Abstract:
INTRODUCTION:Brain perfusion single photon computed tomography (SPECT) is a functional imaging modality and has been widely utilized in evaluation of various kinds of neurological disorders. Easy z-score imaging system (eZIS) is a computer-assisted statistical analysis, based on the comparison with age-classified ethyl cysteinate dimer (ECD) normal database, which provides objectively interpretation of Tc-99m ECD brain perfusion SPECT.Here we presented a 64-year-old male with dizziness, spin sensation, nausea, and vomiting in the emergency room, and brain computed tomography scan showed only small hypodensity lesion in cerebellum. Tc-99m ECD SPECT was performed for evaluating occult cerebral ischemia, infarction, and/or degeneration, but no remarkable abnormality could be identified by experienced readers on conventional display. The result of eZIS showed remarkable hypoperfusion in cerebellum and mild hypoperfusion in bilateral frontal and parietal lobes. Magnetic resonance imaging (MRI) confirmed severe atrophy of anterior cerebellar lobe. In addition, MRI showed diffuse hypointensity signals along with cerebrospinal fluid spaces, especially those areas with hypoperfusion on SPECT, compatible with typical appearances of superficial siderosis. CONCLUSION:This presented case demonstrates the value of software analysis with eZIS on enhancing the diagnostic value of brain perfusion SPECT for detecting brain lesions at an uncommon location due to a rare disease.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Wei CY,Chen TY,Shih I,Chiu PY,Hung GU,Matsuda Hdoi
10.1097/MD.0000000000005416subject
Has Abstractpub_date
2016-11-01 00:00:00pages
e5416issue
47eissn
0025-7974issn
1536-5964pii
00005792-201611220-00030journal_volume
95pub_type
杂志文章相关文献
MEDICINE文献大全abstract::Data on the association of dietary patterns with non-alcoholic fatty liver disease (NAFLD) among adolescents are scarce. Hence, the purpose of this study was to ascertain the influence of dietary patterns and key foods on NAFLD among adolescents in Shandong, China. Data were extracted from Linyi Nutrition and Health s...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010576
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Asthma is a common chronic disease with heavy burden. The number of asthma patients may continue to grow in the next 10 years. Existing conventional treatments have problems in which a small number of patients do not respond, often accompanied by side effects, or are too expensive. Probiotics, prebiotics, an...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017840
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Glioblastoma multiforme (GBM) is a rare and deadly disease, with a reported average incidence rate of 3.19 cases per 100,000 inhabitants. Fotemustine, a third-generation nitrosourea with an alanine phosphor carrier that facilitates cellular penetration, has been extensively investigated in the setting of rec...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011254
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Pancreatic cancer (PC) is a lethal disease, however current screening methods unable to achieve early diagnosis. Blood-based microRNAs (miRNAs) are promising molecular biomarkers for detecting PC. This meta-analysis summaries studies identifying serum- or plasma-based miRNAs dysregulated in PC patients compa...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000012132
更新日期:2018-08-01 00:00:00
abstract::Transforaminal percutaneous endoscopic lumbar discectomy (PELD) is gradually regarded as an effective alternative to posterior open surgery. However, migrated herniations bring a great technical challenge even for experienced surgeons due to the absence of the appropriate approaching guideline. We aimed to describe a ...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000002899
更新日期:2016-02-01 00:00:00
abstract::Acute motor axonal neuropathy (AMAN) is a variant of Guillain-Barre syndrome. It has been reported to have no sensory symptoms and is diagnosed by typical electrophysiological findings of low-amplitude or unobtainable compound muscle action potentials with normal sensory nerve action potentials. However, the authors e...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000000392
更新日期:2015-01-01 00:00:00
abstract:RATIONAL:Takotsubo cardiomyopathy (TCM) is a transient systolic dysfunction of the left ventricular apex without stenosis of coronary arteries and is induced by various psychological and physical factors. TCM sometimes causes lethal complications such as arrhythmia, thrombogenesis, and even cardiac rupture, and thus it...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008946
更新日期:2017-12-01 00:00:00
