BASILAR ARTERY MIGRAINE - REVERSIBLE ISCHEMIA DEMONSTRATED BY TC-99M HMPAO BRAIN SPECT

被引:22
作者
SETO, H [1 ]
SHIMIZU, M [1 ]
FUTATSUYA, R [1 ]
KAGEYAMA, M [1 ]
WU, Y [1 ]
KAMEI, T [1 ]
SHIBATA, R [1 ]
KAKISHITA, M [1 ]
机构
[1] TOYAMA MED & PHARMACEUT UNIV HOSP,DEPT PSYCHIAT,TOYAMA 93001,JAPAN
关键词
D O I
10.1097/00003072-199403000-00010
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The authors present a case of basilar artery migraine in a 33-year-old women who was initially misdiagnosed as having a cerebrovascular or mental disorder and subjected to MRI and cerebral angiography, which, however, did not show any pathologic findings. During admission to the university hospital, she lost consciousness. An emergency Tc-99m HMPAO brain SPECT showed a significant decrease of regional cerebral blood flow in the right temporal and occipital cortices, and right cerebellar hemisphere, where regional cerebral blood flow was decreased by 10-24% as compared to the left side. The second brain SPECT during a symptom-free phase showed the reversion of regional cerebral blood flow to normal in these areas. Basilar artery migraine was diagnosed by the finding of reversible ischemia in the territory of the right basilar artery on brain SPECT images and the clinical picture.
引用
收藏
页码:215 / 218
页数:4
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