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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1989 Dec;52(12):1402–1409. doi: 10.1136/jnnp.52.12.1402

Regional cerebral blood flow by SPECT imaging in Sturge-Weber disease: an aid for diagnosis.

C Chiron 1, C Raynaud 1, N Tzourio 1, C Diebler 1, O Dulac 1, M Zilbovicius 1, A Syrota 1
PMCID: PMC1031599  PMID: 2614436

Abstract

Regional cerebral blood flow (rCBF) was studied using SPECT (single photon emission computed tomography) with 133-Xenon in 13 patients with confirmed Sturge-Weber disease, aged 9 months to 18 years. CT scan, performed at the same time, showed evident cerebral angioma in 10 but not in three. A marked hypoperfused area was found in all patients, ranging from -32% to -72% and of the same location as the CT signs. The hypoperfusion seems to result from post ictal phenomenon as well as from chronic ischaemia. SPECT imaging is therefore a sensitive method for visualising intracranial angioma in Sturge-Weber disease and it provides an aid for diagnosis when a CT scan is not reliable.

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Selected References

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  1. Bonte F. J., Devous M. D., Sr, Stokely E. M., Homan R. W. Single-photon tomographic determination of regional cerebral blood flow in epilepsy. AJNR Am J Neuroradiol. 1983 May-Jun;4(3):544–546. [PMC free article] [PubMed] [Google Scholar]
  2. Brenner R. P., Sharbrough F. W. Electroencephalographic evaluation in Sturge-Weber syndrome. Neurology. 1976 Jul;26(7):629–632. doi: 10.1212/wnl.26.7.629. [DOI] [PubMed] [Google Scholar]
  3. Chugani H. T., Mazziotta J. C., Phelps M. E. Sturge-Weber syndrome: a study of cerebral glucose utilization with positron emission tomography. J Pediatr. 1989 Feb;114(2):244–253. doi: 10.1016/s0022-3476(89)80790-5. [DOI] [PubMed] [Google Scholar]
  4. Chugani H. T., Phelps M. E., Mazziotta J. C. Positron emission tomography study of human brain functional development. Ann Neurol. 1987 Oct;22(4):487–497. doi: 10.1002/ana.410220408. [DOI] [PubMed] [Google Scholar]
  5. Couly G. F., Le Douarin N. M. Mapping of the early neural primordium in quail-chick chimeras. II. The prosencephalic neural plate and neural folds: implications for the genesis of cephalic human congenital abnormalities. Dev Biol. 1987 Mar;120(1):198–214. doi: 10.1016/0012-1606(87)90118-7. [DOI] [PubMed] [Google Scholar]
  6. Dulac O., Raynaud C., Chiron C., Plouin P., Syrota A., Arthuis M. Etude du débit sanguin cérébral dans le syndrome de West idiopathique: corrélation avec les données électroencéphalographiques. Rev Electroencephalogr Neurophysiol Clin. 1987 Jul;17(2):169–182. doi: 10.1016/s0370-4475(87)80031-x. [DOI] [PubMed] [Google Scholar]
  7. Engel J., Jr, Brown W. J., Kuhl D. E., Phelps M. E., Mazziotta J. C., Crandall P. H. Pathological findings underlying focal temporal lobe hypometabolism in partial epilepsy. Ann Neurol. 1982 Dec;12(6):518–528. doi: 10.1002/ana.410120604. [DOI] [PubMed] [Google Scholar]
  8. Enjolras O., Riche M. C., Merland J. J. Facial port-wine stains and Sturge-Weber syndrome. Pediatrics. 1985 Jul;76(1):48–51. [PubMed] [Google Scholar]
  9. Gilly R., Lapras C., Tommasi M., Revol M., Challamel M. J., Clavel D., Mammelle J. C. Maladie de Sturge-Weber-Krabbe. Réflexions á partir de 21 cas. Pediatrie. 1977 Jan-Feb;32(1):45–64. [PubMed] [Google Scholar]
  10. Gorman R. J., Snead O. C. Sturge-Weber syndrome without port-wine nevus. Pediatrics. 1977 Nov;60(5):785–785. [PubMed] [Google Scholar]
  11. Lassen N. A. Cerebral blood flow tomography with xenon-133. Semin Nucl Med. 1985 Oct;15(4):347–356. doi: 10.1016/s0001-2998(85)80013-1. [DOI] [PubMed] [Google Scholar]
  12. Norman M. G., Schoene W. C. The ultrastructure of Sturge-Weber disease. Acta Neuropathol. 1977 Mar 31;37(3):199–205. doi: 10.1007/BF00686879. [DOI] [PubMed] [Google Scholar]
  13. Probst F. P. Vascular morphology and angiographic flow patterns in Sturge-Weber angiomatosis: facts, thoughts and suggestions. Neuroradiology. 1980;20(2):73–78. doi: 10.1007/BF00339549. [DOI] [PubMed] [Google Scholar]
  14. Theodore W. H., Bairamian D., Newmark M. E., DiChiro G., Porter R. J., Larson S., Fishbein D. Effect of phenytoin on human cerebral glucose metabolism. J Cereb Blood Flow Metab. 1986 Jun;6(3):315–320. doi: 10.1038/jcbfm.1986.54. [DOI] [PubMed] [Google Scholar]
  15. Theodore W. H., DiChiro G., Margolin R., Fishbein D., Porter R. J., Brooks R. A. Barbiturates reduce human cerebral glucose metabolism. Neurology. 1986 Jan;36(1):60–64. doi: 10.1212/wnl.36.1.60. [DOI] [PubMed] [Google Scholar]
  16. Welch K., Naheedy M. H., Abroms I. F., Strand R. D. Computed tomography of Sturge-Weber syndrome in infants. J Comput Assist Tomogr. 1980 Feb;4(1):33–36. doi: 10.1097/00004728-198002000-00006. [DOI] [PubMed] [Google Scholar]

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