Regional Cerebral Blood Flow in Peritumoral Brain Edema during Dexamethasone Treatment: A Xenon-enhanced Computed Tomographic Study

Neurosurgery ◽  
1998 ◽  
Vol 43 (2) ◽  
pp. 235-240 ◽  
Author(s):  
Peter F. Behrens ◽  
Christoph B. Ostertag ◽  
Peter C. Warnke
1982 ◽  
Vol 2 (4) ◽  
pp. 408-414 ◽  
Author(s):  
H. T. Thaler ◽  
J. A. Baglivo ◽  
H. C. Lu ◽  
D. A. Rottenberg

Computer simulations were done as a feasibility study of xenon computed tomographic measurements of regional cerebral blood flow. Accuracy of initial least squares estimates of gray matter and white matter rate constants from a two-compartment model depended very little on the number and timing of scans, but did depend significantly on the enhancement-to-noise ratio as well as on the true values of the rate constants and gray/white ratio. Nonlinear least squares gives an optimal fit of the predicted wash-in-wash-out curve to the data rather than optimal estimates of the rate constants. A polynomial correction factor was obtained by regressing initial estimates on the true values used to generate the simulations. The correction factor substantially reduced error in the estimates and, in particular, eliminated large outliers.


Neurosurgery ◽  
1989 ◽  
Vol 25 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Sotaro Higashi ◽  
Hiroshi Matsuda ◽  
Hiroyuki Fujii ◽  
Haruhide Ito ◽  
Junkoh Yamashita

Abstract We report a case of luxury perfusion syndrome with temporary neurological deterioration after extracranial to intracranial bypass surgery. A preoperative computed tomographic scan showed no detectable infarct, and the measurement of regional cerebral blood flow showed severe depression of ipsilateral hemispheric perfusion. The patient developed temporary neurological deterioration after bypass surgery, with no recognizable pathological signs on postoperative computed tomographic and angiographic studies. Regional cerebral blood flow and volume were more elevated during the period of neurological deterioration than after the subsequent recovery. This strongly suggests that excessive blood flow directed into chronically ischemic brain through a graft may induce a luxury perfusion syndrome resulting in neurological deterioration.


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