외상성 뇌경막하수종의 임상적 양상과 99mTc-HMPAO SPECT를 이용한 뇌혈류와의 비교 고찰
Clinical Analysis of Traumatic Subdurai Hygroma and its Relation with Regional Cerebral Blood Flow Using 99mTc-HMPAO SPECT
소속 상세정보
이민성
민보열/김성민/최기석/유동진/오명수/김철희/김윤모
KMID : 0359819940230080946
Abstract
Measurement of regional cerebral blood flow with single photon emission computed tomography (SPECT) was performed using 99mTc-HMPAO in 16 patients with traumatic subdural hygroma, and we investigated the relationships between the results and the
initial
clinical findings and clinical outcomes on 4-months after injury.
In patients with complex subdural hygroma, improvement of perfusion on follow up SPECT was correlated with the clinical outcome. But in patients with simple subdural hygroma, the clinical outocmes were good regardless of cerebral perfusion on
initial
SPECT and cerebral hypoperfusion was improved on follow up SPECT in all patients.
These results suggested that associated parenchymal injury, initial perfusion of the frontal cortex, and improvement of perfusion on follow up SPECT were good indicators of clinical outcome.
In conclusion, HMPAO-SPECT can be helpful in predicting the prognosis and assessing the effect of surgical treatment in patients with traumatic subdural hygroma.
키워드
원문 및 링크아웃 정보
등재저널 정보