- 期刊
Moyamoya Disease in Tc-99m ECD SPECT/CT
毛毛樣腦血管疾病於鎝-99m-ECD單光子電腦斷層／電腦斷層造影
摘要
A 32-year-old male smoker experienced dizziness, headache, and left-side weakness with unsteady gait; left facial palsy and hemiparesis with acute right basal ganglion infarction were noted. Two months later, Tc-99m ECD single photon emission computed tomography/computed tomography revealed hypoperfusion to the right frontal, parietal, and temporal lobes and basal ganglion. Brain magnetic resonance imaging showed old infarcts in the right brain. Brain magnetic resonance angiography and angiography showed right middle cerebral artery occlusion, severe stenosis of the right internal carotid artery with a ＂puff of smoke＂ appearance, and collateral supply to the right brain from the left anterior cerebral artery, suggesting moyamoya disease. Right encephalodur omyoarteriosynangiosis was performed.
並列摘要
一名32歲男性吸煙患者出現頭暈、頭痛和左側無力，合併步態不穩；呈現左側面癱和偏癱伴急性右側基底核梗塞。兩個月後，鎝-99m-ECD單光子電腦斷層／電腦斷層造影顯示右側額葉、頂葉、顳葉和基底核灌注不足。腦部磁振造影顯示右腦有陳舊性梗塞。腦部血管磁振造影和血管攝影顯示右側中大腦動脈閉塞，右側內頸動脈嚴重狹窄，附加「煙霧狀」外觀，左側前大腦動脈向右腦側支供血，顯示毛毛樣腦血管疾病。病患進行了右側腦硬膜肌動靜脈血管縫合術。
延伸閱讀
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