Evaluation of role of brain SPECT in diagnosis of post stroke dementia [Persian]

Document Type: Original Article

Authors

1 Department of Neuralogy, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Nuclear Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Post stroke dementia is one of the most common complications of stroke that is preventable and relatively treatable too. The purpose of the study is comparison between the positive findings in brain CT scan and brain perfusion SPECT. 15 patients who were complicated by dementia after cerebrovascular accident and also 5 patients as a control group enrolled in this study. Brain CT scan and brain SPECT were performed during at most one week after stroke. Abnormal findings in both brain CT scan and SPECT were seen in 46% of patients. Brain CT scan disclosed more abnormal findings compared to brain SPECT (33.3%). While brain SPECT findings were more informative than brain CT scan (20%), this study is indicating that brain CT scan and brain SPECT concomitantly are complementary for each other in better diagnosis of post stroke dementia. We did not find any specific diagnostic pattern in brain SPECT of patients suffering from post stroke dementia. The low quality of brain SPECT in spite of uniformity of Gamma camera may be suggestive of low quality of Iran produced ECD kit that needs further evaluation.

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