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A tourette‐like syndrome following cardiopulmonary bypass and hypothermia: MRI volumetric measurements by Dr. Harvey S. Singer; Pablito S. DelaCruz; Michael T. Abrams; S. Charles Bean; Allan L. Reiss is a Medicine article available to read on EtoBox.

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## Abstract We present the case of an adolescent boy who developed a variety of simple and complex motor and vocal tics (Tourette‐like syndrome), along with inattentiveness and obsessive‐compulsive behaviors after cardiac surgery with cardiopulmonary bypass and profound hypothermia. A single photon emission computed tomography study 2 months after surgery showed reduced uptake in the left hemisphere and 2 years later a perfusion defect in the basal ganglia. Serial magnetic resonance imaging (MRI) studies were normal. Volumetric MRI studies were obtained 4 years after surgery and compared with published values for normal individuals and children with Tourette syndrome (TS), including subsets matched for age, sex, and handedness. Measurement of basal ganglia structures showed a right‐dominant asymmetry of the caudate and putamen, in part similar to findings previously reported in patients with TS. Other volumetric abnormalities included a >2‐SD reduction of cortical gray matter, a small decrease of total cerebral volume, and increase in cerebral white matter. Although a variety of neurological problems may occur after cardiopulmonary bypass, to our knowledge this case represents the

Who reads A tourette‐like syndrome following cardiopulmonary bypass and hypothermia: MRI volumetric measurements?

Author

Dr. Harvey S. Singer; Pablito S. DelaCruz; Michael T. Abrams; S. Charles Bean; Allan L. Reiss

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0885-3185)

Published

1997

Language

EN

Field

Medicine (Health Sciences)