Early single-photon emission computed tomography in mild head trauma. A controlled study. NLM AIDSLINE Important note: Information in this article was accurate in 1995. The state of the art may have changed since the publication date.

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Early single-photon emission computed tomography in mild head trauma. A controlled study.

J Neuroimaging. 1994 Oct;4(4):177-81. Unique Identifier : AIDSLINE MED/95036833
Masdeu JC; Van Heertum RL; Kleiman A; Anselmi G; Kissane K; Horng J; Yudd A; Luck D; Grundman M; Department of Neurology, St. Vincent's Hospital and Medical; Center of New York, NY 10011.

Abstract: Although computed tomography (CT) and magnetic resonance imaging scans often appear normal after mild head trauma, many patients experience attentional or other cognitive disturbances that are difficult to quantify by neuropsychological testing in the absence of a premorbid profile. Within 2 days of mild head trauma, 14 patients with normal-appearing brain CTs were studied with single-photon emission computed tomography (SPECT). They were compared to 15 normal control subjects and to 12 patients with mild human immunodeficiency virus (HIV) encephalopathy. Ten of 14 head trauma patients were separated from the normal control subjects by both independent readers, blinded to the clinical diagnosis. None of the SPECT results from normal control subjects were read as trauma. Trauma could not be differentiated from HIV encephalopathy. The observed percentage agreement between raters was 0.83 (kappa = 0.72). SPECT is more sensitive than CT in detecting brain injury after mild head trauma.
Keywords: Adult AIDS Dementia Complex/*RADIONUCLIDE IMAGING Brain/*RADIONUCLIDE IMAGING Diagnosis, Differential Female Head Injuries/*RADIONUCLIDE IMAGING Human Male *Tomography, Emission-Computed, Single-Photon CLINICAL TRIAL CONTROLLED CLINICAL TRIAL JOURNAL ARTICLEKWDadultaidsdementiacomplex/KWDradionuclideimagingbrain/KWDradionuclideimagingdiagnosis,differentialfemaleheadinjuries/KWDradionuclideimaginghumanmaleKWDtomography,emission-computed,single-photonclinicaltrialcontrolledclinicaltrialjournalarticle
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M9520866

Copyright © 1995 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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