THE VALUE OF THE ACETAZOLAMIDE STIMULATION TEST WITH TC-99M-HMPAO-SPECT FOR REVERSIBLE CEREBROVASCULAR INSUFFICIENCY (CVI)

被引:4
|
作者
DINGLER, WH
DEININGER, HK
机构
关键词
CEREBROVASCULAR INSUFFICIENCY; HMPAO; SPECT; ACETAZOLAMIDE; STIMULATION TEST;
D O I
10.1055/s-2008-1033297
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
Regional cerebral blood flow reduction was measured in 84 patients with CVI using Tc-99m HMPAO-SPECT. 53 patients received 1 g acetazolamide to evaluate cerebrovascular reserve capacity. Differentiating between hemispheric (87%) and vertebrobasilar ischaemia (64%) revealed markedly increased sensitivity for the provocative test with acetazolamide. In 62% of high grade but asymptomatic carotid stenoses a haemodynamic effect was demonstrated with acetazolamide and thereby the indication for surgery was supported.
引用
收藏
页码:465 / 471
页数:7
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