원저 : 기저핵 출혈에 의한 교차 소뇌 해리 현상 ( Crossed Cerebellar and Cerebral Cortical Diaschisis in Basal Ganglia Hemorrhage ) () |
Author |
임준석(Joon Seok Lim),유영훈(Young Hoon Ryu),김희중(Hee Joung Kim),이병희(Byung Hee Lee),김병문(Byung Moon Kim),이종두(Jong Doo Lee), |
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Affiliation |
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Abstract |
Purpose: The purpose of this study was to evaluate the
phenomenon of diaschisis in the cerebellum and cerebral
certex in patients with pure basal ganglia hemorrhage
using cerebral blood flow SPECT. Materials and Methods:
Twelve patients with pure basal ganglia hemorrhage were
studied with Tc-99m ECD brain SPECT Asymmetric index
(AI) was calculated in the cerebellum and cerebral
cortical regions as │CR-CL│/(CR-CL)×200, where CR
and GL and the mean reconstructed counts for the right
and left ROIs, respectively. Hypoperfusion was
considered to be present when AI was greater than
mean+2 SD of 20 control subjects. Results: Mean AI of
the cerebellum and cerebral cortical regions in
patients with pure basal ganglia hemorrhage was
significantly higher than normal controls (p<0.05):
Cerebellum (18.68±8.94 vs 4.35±0.94, mean±SD),
thalamus (31.91±10.61 vs 2.57±1.45), basal ganglia
(35.94±16.15 vs 4.34±2.08), parietal (18.94±10.69 vs
3.24±0.87), frontal (13.60±10.8 vs 4.02±2.04) and
temporal cortex (18.92±11.95 vs 5.13±1.69). Ten of
the 12 patients had significant hypoperfusion in the
contralateral cerebellum. Hypoperfusion was also shown
in the ipsilateral thalamus (n=12), ipsilateral
parietal (n=12), frontal (n=6) and temporal cortex
(n=10). Conclusion: Crossed cerebellar diaschisis (CCD)
and cortical diaschisis may frequently occur in
patients with pure basal ganglia hemorrhage, suggesting
that CCD can develop without the interruption of
corticopontocerebellar pathway. |
Keyword |
Crossed cerebellar diaschisis, Cortical diaschisis, Basal ganglia hemorrhage, Brain SPECT |
Full text Article |
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