Non-invasive external regional measurement of cerebral circulation time changes in supratentorial infarctions using pertechnetate.
نویسندگان
چکیده
A method for measuring regional cerebral circulation time (rCCT) between the hemispheres using intravenous pertechnetate and a multidetector system is presented. Interhemispheric differences of rCCT instead of absolute values were selected because of the variation of pertechnetate bolus dispersion due to changes in the systemic circulation and injection technique inter-and intraindividually. Time activity curves over one minute were analyzed by a modified gamma function fitting method. The results are printed as a brain map which shows reference values and abnormal findings. Abnormal rCCT asymmetry was observed in 10 out of 77 controls (13%) and 58 out of 65 patients with cerebral infarction (89%). Within 2 weeks after a stroke shorter circulation time values on the side of the lesion than on the contralateral side were found in 5 patients. In the severe infarction cases and in the acute stages of infarction circulatory changes could be found in a great number of areas. In patients with manifest diabetes abnormal circulatory findings occurred in larger regions and in a greater number of the patients than in those without that disease. Although the luxury perfusion and diaschisis phenomena, as well as the influence of cross-over of the count rates between the hemispheres, reduce circulatory time differences, use of the present pertechnetate method allows detection of subtle regional circulatory changes in patients with brain infarction.
منابع مشابه
Evaluation of Electro Physiological Changes of Sleep among Patients with Supratentorial Ischemic Stroke and Comparison with Control group
Background & Aims: Sleep disorders are common complains in patients with cerebral stroke; studies on these issues are limited. We aimed to evaluate the sleep changes in patients with supratentorial ischemic stroke. Methods: In this cross sectional study, 38 patients (19 patients in supratentorial ischemic stroke group and 19 people in control group) were evaluated. Total sleep time, sleep effic...
متن کاملInfluence of equianaesthetic concentrations of nitrous oxide and isoflurane on regional cerebral blood flow, regional cerebral blood volume, and regional mean transit time in human volunteers.
Nitrous oxide and isoflurane have cerebral vasodilatory effects. The use of isoflurane in neuroanaesthesia is widely accepted, whereas the use of nitrous oxide in neuroanaesthesia is still the subject of debate. In the present study, contrast-enhanced magnetic resonance (MR) perfusion measurement was used to compare the effects of 0.4 MAC nitrous oxide (n=9) and 0.4 MAC isoflurane (n=9) on regi...
متن کاملAnatomical Variations of Circle of Willis in 57 Human Brains
Purpose: The circle of willis is responsible for blood supply of brain, which may suffer from anatomical variations. These disturbances can lead to aneurysm or even arterial rupture. The purpose of this study was to evaluate the anatomical structure of the cerebral arteries forming the circle of willis in adult cadavers. Also, cerebral versus non- cerebral versus non-cerebral arterial walls wer...
متن کاملEvaluation of an automatic non-invasive quantitative measurement method of the regional cerebral blood flow
متن کامل
Respiratory influence on the total and regional cerebral blood flow responses to intracranial hypertension.
The effect of respiration on the cerebrovascular response to elevated intracranial pressure (ICP) was studied in anesthetized dogs. Total and regional cerebral blood flows were measured using labelled microspheres. In spontaneously breathing dogs total and regional cerebral blood flows increased when cerebral perfusion pressure was reduced to 20 mm Hg. The increase in regional flows was greater...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Stroke
دوره 12 4 شماره
صفحات -
تاریخ انتشار 1981