This report presents our experience with computed tomographic and radionuclide scans in 224 patients with ischemic or hemorrhagic infarcts or intracerebral hematomas secondary to cerebral occlusive vascular diseases. The results vary according to the site of vascular occlusion. The radionuclide angiograms and static scintigrams show four distinct patterns in cases of occlusion of the middle cerebral artery. Computed tomographic scans exhibit less variation in appearance and have a higher sensitivity in cases of recent ischemic infarction. The "tentorial confluence sign" is an important finding on static scintigrams in patients with occipital infarction; if this sign is not present, this diagnosis should be suspect. Earlier reports have established the value of computed tomography and radionuclide scans in the evaluation of cerebral infarction. In individual cases, however, each of these modalities may render nondiagnostic or false negative findings; combining both both types of examinations and comparing results yield a greater likelihood of an accurate diagnosis of cerebrovascular disease. Computed tomography is clearly more valuable than radionuclide scans in the diagnosis and follow-up of hemorrhagic infarcts or parenchymal hematomas.

Aged↗

PubMed1977

Scintigraphic findings in hyperostosis frontalis interna.

Transient diminution of activity was seen on early radionuclide images of the brain in 5 patients with hyperostosis frontalis interna and filled in on subsequent studies. Radiographs confirmed the diagnosis. In 3 patients the changes corresponded extremely well with both modalities. This entity should be considered when diminished activity is seen in the frontal area.

Aged↗

PubMed1976

Primary aortoduodenal fistula. A rare cause of acute gastrointestinal hemorrhage.

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Acute Disease↗

PubMed1976

The excessively small ventricle on computed axial tomography of the brain.

Computed axial tomography has made it possible to observe excessively small ventricles in a variety of disorders of the CNS. This finding is presumably due to non-specific and diffuse swelling of brain parenchyma, and is illustrated in cases of trauma, neoplasm, encephalitis, pseudotumor cerebri, metabolic disorder, and probable dilantin effect. It is likely that other causes will be encountered in the future.

Adolescent↗

PubMed1976

Retroperitoneal fibroxanthosarcoma: report of a case.

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Fibrosarcoma↗

PubMed1976

Brain image manifestation in the patient with cavernous sinus occlusion.

Radionuclide findings in a case of cavernous sinus occlusion by an intracavernous aneurysm are described. A brain image obtained 10 minutes after injection of 99Tc pertechnetate shows diminished activity in the area of the right cavernous sinus and increased activity in the area of the right sylvian veins; these are attributed to abnormal venous blood flow and may serve as a sign of cavernous sinus occlusion.

Cavernous Sinus↗

PubMed1976

The normal range and position of the pineal gland on computed tomography.

Precise measurements with the Vanguard Motion Analyzer were made to determine the position of the pineal gland as shown on the Polaroid displays of 145 normal scans. The relatively midline positions of the gland are expressed in terms of percentage shift of the gland in these 145 normal cases is defined by a mean value of 0.8% with a standard deviation of 0.6%. More than 99% of normal CT scans can be expected to show a percentage shift of 2.6% or less.

Cephalometry↗