a severe heat stroke patient complicated with severe cerebellar ataxia. Intern Med, 2009, 48(12): 1105-1108. DOI: 10.2169/internalmedicine.48.2030.
[14]
Lee JS, Choi JC, Kang SY, et al. Heat stroke: increased signal intensity in the bilateral cerebellar dentate nuclei and splenium on diffusion-weighted MR imaging. AJNR Am J Neuroradiol, 2009, 30(4): E58. DOI: 10.3174/ajnr.A1432.
[15]
Jakkani RK, Agarwal VK, Anasuri S, et al. Magnetic resonance imaging findings in heat stroke-related encephalopathy. Neurol India, 2017, 65(5): 1146-1148. DOI: 10.4103/neuroindia.NI_740_16.
[16]
Kobayashi K, Tha KK, Terae S, et al. Improved detection of heat stroke-induced brain injury by high b-value diffusion-weighted imaging. J Comput Assist Tomogr, 2011, 35(4): 498-500. DOI: 10.1097/RCT.0b013e3182220082.
[17]
Li J, Zhang XY, Wang B, et al. Multivoxel proton magnetic resonance spectroscopy in heat stroke. Clin Radiol, 2015, 70(1): 37-41. DOI: 10.1016/j.crad.2014.09.004.
[18]
Shimada T, Miyamoto N, Shimada Y, et al. Analysis of clinical symptoms and brain MRI of heat stroke: 2 case reports and a literature review. J Stroke Cerebrovasc Dis, 2020, 29(2): 104511. DOI: 10.1016/j.jstrokecerebrovasdis.2019.104511.
[19]
van Gijn J. Cerebral venous thrombosis: pathogenesis, presentation and prognosis. J R Soc Med, 2000, 93(5): 230-233. DOI: 10.1177/014107680009300504.
[20]
Ferro JM, de Sousa DA. Cerebral venous thrombosis: an update. Curr Neurol Neurosci Rep, 2019, 19(10): 74. DOI: 10.1007/s11910-019-0988-x.
[21]
Zhang XY, Li J. Susceptibility-weighted imaging in heat stroke. PLoS One, 2014, 9(8): e105247. DOI: 10.1371/journal.pone.0105247.
[22]
Sonkar SK, Soni D, Sonkar GK. Heat stroke presented with disseminated intravascular coagulation and bilateral intracerebral bleed. BMJ Case Rep, 2012, 19(7): 27. DOI: 10.1136/bcr-2012-007027.
[23]
Yang Z, Li J. Influence of temperature on cerebellar metabolite levels. Int J Hyperthermia, 2018, 34(3): 273-275. DOI: 10.1080/02656736.2017.1333632.
[24]
Li J, Zhang XY, Wang B, et al. Diffusion tensor imaging of the cerebellum in patients after heat stroke. Acta Neurol Belg, 2015, 115(2): 147-150. DOI: 10.1007/s13760-014-0343-6.
[25]
Chang MC, Lee J, Kwak S. Neural tract injuries revealed by diffusion tensor tractography in a patient with severe heat stroke. Am J Phys Med Rehabil, 2020, 99(8): e97-e100. DOI: 10.1097/PHM.0000000000001291.
[26]
Zhang Y, Vakhtin AA, Jennings JS, et al. Diffusion tensor tractography of brainstem fibers and its application in pain. PLoS One, 2020, 15(2): e0213952. DOI: 10.1371/journal.pone.0213952.

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