Rozeik C, Kotterer O, Wieschen A, Deininger H K
Radiologie I, Strahleninstitut der Städtischen Kliniken Darmstadt.
Rofo. 1993 Apr;158(4):355-61. doi: 10.1055/s-2008-1032663.
58 patients with recent transient or permanent neurologic deficits of with proven carotid stenoses were examined by dynamic CT at the level of the internal capsule. In the presence of cerebral infarcts there was marked delay in the time/density curve with reduced peaks. Abnormal perfusion could be demonstrated by early examinations before definite morphological changes were seen. With transient ischaemic attacks there were no significant changes in perfusion; in the presence of carotid stenoses the results were variable. The perfusion abnormalities in the hemispheres shown by dynamic cranial CT could be confirmed to some extent by 99mTc-HMPAO-SPECT.
58例近期有短暂性或永久性神经功能缺损且已证实有颈动脉狭窄的患者接受了内囊水平的动态CT检查。在存在脑梗死的情况下,时间/密度曲线有明显延迟,峰值降低。在明确的形态学改变出现之前,早期检查就能显示出异常灌注。对于短暂性脑缺血发作,灌注没有显著变化;在存在颈动脉狭窄的情况下,结果各不相同。动态头颅CT显示的半球灌注异常在一定程度上可通过99mTc-HMPAO-SPECT得到证实。