Changes in (99m)Tc-ECD SPECT and magnetic resonance angiography with sporadic hemiplegic migraine in a child.
Changes in (99m)Tc-ECD SPECT and magnetic resonance angiography with sporadic hemiplegic migraine in a child.
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儿童散发性偏瘫性偏头痛的 (99m)Tc-ECD SPECT 和磁共振血管造影的变化。
DOI：
10.1097/rlu.0000000000000401
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发表时间：
2014
期刊：
影响因子：
10.6
通讯作者：
Itoh S.
中科院分区：
文献类型：
--
作者：
Koyano K;Konishi Y;Okada H;Kusaka T;Itoh S.
摘要儿童时期发生的偶发性偏瘫性偏头痛是罕见的。我们对一名患者进行了99 mTc-ECD（99 mTc-ethyl cysteinate dimer）SPECT和磁共振血管造影（MRA）。8岁时，他患上了左侧偏瘫。MRA显示右大脑中后动脉血管收缩。偏瘫在几小时内消失，MRA正常化。在10岁时，观察到右侧偏瘫，几天后完全消失。在第二次偏头痛发作期间，MRA显示左侧大脑中动脉血管收缩，SPECT显示左半球血流减少。随着患者恢复，结果正常化。
Sporadic hemiplegic migraine is rare in childhood. We followed a patient with 99m Tc-ECD (99m Tc-ethyl cysteinate dimer) SPECT and magnetic resonance angiography (MRA). At the age of 8 years, he developed left hemiplegia. The MRA showed vasoconstriction of the posterior right middle cerebral artery. Hemiplegia disappeared in a few hours, and the MRA normalized. At the age of 10 years, right hemiplegia was observed, disappearing completely after a few days. During this second migraine attack, MRA demonstrated left middle cerebral artery vasoconstriction, and SPECT revealed decreased left hemisphere blood flow. Findings normalized as the patient recovered.