Document Detail


Reduction of blood flow in the brain stem and cerebellum caused by petroclival tumors.
MedLine Citation:
PMID:  15699618     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Blood flow in the brain stem (BSBF) and cerebellum (CerBF) was investigated by positron emission tomography in 12 patients with petroclival tumors (study group) and 14 healthy volunteers (control group). (15)O-labeled water was used as the radioisotope tracer. BSBF and ipsilateral CerBF were significantly lower in the study group compared with the control group (p < 0.005). Five of 12 patients in the study group exhibited more than 20% reduction of CerBF ipsilateral to the tumor, whereas no such asymmetry was disclosed in any subject in the control group (p < 0.01). Sex, age, and tumor histology had no statistically significant association with the level of BSBF. Ipsilateral CerBF was significantly lower in patients with vestibular schwannomas, compared to those with sphenopetroclival meningiomas (p < 0.025). No statistically significant association between BSBF and the type of postoperative course was found, whereas four of the five patients with more than 20% reduction of CerBF ipsilateral to the tumor had prominently increased cerebellar ataxia after removal of the neoplasm. Preoperative investigation of the cerebral blood flow may be important for the prediction of outcome after surgical resection of petroclival tumors.
Authors:
Mikhail F Chernov; Tatyana Yu Skvortzova; Zorya L Brodskaya
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  45     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-08     Completed Date:  2005-05-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  31-5; discussion 36     Citation Subset:  IM    
Affiliation:
Department of Surgical Neurooncology, Russian A.L. Polenov Neurosurgical Institute, St. Petersburg, Russia. m_chernov@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Brain Stem / blood supply*,  radionuclide imaging
Case-Control Studies
Cerebellum / blood supply*,  radionuclide imaging
Cerebrovascular Circulation / physiology*
Cranial Fossa, Posterior*
Female
Humans
Male
Middle Aged
Skull Base Neoplasms / physiopathology*,  radionuclide imaging,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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