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Brain Perfusion Changes in a Patient with Facial Trauma

10.4274/mirt.galenos.2022.90958

  • Chrissa Sioka
  • Anastasia Zikou
  • Petros Petrikis
  • Asimakis Asimakopoulos
  • George Alexiou
  • Vasileios Ragos

Received Date: 06.05.2022 Accepted Date: 15.11.2022 Mol Imaging Radionucl Ther 2023;32(2):162-164 PMID: 37337872

A 69-year-old male was admitted to our hospital because of left facial trauma with bone fractures, including the maxillary sinus, zygomatic arch, and ethmoid and sphenoid bones. Brain computed tomography was unremarkable but regional cerebral blood flow with hexamethyl-propylene-amine oxime single-photon emission computed tomography (SPECT) showed hypoperfusion of the left hemisphere, which was reversible since a repeat SPECT 4 months later was substantially improved. Brain perfusion SPECT may provide information on cerebrovascular status in some cases of facial injury.

Keywords: Brain perfusion imaging, cerebral blood flow, HMPAO, facial trauma, computed tomography, neuroimaging

Ethics

Informed Consent: Written informed consent was obtained.

Peer-review: Externally peer-reviewed.

Authorship Contributions

Surgical and Medical Practices: C.S., A.Z., V.R., Concept: C.S., V.R., Design: A.Z., V.R., Data Collection or Processing: A.Z., P.P., A.A., Analysis or Interpretation: P.P., G.A., Literature Search: A.A., G.A., Writing: C.S., V.R.

Conflict of Interest: No conflict of interest was declared by the authors.

Financial Disclosure: The authors declared that this study received no financial support.

Images

  1. Ebmeier KP, Prentice N, Ryman A, Halloran E, Rimmington JE, Best JK, Goodwin GM. Temporal lobe abnormalities in dementia and depression: a study using high resolution single photon emission tomography and magnetic resonance imaging. J Neurol Neurosurg Psychiatry 1997;63:597-604.
  2. Abu-Judeh HH, Parker R, Singh M, el-Zeftawy H, Atay S, Kumar M, Naddaf S, Aleksic S, Abdel-Dayem HM. SPET brain perfusion imaging in mild traumatic brain injury without loss of consciousness and normal computed tomography. Nucl Med Commun 1999;20:505-510.
  3. Puolakkainen T, Vähäsilta L, Bensch F, Narjus-Sterba M, Wilson ML, Thorén H, Snäll J. Blunt cerebrovascular injuries in the craniofacial fracture population-are we screening the right patients? Int J Oral Maxillofac Surg 2021;50:463-470.
  4. Varjonen EA, Bensch FV, Pyhältö TT, Koivikko MP, Snäll J. Remember the Vessels! Craniofacial Fracture Predicts Risk for Blunt Cerebrovascular Injury. J Oral Maxillofac Surg 2018;76:1509.