Document Detail

Pattern of cerebellar perfusion on single photon emission computed tomography in subcortical hematoma: a clinical and computed tomography correlation.
MedLine Citation:
PMID:  18310831     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: There is paucity of studies evaluating the role of asymmetry index (AI) on single photon emission computed tomography (SPECT) studies in patients with intracerebral hemorrhage (ICH). AIM: To evaluate cerebellar perfusion in ICH employing SPECT study and correlate with clinical and CT scan findings. SETTING AND DESIGN: Tertiary care teaching hospital. MATERIALS AND METHODS: A total of 29 patients with ICH were subjected to neurological examination including Glasgow Coma Scale (GCS) and Canadian Neurological Stroke Scale (CNS). Clinical features of raised intracranial pressure and herniation were noted. On CT scan, ICH location, volume, ventricular extension and midline (ML) shift were noted. On SPECT, cerebral and cerebellar perfusion was measured semiquantitatively and AI calculated. Outcome was defined at 3 months into poor and good. RESULTS: Fourteen patients had putaminal and 15 thalamic hemorrhages. Their mean age was 59 years. The mean GCS score was 10 and CNS score 2.8. Hematoma was large in five, medium in 16 and small in eight patients. ML shift was present in 15 and hematoma extended to ventricule in 16 patients. On SPECT, cerebellar AI significantly related to ML shift but not with size of hematoma. AI was low in patients with ML shift. Outcome was related to GCS score, ML shift, size of hematoma and cerebellar AI. CONCLUSION: In acute stage of ICH, cerebellar AI is lower in patients with more severe stroke having ML shift.
Jayantee Kalita; Usha K Misra; Prasen Ranjan; P K Pradhan
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Neurology India     Volume:  56     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:    2008 Jan-Mar
Date Detail:
Created Date:  2008-03-03     Completed Date:  2009-06-02     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  17-21     Citation Subset:  IM    
Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
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MeSH Terms
Brain / blood supply
Cerebrovascular Circulation / physiology*
Glasgow Outcome Scale
Hematoma / etiology,  radiography*,  radionuclide imaging*
Middle Aged
Severity of Illness Index
Stroke / complications
Tomography Scanners, X-Ray Computed*
Tomography, Emission-Computed, Single-Photon*

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