Başoglu T, Ozbenli T, Bernay I, Sahin M, Onur A, Demirçali A E, Coşkun C, Onen T
Department of Nuclear Medicine, Ondokuz Mayis University Hospital, Samsun, Turkey.
J Nucl Med. 1996 Jul;37(7):1172-4.
We present a case of benign exertional headache (BEH) in a 15-yr-old boy. The patient suffered from exclusively exercise-induced headaches with migraine-like accompanying symptoms. No pathology could be detected by routine cardiovascular or neurological examinations by CT. The postexercise 99mTc-HMPAO brain SPECT performed during the provoked headache attack showed asymmetric bifrontal hypoperfusion. A second 99mTc-HMPAO study during a symptom-free phase under resting conditions was normal. The detection of impaired regional cerebral blood flow (rCBF) by 99mTc-HMPAO brain SPECT indicates a perfusion-related pathology in this type of headache. Analysis of rCBF with 99mTc-HMPAO in larger studies could be helpful in the clarification of BEH pathogenesis.
我们报告一例15岁男孩的良性运动性头痛（BEH）。该患者仅患有运动诱发的头痛，并伴有偏头痛样伴随症状。通过CT进行的常规心血管或神经系统检查未发现任何病变。在诱发头痛发作期间进行的运动后99mTc-HMPAO脑SPECT显示双侧额叶不对称灌注减低。在静息状态无症状期进行的第二次99mTc-HMPAO研究结果正常。99mTc-HMPAO脑SPECT检测到局部脑血流（rCBF）受损表明这种类型的头痛存在与灌注相关的病变。在更大规模的研究中用99mTc-HMPAO分析rCBF可能有助于阐明BEH的发病机制。
