FIGURE 2 - uploaded by Justo Serrano Vicente
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The same day, a brain perfusion SPECT after the administration (with) of 740 MBq of 99m Tc-HMPAO was performed. Two sets of selected transaxial (A) and coronal slices (B) are presented showing severe right temporoparietal hypoperfusion that affected moderately to the occipital and frontal adjacent territories. Besides, another moderate hypoperfusion was found in the left frontal lobe affecting the medial precentral gyrus and the ipsilateral adjacent temporoparietal territories. Subcortical faint hypoperfusion was observed in left caudate, putamen, striatum, hemithalamus, and insular cortex. These findings correlated with an old infarct in right parietal lobe and a subacute new stroke in left frontal lobe and subcortical ipsilateral centers. Brain SPECT showed more territories affected by the ischemic event than CT and MR did.
Source publication
We report a 65-year-old man with a right cerebral infarction that occurred 15 years ago and a residual left hemiparesis that began with progressive con-tralateral hemiparesis. During the hospitalization, the patient developed a bilateral alien hand syndrome. Urgent CT, MR, CT angiography, and brain perfusion SPECT were performed that revealed an ol...
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