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Brain perfusion scan

Brain perfusion scan. Case report. Case Ⅰ . Name: 鄭 XX Sex: female Age: 13 y/o Date: 89/8/1~89/10/7 . Chief complaint . traffic accident on 2000/5/30. Present illness . this 13 y/o female is a victim of :

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Brain perfusion scan

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  1. Brain perfusion scan Case report

  2. Case Ⅰ • Name: 鄭XX • Sex: female • Age: 13 y/o • Date: 89/8/1~89/10/7

  3. Chief complaint • traffic accident on 2000/5/30

  4. Present illness • this 13 y/o female is a victim of : • 1. head injury with right frontal-temporal-parietal hemorrhage, SAH, skull fracture, severe brain edema s/p right craniectomy on 2000/5/30 in 邱綜合 hospital.

  5. 2. hydrocephalus s/p V-P shunt on 2000/6/12. • So far, the GCS: E2VtM4. • Fever and seizure has been noted during the past 1 week.

  6. Now she was admitted to our ward to have further care. • Physical examination • Conscious: E2VtM4 • Others: np • NE: ?

  7. Impression: • hydrocephalus s/p V-P shunt • Head injury with ICH post OP; with skull fracture • Fever, R/o lung, urinary, CNS infection

  8. Plan: • F/U brain CT • Survey for infection sign • Antibiotics

  9. Date: 90/1/2 • C.C: skull defect

  10. PI : • 1. HI with ICH post op • 2. hydrocephalus post op • 3. Bilateral traumatic optic nerve atrophy • 4. skull defect

  11. This time she was admitted to our NS ward for surgery of cranioplasty for her skull defect • 90/1/3: Tc-99m HMPAO brain perfusion SPECT

  12. Case Ⅱ • Name: 林XX • Sex: male • Age: 72 y/o • Date: 90/1/1~901/11

  13. Chief complaint • blurred vision(ou) noted for one week and bilateral temporal area headache and slow movement noted recent two days(subacute onset)

  14. Present illness • this 72 y/o male was a case of 1.DM, 2.H/T • He suffered from blurred vision(ou) for 1 week and bil temporal area headache and slow movement in recent 2 days (subcute onset)

  15. slightly progressive associated symptoms: left side drooling, and bilateral hand tremor(+) • So he went to our ER for help

  16. brain CT revealed: hypodensity without obvious enhancement over right temporal, occipital lobe with edema and lateral ventricle compression, mid-line shift.

  17. NE: left mild central facial palsy • Impression: • 1. CVD • 2. R/O brain tumor • 90/1/8: Tc-99m HMPAO brain perfusion SPECT

  18. Tc99m HMPAO brain perfusion scan ＆ SPECT • Indication: cerebral infarction, cerebral hemorrhage, TIA, cerebral ischemia, Alzheimer’s disease, senile dementia, multiple infarct dementia, head injury, epilepsy, encephalitis, convulsion disorder, Parkinson’s disease

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