2. Brain perfusion scan Case report

3. Case Ⅰ Name: 鄭 XX Sex: female Age: 13 y/o Date: 89/8/1~89/10/7

4. Chief complaint traffic accident on 2000/5/30

5. Present illness this 13 y/o female is a victim of : 1. head injury with right frontal-temporal- parietal hemorrhage, SAH, skull fracture, severe brain edema s/p right craniectomy on 2000/5/30 in 邱綜合 hospital.

6. 2. hydrocephalus s/p V-P shunt on 2000/6/12. So far, the GCS: E2VtM4. Fever and seizure has been noted during the past 1 week.

7. Now she was admitted to our ward to have further care. Physical examination Conscious: E2VtM4 Others: np NE: ?

8. Impression: hydrocephalus s/p V-P shunt Head injury with ICH post OP; with skull fracture Fever, R/o lung, urinary, CNS infection

9. Plan: F/U brain CT Survey for infection sign Antibiotics

13. Date: 90/1/2 C.C: skull defect

14. PI : 1. HI with ICH post op 2. hydrocephalus post op 3. Bilateral traumatic optic nerve atrophy 4. skull defect

15. This time she was admitted to our NS ward for surgery of cranioplasty for her skull defect 90/1/3: Tc-99m HMPAO brain perfusion SPECT

16. Case Ⅱ Name: 林 XX Sex: male Age: 72 y/o Date: 90/1/1~901/11

17. Chief complaint blurred vision(ou) noted for one week and bilateral temporal area headache and slow movement noted recent two days(subacute onset)

18. Present illness this 72 y/o male was a case of 1.DM, 2.H/T He suffered from blurred vision(ou) for 1 week and bil temporal area headache and slow movement in recent 2 days (subcute onset)

19. slightly progressive associated symptoms: left side drooling, and bilateral hand tremor(+) So he went to our ER for help

20. brain CT revealed: hypodensity without obvious enhancement over right temporal, occipital lobe with edema and lateral ventricle compression, mid-line shift.

21. NE: left mild central facial palsy Impression: 1. CVD 2. R/O brain tumor 90/1/8: Tc-99m HMPAO brain perfusion SPECT

22. Tc99m HMPAO brain perfusion scan ＆ SPECT Indication: cerebral infarction, cerebral hemorrhage, TIA, cerebral ischemia, Alzheimer’s disease, senile dementia, multiple infarct dementia, head injury, epilepsy, encephalitis, convulsion disorder, Parkinson’s disease