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Crossed Cerebellar Diaschisis in Cerebral Infarction: Correlation of SPECT and Clinical Features

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dc.contributor.authorkim, Sang Eun-
dc.contributor.authorYoon, Byung-Woo-
dc.contributor.authorChoi, Chang Woon-
dc.contributor.authorLee, Dong Soo-
dc.contributor.authorChung, June-Key-
dc.contributor.authorRoh, Jae Kyu-
dc.contributor.authorLee, Myung Chul-
dc.contributor.authorKoh, Chang-Soon-
dc.date.accessioned2009-07-14T22:59:11Z-
dc.date.available2009-07-14T22:59:11Z-
dc.date.issued1993-12-
dc.identifier.citationSeoul J Med, Vol.34 No.4, pp. 253-264-
dc.identifier.issn0582-6802-
dc.identifier.urihttp://hdl.handle.net/10371/5568-
dc.description.abstractPatients with supratentorial cerebral infarction frequently show depressed metabolic activity in the contralateral cerebellar hemisphere which is known as crossed cerebellar diaschtsisfCt.D). In order to investigate the relationship between this
phenomenon and the characteristics of the supratentorial lesion, we retrospectively evaluated the findings of 99mTc-HMPAO single photon emission computed tomography(SPECT) in 26 patients with a single supratentorial infarction lesion. A cerebellar asymmetry
index (AIcbll), percent difference between both cerebellar hemispherestzx'Scbll],SPECT volume deficit (SVD), and magnetic resonance volume deficit (MVD) were quantitated. A CCD, defined as AIcbll >12%, was observed in 12 of the 26 patients (46.2%). No correlation was found between the ~%cbll and duration of disease, SVD, or MVD. SVD and MVD values showed no significant difference between CCD positive and negative groups (71+47ml \IS. 70+68ml and 90+84ml \IS. 67+77ml,
respectively). Patients with frontoparietal lobe or deep middle cerebral artery territory infarctions showed a significantly higher incidence of CCD and lower ~%cbll values. Patients with severe hemiparesis had a higher incidence of CCD and lower ~%cbll values than those with milder or no hemiparesis (incidence, 5/5 \IS. 6/18, p=0.008; ~ %cbll,-21. 4+3.8% \IS -8. 3±11. 1%, p=O. 014). None of the 12 patients with CCD showed clinical signs of cerebellar dysfunction. In conclusion, the location rather than the extent of the lesion appears to be the major determinant for the occurrence and magnitude of CCD in stroke patients.
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dc.language.isoen-
dc.publisherSeoul National University College of Medicine-
dc.subjectCrossed cerebellar diaschisis-
dc.subjectCerebral infarction-
dc.subjectSPECT-
dc.subject99mTc-HMPAO-
dc.titleCrossed Cerebellar Diaschisis in Cerebral Infarction: Correlation of SPECT and Clinical Features-
dc.typeSNU Journal-
dc.contributor.AlternativeAuthor김상은-
dc.contributor.AlternativeAuthor윤병우-
dc.contributor.AlternativeAuthor최창운-
dc.contributor.AlternativeAuthor이동수-
dc.contributor.AlternativeAuthor정준기-
dc.contributor.AlternativeAuthor노재규-
dc.contributor.AlternativeAuthor이명철-
dc.contributor.AlternativeAuthor고창순-
dc.citation.journaltitle서울 의대 잡지-
dc.citation.journaltitle서울 의대 학술지-
dc.citation.journaltitleSeoul Journal of Medicine-
dc.citation.endpage264-
dc.citation.number4-
dc.citation.pages253-264-
dc.citation.startpage253-
dc.citation.volume34-
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 34 No.4 (1993)
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