Literature DB >> 3499495

Technetium-99m HM-PAO brain SPECT in epileptic patients before and during unilateral hemispheric anesthesia (Wada test): report of three cases.

H J Biersack1, D Linke, F Brassel, K Reichmann, M Kurthen, H F Durwen, B M Reuter, J Wappenschmidt, H Stefan.   

Abstract

The lipophilic brain SPECT agent [99mTc]hexamethyl propylene amine oxime (HM-PAO) was used in three cases before and during unilateral anesthesia of one hemisphere for lateralization of speech dominance (Wada test). This procedure led to a decrease of regional cerebral blood flow (rCBF) in each of the hemispheres to 55 and 90%, respectively. Diminution of rCBF was significantly more pronounced in the dominant hemisphere. A second phenomenon observed during the Wada test was crossed cerebellar diaschisis. These findings support the assumption that HM-PAO allows monitoring of brain perfusion, as rapid changes of rCBF due to decreased neuronal activity cause respective alterations of cerebral and cerebellar uptake of this new brain agent.

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Year:  1987        PMID: 3499495

Source DB:  PubMed          Journal:  J Nucl Med        ISSN: 0161-5505            Impact factor:   10.057


  9 in total

Review 1.  Beyond speech lateralization: a review of the variability, reliability, and validity of the intracarotid amobarbital procedure and its nonlanguage uses in epilepsy surgery candidates.

Authors:  J Simkins-Bullock
Journal:  Neuropsychol Rev       Date:  2000-03       Impact factor: 7.444

2.  Semi-automatic quantification of regional cerebral perfusion in primary degenerative dementia using 99m technetium-hexamethylpropylene amine oxime and single photon emission tomography.

Authors:  P Goulding; A Burjan; R Smith; R Lawson; J Snowden; B Northen; D Neary; H Testa
Journal:  Eur J Nucl Med       Date:  1990

3.  Crossed cerebellar diaschisis: risk factors and prognostic value in focal cortical dysplasia by 18F-FDG PET/CT.

Authors:  Guoguang Zhao; Jie Lu; Yaqin Hou; Kun Guo; Xiaotong Fan; Kun Shang; Jingjuan Wang; Zhenming Wang; Yongzhi Shan
Journal:  Ann Nucl Med       Date:  2021-04-11       Impact factor: 2.668

Review 4.  Interventional brain SPECT--a review.

Authors:  H J Biersack; E Klemm; C Menzel; K Reichmann; W J Shih; F Grünwald
Journal:  Ann Nucl Med       Date:  1996-08       Impact factor: 2.668

5.  Brain perfusion with intracarotid injection of 99mTc-HM-PAO in partial epilepsy during amobarbital testing.

Authors:  S O Hietala; H Silfvenius; J Aasly; M Olivecrona; L Jonsson
Journal:  Eur J Nucl Med       Date:  1990

6.  Visualization of posture-dependent cerebral blood flow in a patient with Takayasu's disease by means of 99mTc-HMPAO brain single photon emission tomography.

Authors:  K Hayashida; T Nishimura; Y Hirose; T Kaminaga; S Imakita; T Uehara
Journal:  Eur J Nucl Med       Date:  1992

7.  Hexa-methyl-propylene-amine-oxime (HMPAO) single photon emission computed tomography (SPECT) in epilepsy.

Authors:  I Podreka; W Lang; E Suess; D Wimberger; M Steiner; W Gradner; J Zeitlhofer; G Pelzl; B Mamoli; L Deecke
Journal:  Brain Topogr       Date:  1988       Impact factor: 3.020

8.  Lack of hemispheric dominance for consciousness in acute ischaemic stroke.

Authors:  B Cucchiara; S E Kasner; D A Wolk; P D Lyden; V A Knappertz; T Ashwood; T Odergren; A Nordlund
Journal:  J Neurol Neurosurg Psychiatry       Date:  2003-07       Impact factor: 10.154

Review 9.  PET and ictal SPECT can be helpful for localizing epileptic foci.

Authors:  Tim J von Oertzen
Journal:  Curr Opin Neurol       Date:  2018-04       Impact factor: 5.710

  9 in total

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