Tosi L, Barbina V, Bellina V, Zecchin R
Riv Patol Nerv Ment. 1975 Mar-Apr;96(2):135-48.
The Authors analyse the results of cerebral angioscintigraphy, performed with gamma camera on-line with a MED II system, in 158 cases of ischemic stroke, 13 cases of hemorragic stroke and 29 cases of cerebral neoplasm. 84 cases of ischemic stroke and all the cases of hemorragic stroke and neoplasm had contrast angiography. The dynamic study has provided additional information in 51.3% of the cases of ischemic stroke (63.7% when the internal carotid artery involvement alone is considered), in 84.6% of the cases of hemorragic stroke and in 58.6% of the neoplasm cases. The same information moreover is almost always able to clarify the cause of the positive rectilinear brain scans, frequently uncertain in strokes. In cases of ischemic stroke correlations are considered between angiography and angioscintigraphy. In particular the value of the method is discussed as a screening procedure for the detection of extra-cranial vascular disorders, amenable of surgical therapy. The authors conclude that angioscintigraphy is the method that, separately considered, provides most of the useful information in the diagnosis of stroke.
作者分析了使用MED II系统在线γ相机进行脑血池闪烁显像的结果，涉及158例缺血性中风、13例出血性中风和29例脑肿瘤患者。84例缺血性中风患者以及所有出血性中风和肿瘤患者均进行了血管造影。动态研究在51.3%的缺血性中风病例中提供了额外信息（仅考虑颈内动脉受累时为63.7%），在84.6%的出血性中风病例和58.6%的肿瘤病例中提供了额外信息。此外，同样的信息几乎总能阐明直线型脑扫描阳性的原因，而这在中风中常常不确定。在缺血性中风病例中，对血管造影和脑血池闪烁显像进行了相关性分析。特别讨论了该方法作为检测适合手术治疗的颅外血管疾病的筛查程序的价值。作者得出结论，脑血池闪烁显像单独来看是在中风诊断中提供大多数有用信息的方法。
