Assessment of cerebral perfusion in childhood strokes

Journal Article · Mon Nov 01 00:00:00 EST 1982 · Clin. Nucl. Med.; (United States)

DOI:https://doi.org/10.1097/00003072-198211000-00003· OSTI ID:6097324

Gates, G F; Fishman, L S; Segall, H D

Thirty-three children who had strokes were studied by dynamic and static scintigraphy, 29 by CT scanning, and 10 by cerebral angiography. The accuracy of dynamic scintigraphy in stroke detection during the first week of clinical symptoms was 94% while CT scanning was 60% accurate and static scintigraphy 11% accurate. During the second week the accuracy of CT scanning increased to 100%, but static scintigraphy improved to only 50%. Fifty percent of scintiangiograms performed during the first week showed either luxuriant perfusion or flip-flop patterns. In some patients these two flow patterns changed to that of cerebral hemispheric ischemia after going through a phase during which perfusion appeared to be equal in the two hemispheres. Dynamic scintigraphy is believed to be the test of choice for stroke detection in children during the first week.

• Research Organization: Children's Hospital of Los Angeles, California
• OSTI ID: 6097324
• Journal Information: Clin. Nucl. Med.; (United States), Vol. 7:11
• Country of Publication: United States
• Language: English

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CHILDREN
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