abstract::Metastatic hepatocellular carcinoma (HCC) of the right ventricle is very rare and difficult to diagnosis.A 79-year-old man who underwent right hemi-hepatectomy for HCC was admitted to our hospital for chest pain, severe dyspnea, and orthopnea. The echocardiogram showed a tumor located in the right ventricle. A biopsy ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005544
更新日期:2016-12-01 00:00:00
abstract:RATIONALE:Hereditary multiple exostoses (HMEs) is an autosomal dominant skeletal disorder. PATIENT CONCERNS:Six probands of the 6 unrelated Han Chinese families were identified as having HME. These patients had exostoses at multiple sites and significantly affected joints malformation and movement. DIAGNOSES:Heredita...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015692
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:The prognostic significance of circulating soluble programmed death ligand-1 (sPD-L1) in patients with solid tumors remains unclear. We performed a meta-analysis to address this issue. METHODS:Several electronic databases were searched from January 1970 to May 2017. The hazard ratios (HRs) and 95% confidenc...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000009617
更新日期:2018-01-01 00:00:00
abstract:INTRODUCTION:A significant proportion of ventilator-dependent cardiac patients need tracheostomy during intensive care unit (ICU) stay. Three different methods including traditional (surgical), percutaneous dilatation tracheostomy, translaryngeal tracheostomy (TLT), and classical Fantoni method have been developed. In ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013590
更新日期:2018-12-01 00:00:00
abstract::Although esophageal candidiasis (EC) is an opportunistic infection, asymptomatic EC (AEC) is occasionally encountered in otherwise healthy individuals. This study evaluates the impact of antifungal treatment in immunocompetent individuals with AEC and investigates risk factors for persistent or recurrent EC. The autho...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001969
更新日期:2015-11-01 00:00:00
abstract:RATIONALE:Prepubertal unilateral gynecomastia is extremely rare, whose etiology and management strategy are not familiar. We would like to present a case and a literature review of unilateral prepubertal gynecomastia. PATIENT CONCERNS:A 11-year old male patient with complaints of unilateral enlargement of breast tissu...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017374
更新日期:2019-10-01 00:00:00
abstract::We have compared the effect of therapy with immunosuppression alone to immunosuppression plus plasma exchange on the clinical course and rate of disappearance of antibody in 17 patients with anti-glomerular basement membrane (anti-GBM) antibody-induced renal disease. Patients receiving immunosuppression (n = 9) and th...
journal_title:Medicine
pub_type: 临床试验,杂志文章
doi:10.1097/00005792-198507000-00003
更新日期:1985-07-01 00:00:00
abstract::Early risk stratification is crucial for appropriate management using invasive strategies in non-ST elevation myocardial infarction (NSTEMI), and electrocardiography (ECG) has been widely used for risk stratification. However, ECG findings in NSTEMI vary, and there is a need to define the clinical characteristics and ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004862
更新日期:2016-09-01 00:00:00
abstract::To review the reported evidence on the therapeutic management of IgG4-related disease (IgG4-RD) in clinical practice.A systematic search of the literature was conducted. The primary outcome measured was the rate of efficacy of first-line therapeutic approaches. Secondary outcomes measured included the rate of disease ...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000004002
更新日期:2016-06-01 00:00:00
abstract::We report a case of leukemic arthritis (LA) of monocytic differentiation, which presented with spondyloarthritis-like symptoms and a positive human leukocyte antigen-B27, and discuss its potential mechanisms.The patient was admitted because of pain in her right knee and lower back for 18 months. Magnetic resonance ima...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000009919
更新日期:2018-02-01 00:00:00
abstract::A profound number of prophylactic antibiotics are used after radical cystectomy with an ileal orthotopic neobladder (RCIONB) despite a negative effect of infection control. We investigated the impact of short-term prophylactic antibiotic use on infectious complications after RCIONB.We retrospectively reviewed data fro...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013196
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:To assess the efficacy and safety of the Wenyang Huoxue method for patients with diabetic peripheral neuropathy. METHODS:A systematic literature search was performed using 7 databases: PUBMED, EMBASE, the Chinese National Knowledge Infrastructure, Wanfang, Chinese BioMedical, and the VIP Chinese Science and ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017618
