Basilar Artery Migraine
Autor: | Yi-Wei Wu, Ryusuke Futatsuya, Tetsuya Kamei, Masashi Shimizu, Masao Kakishita, Masanari Kageyama, Ryoko Shibata, Hikaru Seto |
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Rok vydání: | 1994 |
Předmět: |
Adult
medicine.medical_specialty Migraine Disorders Ischemia Technetium Tc 99m Exametazime Cerebellar hemisphere medicine.artery Oximes Vertebrobasilar Insufficiency medicine Basilar artery Humans Radiology Nuclear Medicine and imaging Diagnostic Errors Tomography Emission-Computed Single-Photon medicine.diagnostic_test business.industry Mental Disorders Brain Organotechnetium Compounds General Medicine medicine.disease Cerebrovascular Disorders Cerebral blood flow Migraine Positron emission tomography Cerebrovascular Circulation Female Radiology business Cerebral angiography |
Zdroj: | Clinical Nuclear Medicine. 19:215-218 |
ISSN: | 0363-9762 |
DOI: | 10.1097/00003072-199403000-00010 |
Popis: | The authors present a case of basilar artery migraine in a 33-year-old woman 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. |
Databáze: | OpenAIRE |
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