In this study, we explored the metabolic changes in WM of patients with and without DNS using 1H MRS and DKI longitudinally at 1 week and 1, 3, and 9 months after CO intoxication. Increased Cr and Cho were observed at early stage in WM of patients with DNS. Decreased tNAA showed higher correlation with the presence of WM lesion than of DNS. The chronic change of Ins and Glx in patients with DNS implies themselves as potential indices to provide valuable information for monitoring DNS development.
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