更新日期:2019-10-01 00:00:00
abstract:RATIONALE:Anaphylaxis is a very rare event in pregnancy, triggering maternal hypotension leading to intrapartum hypoxic-ischemic encephalopathy in infant. Furthermore, cesarean sections are performed at a high rate in anaphylactic pregnant women. PATIENT CONCERNS:A 34-year-old pregnant woman presented with maternal an...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012351
更新日期:2018-09-01 00:00:00
abstract::Patients with chronic obstructive pulmonary disease (COPD) have a high risk of osteoporosis and fractures. The incidence rate of hip fracture has steadily increased over time and is a major common event in patients with osteoporosis and COPD. Total hip replacement (THR) is commonly performed in patients with hip fract...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003182
更新日期:2016-03-01 00:00:00
abstract::Emerging evidences showed impaired muscle strength was prevalent in older adults with mild cognition impairment or dementia. However, little was known about the role of quadriceps strength in the cognition decline among older population. The objective of our study was to investigate the relation between quadriceps str...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001335
更新日期:2015-08-01 00:00:00
abstract:RATIONALE:Atopic dermatitis is a frequent, relapsing, chronic inflammatory skin condition with a deep negative impact on quality of life. Three are the major pathological factors driving its complex pathogenesis: the skin barrier disruption, the altered Th2 cell response and itching. Current management of the disease i...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010897
更新日期:2018-06-01 00:00:00
abstract::This study investigated whether migraine influences the risk of primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG) in Taiwan.We retrieved the data analyzed in this study from the National Health Insurance Research Database in Taiwan. We included 17,606 newly diagnosed migraine patients withou...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003670
更新日期:2016-05-01 00:00:00
abstract::The Smith-Magenis syndrome (SMS) is a complex and rare congenital condition that is characterized by minor craniofacial anomalies, short stature, sleep disturbances, behavioral, and neurocognitive abnormalities, as well as variable multisystemic manifestations. Little is reported about spinal deformity associated with...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000000705
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:The prognosis of gastric cancer peritoneal carcinomatosis (GCPC) remains poor despite recent advances in systemic chemotherapy (SC) with an average survival less than 6 months. Current evidence supporting the utility of hyperthermic intraperitoneal chemotherapy (HIPEC) combined with SC for GCPC is limited. W...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020973
更新日期:2020-07-02 00:00:00
abstract:RATIONALE:Traumatic nucleus pulposus sequestration (TNPS) usually occurs concurrently with severe destruction of bone. TNPS combined with a slight thoracolumbar flexion- distraction fracture, triggering a disastrous nerve injury, has rarely been reported. Due to the atypical radiologic manifestations, such a patient ca...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010952
更新日期:2018-06-01 00:00:00
abstract::The neutrophil-to-lymphocyte ratio (NLR) and the platelet-to-lymphocyte ratio (PLR) are not fully evaluated for the diagnosis of musculoskeletal tumors, especially spine tumors. The objective of our study was to assess the feasibility of NLR and PLR as indicators for pretreatment diagnosis of spine tumors.Patients who...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014902
更新日期:2019-04-01 00:00:00
abstract::Recently, the monocyte count to high-density lipoprotein cholesterol ratio (MHR) was found to be associated with the SYNTAX score in patients with both stable coronary artery disease (CAD) and acute coronary syndrome (ACS). The MHR was significantly higher in male patients. However, the sex-specific association of MHR...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017536
更新日期:2019-10-01 00:00:00
abstract::Although the association between malignancy and thromboembolic disease is well established, the relative risk of developing initial and recurrent deep vein thrombosis (DVT) or pulmonary embolism (PE) among patients with malignancy versus those without malignancy has not been clearly defined. The Medicare Provider Anal...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/00005792-199909000-00001
更新日期:1999-09-01 00:00:00