Usefulness of Tc-99m ethyl cysteinate dimer brain SPECT to detect abnormal regional cerebral blood flow in patients with acute carbon monoxide poisoning

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Title:	Usefulness of Tc-99m ethyl cysteinate dimer brain SPECT to detect abnormal regional cerebral blood flow in patients with acute carbon monoxide poisoning
Authors:	Wu, CI;Changlai, SP;Huang, WS;Tsai, CH;Lee, CC;Kao, CH
Contributors:	附設醫院核子醫學部;China Med Univ Hosp, Dept Nucl Med, Taichung 404, Taiwan;China Med Univ Hosp, Dept Neurol, Taichung, Taiwan;China Med Univ Hosp, Div Plast Reconstruct Surg, Taichung, Taiwan;China Med Univ Hosp, Div Hyperbar Oxygentherapy, Taichung, Taiwan;Chi Mei Med Ctr, Dept Radiol, Tainan, Taiwan;Tri Serv Gen Hosp, Natl Def Med Ctr, Dept Nucl Med, Taipei, Taiwan;Taichung Healthcare & Management Univ, Grad Inst Healthcare Adm, Taichung, Taiwan
Date:	2003
Issue Date:	2010-09-24 14:39:40 (UTC+8)
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Abstract:	Object: To minimize invasiveness, an endoscopic surgical technique under stereotactic guidance is described for removal of thalamic hematoma. Surgical technique: A burr hole is placed at a point 3 cm above the glabella and 3 cm lateral from the midline. A transcortical transventricular puncture is performed with a stainless steel tube under stereotactic guidance. The tube is mounted to a metal holder. Through this tube, a rod-lens working channel endoscope and surgical instruments are inserted for visualization of the thalamus and evacuation of the hematoma. Compared with the endoscopic approach through the shortest distance of viable brain tissue, this technique allows removal of the hematoma in the ventricular space and thalamus simultaneously. The case of one patient with thalamic hemorrhage and obstructive hydrocephalus, caused by an intraventricular blood clot, is reported for surgical demonstration. Conclusion: An endoscopic technique for removal of thalamic hematoma with the aid of stereotactic guidance, which allows precise targeting of the lesion, is reported.
Relation:	NUCLEAR MEDICINE COMMUNICATIONS 24(11):1185-1188
Appears in Collections:	[China Medical University Hospital] Jurnal articles

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