medigraphic.com

2016, Number 2

Rev cubana med 2016; 55 (2)

99Tc-DTPA radionuclide cisternography to confirm the diagnosis of normal pressure hydrocephalus

León CR, Castro JM, Olivera LIR, Martín EJM, Salva CS, López DA, Rodríguez PL, San Pedro AP

Language: Spanish
References: 10
Page: 167-174
PDF size: 254.75 Kb.


ABSTRACT

A female patient who was admitted to Hermanos Ameijeiras Clinical and Surgical Hospital is presented here. She had a history of chronic alcohol abuse and progressive clinical deterioration of cognitive behavioral, abnormal gait and sphincter disorders. This patient had a radioisotope cisternography in order to test its effectiveness in the study of the dynamics of cerebrospinal fluid, and to diagnose normotensive hidden hydrocephalus. This MRI revealed hydrocephalus and skull evolutionary radioisotope cisternography confirmed the diagnosis of normal pressure hidden hydrocephalus. This patient received a shunt with a favorable evolutionary clinical response. It is concluded that cisternography radioisotope remains a useful tool to confirm this diagnosis and predict response to derivative treatment.


REFERENCES

  1. Sevillano García P, Cacabelos Pérez J, Gutiérrez C. Alteraciones del líquido cefalorraquídeo y de su circulación: hidrocefalia, pseudotumor cerebral y síndrome de presión baja. Medicine. 2011;10(71):4814-24.

  2. Thut DP, Kreychman A, Obando JA. 111In-DTPA Cisternography with SPECT/CT for the Evaluation of Normal Pressure Hydrocephalus. J Nucl Med Technol. 2014;42:70-4.

  3. Algın O, Hakyemez B, Ocakoğlu G, Parlak M. MR cisternography: is it useful in the diagnosis of normal-pressure hydrocephalus and the selection of "good shunt responders"? Diagn Interv Radiol. 2011;17:105-11.

  4. Abad L, García-Nieto JC, Mitjavila M, Hankiewitz C. Diagnóstico. Tratamiento médico. Neurología. Marbán libros. 2013;(20):298-304.

  5. Ziessman HA, O'Malley JP, Thrall JH. Nuclear Medicine: The Requisites in Radiology. 3rd ed. Philadelphia: Elsevier Mosby; 2006:442-9.

  6. Ghosh D, Ghosh P, Gambhir S, Kohli A. Normal pressure hydrocephalus: role of radionuclide cisternography. Neurol India. 1997;45:231.

  7. Ferrari M, De Marco P, Origgi D, Pedroli G. Clin Transl Imaging. Clin Translat Imaging. 2014;2:557-69.

  8. Beretta M. Avances en cardiología nuclear: fusion de imágenes. SPECT/TC, PET/TC. Rev Urug Cardiol. 2012;27(1):54-66.

  9. Smith T. Internal exposure of patients and staff in diagnostic nuclear medicine procedures. J Soc Radiol Prot. 1984;4:45.

  10. Walter C, Hertel F, Naumann E, Mörsdorf M. Alteration of cerebral perfusion in patients with idiopathic normal pressure hydrocephalus measured by 3D perfusion weighted magnetic resonance imaging. J Neurol. 2005;252:1465-71.




2020     |     www.medigraphic.com