J Nucl Med. 1998 Aug;39(8):1357-9.

Discordance between FDG uptake and technetium-99m-HMPAO brain perfusion in acute traumatic brain injury.

Abu-Judeh HH, Singh M, Masdeu JC, Abdel-Dayem HM.

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Department of Radiology, St. Vincent's Hospital and Medical Center of New York, New York Medical College at Valhalla, 10011, USA.

Abstract

A 28-yr-old woman who sustained a mild traumatic brain injury had an 18F-fluorodeoxyglucose (FDG) PET brain study using coincidence imaging performed on a dual-head gamma camera (MCD version; ADAC, Milpitas, CA) followed 24 hr later by 99mTc-hexamethyl propyleneamine oxime SPECT brain perfusion imaging using a triple-head gamma camera (TRIONIX, Twinsburg, OH). The results of the SPECT brain perfusion study demonstrated decreased frontoparietal cortical brain perfusion, whereas 18F-FDG cerebral uptake was normal. Neuropsychological evaluation suggested frontal lobe involvement. This case demonstrates the possibility of discordance between brain perfusion and glucose uptake in acute mild traumatic brain injury.

PMID:: 9708506; [PubMed - indexed for MEDLINE]

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