Hereditary cerebral hemorrhage with amyloidosis ― Dutch type : Tc-99m HM-PAO single photon emission computed tomography

We performed single photon emission computed tomography (SPECT) and cerebral CT-scans in nine patients with hereditary cerebral amyloid angiopathy. CT-scans showed 23 focal hypodense lesions, 13 of which were visible on SPECT as a CBF-defect. One patient showed a CBF-defect on SPECT without CT-scan...

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Veröffentlicht in:Neuroradiology 1990-03, Vol.32 (2), p.142-145
Hauptverfasser: HAAN, J, VAN KROONENBURGH, M. J. P. G, ALGRA, P. R, BURUMA, O. J. S, PAUWELS, E. K. J, BLOEM, B. R, ROOS, R. A. C
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container_end_page 145
container_issue 2
container_start_page 142
container_title Neuroradiology
container_volume 32
creator HAAN, J
VAN KROONENBURGH, M. J. P. G
ALGRA, P. R
BURUMA, O. J. S
PAUWELS, E. K. J
BLOEM, B. R
ROOS, R. A. C
description We performed single photon emission computed tomography (SPECT) and cerebral CT-scans in nine patients with hereditary cerebral amyloid angiopathy. CT-scans showed 23 focal hypodense lesions, 13 of which were visible on SPECT as a CBF-defect. One patient showed a CBF-defect on SPECT without CT-scan lesion and had a cerebral hemorrhage three months later in that particular region. In two additional patients, who were 50% at risk for this autosomal dominant disease, CBF-defects on SPECT, but no cortical lesions on CT-scan were found. CT-scans may be more sensitive than SPECT to detect chronic lesions caused by cerebral hemorrhages, but another possibility is that hemorrhages do not always lead to persistent CBF-defects. SPECT can show the effect of amyloid deposits on CBF before the angiopathy causes clinical symptoms.
doi_str_mv 10.1007/BF00588564
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subjects Amyloidosis - diagnostic imaging
Amyloidosis - genetics
Biological and medical sciences
Brain Diseases - diagnostic imaging
Brain Diseases - genetics
Cerebral Hemorrhage - diagnostic imaging
Cerebral Hemorrhage - genetics
Cerebrovascular Circulation
Cerebrovascular Disorders - diagnostic imaging
Female
Humans
Male
Medical sciences
Middle Aged
Neurology
Organotechnetium Compounds
Oximes
Single-Blind Method
Technetium Tc 99m Exametazime
Tomography, Emission-Computed, Single-Photon
Tomography, X-Ray Computed
Vascular diseases and vascular malformations of the nervous system
title Hereditary cerebral hemorrhage with amyloidosis ― Dutch type : Tc-99m HM-PAO single photon emission computed tomography
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