H. Rieck et al., DISCORDANCE OF TECHNETIUM-99M-HMPAO AND TECHNETIUM-99M-ECD SPECT IN HERPES-SIMPLEX ENCEPHALITIS, The Journal of nuclear medicine, 39(9), 1998, pp. 1508-1510
Technetium-99m-hexamethyl propyleneamine oxime (HMPAO) and Tc-99m-ethy
l cysteinate dimer (ECD) accumulate in brain tissue in proportion to r
egional cerebral blood flow in healthy subjects and in patients with a
variety of neurological diseases. We report on four patients with her
pes simplex encephalitis and the discordance between these two approve
d cerebral perfusion imaging radiopharmaceuticals. Conclusion: SPECT i
mages showed unilateral regional increase of Tc-99m-HMPAO uptake and d
ecrease of Tc-99m-ECD uptake in the affected temporal lobe.