Spurious hyperfixation of hexamethylpropyleneamine oxime in acute embolic stroke.
نویسندگان
چکیده
A 71-year-old man with atrial fibrillation suddenly had an embolism in the right middle cerebral artery. Single-photon emission CT was performed 4 hours after the onset of stroke and revealed markedly elevated 99mTc-hexamethylpropyleneamine oxime (HMPAO) uptake in the right frontotemporoparietal region. This area of HMPAO hyperfixation corresponded to the area of infarction, as determined by CT and MR. Our findings showed that HMPAO single-photon emission CT overestimated reflow hyperemia after reperfusion in the acute stage of embolic stroke, as it does in the subacute stage.
منابع مشابه
Paradoxical hyperfixation of hexamethylpropyleneamine oxime in cerebral infarction.
We describe four patients with cerebral infarction and 99mTc-hexamethylpropyleneamine oxime (HMPAO) hyperfixation in distributions corresponding to the infarctions seen at CT and/or MR imaging. Increased HMPAO extraction due to hyperpermeability across the blood-brain barrier and increased retention due to reduced back diffusion of the tracer probably accounted for the increased fractional fixa...
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ورودعنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 16 7 شماره
صفحات -
تاریخ انتشار 1995