Abstract
Brain single-photon emission tomography (SPET) withN,N″-1,2-ethylene-diylbis-l-cysteine diethyl ester dihydrochloride (ECD) was performed on ten patients with a clinically high grade late whiplash syndrome and on 11 controls. Two independent readers blinded to the clinical diagnosis were able to separate the ten patients from normal controls. All these patients had qualitative bilateral parieto-occipital hypoperfusion. To confirm this, the perfusion rate of parieto-occipital over global (perfusion index) was calculated after drawing elliptical regions of interest in transversal-oblique slices. The perfusion indices in patients were significantly lower than in controls as tested by the Mann-WhitneyU test. This quantitative study proves our recent qualitatively analysed observation (Lancet 1995; 345: 1513–1514).
References
Radanov BP, DiStefano G, Schnidrig A, Sturzenegger M, Augustiny KF. Cognitive functioning after common whiplash.Arch Neurol 1993; 50: 87–91.
Ettlin TM, Kischka U, Reichmann S, Radü EW, Heim S, Wengen D, Benson DF. Cerebral symptoms after whiplash injury of the neck: a prospective clinical and neuropsychological study of whiplash injury.J Neurol Neurosurg Ps 1992; 55: 943–948.
Ommaya AK, Faas F, Yarnell R. Whiplash injury and brain damage: an experimental study.JAMA 1968; 204: 75–79.
Bavetta S, Nimmon CC, White J, McCabe J, Huneidi AH, Bomanji J, Birkenfeld B, Charlesworth M, Britton KE, Greenwood RJ. A prospective study comparing SPET with MRI and CT as prognostic indicators following severe closed head injury.Nucl Med Comm 1994; 961–968.
Jacobs A, Put E, Ingels M, Bossuyt A. Prospective evaluation of technetium-99m-HMPAO SPECT in mild and moderate traumatic brain injury. J Nucl Med 1994; 35: 942–947.
Otte A, Mueller-Brand J, Fierz L. Brain SPECT findings in late whiplash syndrome.Lancet 1995; 345: 1513–1514.
Otte A, Ettlin TM, Mueller-Brand J. Comparison of99mTc-ECD- with99mTc-HMPAO brain SPECT in late whiplash syndrome.Accepted J Vascular Investigation.
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Otte, A., Ettlin, T., Fierz, L. et al. Parieto-occipital hypoperfusion in late whiplash syndrome: first quantitative SPET study using technetium-99m bicisate (ECD). Eur J Nucl Med 23, 72–74 (1996). https://doi.org/10.1007/BF01736993
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DOI: https://doi.org/10.1007/BF01736993