Document Detail


Technetium-99m-ECD SPECT in antiphospholipid antibody syndrome: a drastic improvement in brain perfusion by antiplatelet therapy.
MedLine Citation:
PMID:  11734968     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a case of antiphospholipid antibody syndrome (APS) with repeated transient ischemic attacks (TIAs). Magnetic resonance imaging showed multiple cerebral infarcts and ischemic changes in the cerebral white matter. Cerebral angiographies showed no abnormalities. Technetium-99m-ethyl cysteinate dimer (Tc-99m-ECD) brain SPECT showed multiple decreased perfusion areas, which were more extensive than the lesions demonstrated on MRI. After treatment with an antiplatelet agent, the patient subsequently recovered from the TIAs. Although no interval changes were observed by MRI after therapy, follow-up Tc-99m-ECD SPECT revealed a marked improvement in brain perfusion. This is the first imaging report of remarkable post-therapy improvement in brain perfusion in APS cases.
Authors:
S Tokumaru; T Yoshikai; A Uchino; M Matsui; Y Kuroda; S Kudo
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2001-03-15
Journal Detail:
Title:  European radiology     Volume:  11     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  2001  
Date Detail:
Created Date:  2001-12-05     Completed Date:  2002-01-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  2611-5     Citation Subset:  IM    
Affiliation:
Department of Radiology, Saga Medical School, Nabeshima-5-1-1, Saga 849-8501, Japan. tokumaru@posc.saga-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Antiphospholipid Syndrome / drug therapy,  radionuclide imaging*
Aspirin / administration & dosage*
Cerebral Infarction / drug therapy,  radionuclide imaging*
Cysteine / analogs & derivatives*,  diagnostic use*
Female
Follow-Up Studies
Humans
Middle Aged
Organotechnetium Compounds / diagnostic use*
Tomography, Emission-Computed, Single-Photon*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Organotechnetium Compounds; 0/technetium Tc 99m bicisate; 50-78-2/Aspirin; 52-90-4/Cysteine

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


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