| Tc-99m-ECD Brain Single Photon Emission Computed Tomography Findings in Cerebral Palsy: Comparison with Magnetic Resonance Imaging Findings. |
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Moon, Jeong Lim , Lee, Be Na , Shin, Jae Eun , Song, Dae Heon , Kim, Eui Nyeong |
1Department of Rehabilitation Medicine, The Catholic University of Korea, School of Medicine, Korea. shinjaeeun@yahoo.co.kr
2Department of Radiology, The Catholic University of Korea, School of Medicine, Korea. |
| 뇌성마비 환아의 뇌 혈류 검사 소견: 뇌 자기공명영상 소견과의 비교 |
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문정림, 이베나, 신재은, 송대헌, 김의녕1 |
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가톨릭대학교 의과대학 재활의학교실 및 1방사선과학교실 |
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| Abstract |
Objective
To investigate the correlation between magnetic resonance imaging (MRI) findings and single photon emission computed tomograpy (SPECT) in cerebral palsy (CP).
Method
Fourty-one patients with CP underwent MRI and SPECT of the brain. The patients were divided into 5 groups. Group 1 was for the cases with normal findings on MRI and SPECT, group 2 for abnormal on MRI but normal on SPECT, group 3 for normal on MRI but abnormal on SPECT, group 4 for abnormal findings on both MRI and SPECT with same abnormal lesion and group 5 for abnormal findings on both MRI and SPECT but with different abnormal lesion.
Results
In group 2, periventricular leukomalacia (PVL) and cortical atrophy were shown on MRI. In group 3, decreased blood flow at cerebellum was shown on SPECT. In group 4, brain atrophy on MRI and the decreased blood flow at the same site on SPECT were shown. In group 5, 15 of 22 cases with PVL on MRI and decreased blood flow at cerebellum, thalamus, basal ganglia and the cortical areas were shown.
Conclusion
Brain SPECT was more sensitive in the detection of cerebellum, thalamus and cortical blood flow abnormality. MRI was more sensitive in demonstration of white matter lesion. (J Korean Acad Rehab Med 2003; 27: 868-874)
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| Key Words:
Cerebral palsy, Single photon emission computed tomography, Magnetic |
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