Aneurysmal 99m Tc-HMPAO Uptake in Brain Death
Language English Country United States Media print-electronic
Document type Case Reports, Journal Article
PubMed
38350074
DOI
10.1097/rlu.0000000000005103
PII: 00003072-990000000-00930
Knihovny.cz E-resources
- MeSH
- Biological Transport MeSH
- Adult MeSH
- Humans MeSH
- Brain * diagnostic imaging MeSH
- Brain Death * diagnostic imaging MeSH
- Neuroimaging MeSH
- Single Photon Emission Computed Tomography Computed Tomography MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
A 41-year-old man was admitted to hospital due to sudden loss of consciousness. A regional brain perfusion SPECT/low-dose CT showed abnormal 99m Tc-HMPAO uptake in the right hemisphere frontotemporally without any other supratentorial or infratentorial radiotracer uptake. A neuropathological examination disclosed a middle cerebral artery aneurysm. Presumably, vessel wall fibrosis prevented collapse. Multiple transmural dissections of the fibrotic aneurysmal wall were the source of the subarachnoid hemorrhage. This interesting image shows that radiotracer accumulation in cerebral artery aneurysms can be a diagnostic pitfall in brain death scintigraphy assessment.
Department of Pathology and Molecular Medicine 3rd Faculty of Medicine Thomayer University Hospital
Department of Radiology General University Hospital Prague Prague Czech Republic
See more in PubMed
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