Regional cerebral blood flow and vascular reserve in neuronal migration disorder assessed by Tc-99m hexamethylpropylene amineoxime SPECT with acetazolamide challenge
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Kojima, T
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机构:Nippon Med Sch, Dept Neurosurg, Tokyo 113, Japan
Kojima, T
Mizumura, S
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机构:Nippon Med Sch, Dept Neurosurg, Tokyo 113, Japan
Mizumura, S
Kumita, SI
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机构:Nippon Med Sch, Dept Neurosurg, Tokyo 113, Japan
Kumita, SI
Nakajo, H
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机构:Nippon Med Sch, Dept Neurosurg, Tokyo 113, Japan
Nakajo, H
Kumazaki, T
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机构:Nippon Med Sch, Dept Neurosurg, Tokyo 113, Japan
Kumazaki, T
Kitamura, T
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机构:Nippon Med Sch, Dept Neurosurg, Tokyo 113, Japan
Kitamura, T
Fukino, K
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机构:Nippon Med Sch, Dept Neurosurg, Tokyo 113, Japan
Fukino, K
Teramoto, A
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机构:Nippon Med Sch, Dept Neurosurg, Tokyo 113, Japan
Teramoto, A
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[1] Nippon Med Sch, Dept Neurosurg, Tokyo 113, Japan
A 20-month-old boy had left hemiparesis and mental retardation. Magnetic resonance imaging revealed agyria-pachygyria in the right cerebral hemisphere, but magnetic resonance angiography showed no arterial stenosis or hypoplasia. Resting SPECT showed reduced Tc-99m hexamethylpropylene amineoxime accumulation in the affected cortex compared with the contralateral unaffected cortex, but during acetazolamide administration accumulation in the affected cortex was similar to that in the unaffected cortex. These findings suggest that the vasodilator function of the affected cortex was intact. This supports the contention that the low accumulation of cerebral blood flow tracer in migration disorder does not reflect impaired cerebral blood supply but rather reduced tissue activity.