Korean J Radiol.  2021 Dec;22(12):2034-2051. 10.3348/kjr.2019.0303.

Acute Acquired Metabolic Encephalopathy Based on Diffusion MRI

• Jeon SJ
• Choi SS
• Kim HY
• Yu IK

• KMID: 2522941
• DOI: http://doi.org/10.3348/kjr.2019.0303

Abstract

Metabolic encephalopathy is a critical condition that can be challenging to diagnose. Imaging provides early clues to confirm clinical suspicions and plays an important role in the diagnosis, assessment of the response to therapy, and prognosis prediction. Diffusion-weighted imaging is a sensitive technique used to evaluate metabolic encephalopathy at an early stage. Metabolic encephalopathies often involve the deep regions of the gray matter because they have high energy requirements and are susceptible to metabolic disturbances. Understanding the imaging patterns of various metabolic encephalopathies can help narrow the differential diagnosis and improve the prognosis of patients by initiating proper treatment regimen early.

Keyword

Metabolic brain disease; Excitotoxic edema; Encephalopathy; Diffusion weighted imaging; Reversibility