Incremental Utility of Tc-99m Glucohepatonate Single-Photon Emission Computed Tomography over

F-18 flourodeoxyglucose positron emission tomography magnetic resonance imaging Tc-99m glucohepatonate single-photon emission computed tomography-computed tomography recurrence stroke-like migraine attacks after radiation therapy syndrome

Journal

Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
ISSN: 0972-3919
Titre abrégé: Indian J Nucl Med
Pays: India
ID NLM: 8901274

Informations de publication

Date de publication:
Historique:
received: 04 06 2020
revised: 16 07 2020
accepted: 18 07 2020
entrez: 27 5 2021
pubmed: 28 5 2021
medline: 28 5 2021
Statut: ppublish

Résumé

Detection of recurrence of a brain tumor after treatment is one of the most important and challenging diagnostic problems in neuro-oncological practice. In spite of technical advances in imaging modalities, sometimes, certain clinical presentations and manifestations can lead to a diagnostic dilemma even with the best of the technical know-how. We present a case of recurrence of anaplastic oligoastrocytoma (World Health Organization Grade III), where the patient's initial clinical presentation and the F-18 flourodeoxyglucose positron emission tomography (PET) magnetic resonance imaging findings were suggestive of stroke-like migraine attacks after radiation therapy syndrome. Due to a seizure episode before PET image acquisition, intense gyral uptake was noted in the left parietal lobe which made it difficult to ascertain the presence of a tumor recurrence. However, Tc-99m glucohepatonate single-photon emission computed tomography done after 1 week revealed radiotracer uptake within the site corresponding to the primary tumor, and a diagnosis of recurrence was made.

Identifiants

pubmed: 34040298
doi: 10.4103/ijnm.IJNM_125_20
pii: IJNM-36-53
pmc: PMC8130701
doi:

Types de publication

Case Reports

Langues

eng

Pagination

53-55

Informations de copyright

Copyright: © 2021 Indian Journal of Nuclear Medicine.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Sameer Peer (S)

Department of Neuro Imaging and Interventional Radiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.

Sandhya Mangalore (S)

Department of Neuro Imaging and Interventional Radiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.

Jitendra Saini (J)

Department of Neuro Imaging and Interventional Radiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.

Chandana Nagaraj (C)

Department of Neuro Imaging and Interventional Radiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.

Classifications MeSH